Manav asked 7 years ago

I am a 32 years old male. Had a protected sex with a sex worker 6 months back but I am not sure on hiv status of the sex worker or the condom status during sex(broke or any hole).
I have severe peripheral neuropathy symptoms since 2 months of my hiv exposure. I am everyday feeling burning pain in feet, extreme body twitching cramps in thighs, tingling in feet leg and hand fingers. Sometimes burning pain in thumb also.
My doctor told it is not hiv but stress but it has never happened before and non ending. I am now 6 months hiv negative by duo test and pcr test. I also did std panel tests twice for hcv, hsv, vdrl, chlymdia and it was negative too.
Lab tests performed:(All Negative)
4th gen duo – 2 month, 3 month and 5 month
Pcr DNA – 3 month
Pcr RNA – 4 month
HCV,HSV 1&2,VDRL, Chlymdia – 3 month and 4 month
HBV – 6 month
Positive Tests:
EPSTEIN BARR – VCA IgG 77.1 u/ml
In Fabrile Reactions:
PROTEUS OX-19 – 1/320
Please suggest what to do as this problem is affecting my daily activities and even sleep. Is this HIV? How long do I need to do the tests to be 100% sure I do not have hiv?

3 Answers
freedoctorhelpline Staff answered 7 years ago

Condoms are not 100% safe method of protection from STDs. So, one should always avoid interactions with unknown partners. The incubation period of AIDS range from few months upto 10 years. So, you can be absolutely sure about your HIV status unless it gets tested positive.
However, presently, you don’t seem to have a HIV infection. You are unnecessarily taking too much stress. In future, avoid such encounters.

Manav answered 7 years ago

What is difference between incubation period and window period? 
It is hard to believe that it can take upto 10 years to show positive for hiv after an exposure. Can you please clear your point?

freedoctorhelpline Staff answered 7 years ago

In medicine, the window period for a test designed to detect a specific disease (particularly infectious disease) is the time between first infection and when the test can reliably detect that infection. In antibody-based testing, the window period is dependent on the time taken for seroconversion.
There’s a period of time after a person is infected during which they won’t test positive. This is called the HIV “window period.”The window period can be from 10 days to 3 months, depending on the person’s body and on the HIV test that’s used. During that time, you can test HIV-negative even though you’re HIV-positive. You can still get HIV from someone who is in the window period. In fact, there is evidence that a person in the window period is more likely to pass the virus on.If you’ve had high-risk exposure to HIV within the last few days, you should ask your test counselor about PEP – post-exposure prophylaxis (learn more about PEP).What’s the specific window period for different types of HIV tests?Rapid antibody test – gives a positive result based on antibodies to HIV, not the virus itself. It takes your body up to 3 months to produce these antibodies at levels that can be detected by this test.4-6 weeks (up to 3 months) after infection, most people will have enough antibodies to test positive.12 weeks (3 months) after infection, about 98% of people will have enough antibodies to test positive.Rapid antibody/antigen combination test – detects antibodies to HIV in addition to fragments of the virus called the p24 antigen. The p24 antigen can be detected in the body earlier than antibodies. According to the manufacturer:12-26 days after infection, the p24 antigen can be detected by this type of test20-45 days after infection, HIV antibodies can be detected by this type of testRNA tests – show a positive result based on the presence of the virus. These tests are more expensive than antibody tests, so are not offered in as many places.10-14 days after infection, there will be enough viral material for a positive result.Home testing kits – As of Fall 2012, there are two “home tests” which have been approved by the FDA for use in the U.S.:OraQuick by OraSure is an antibody test that you complete at home, usually conducted using oral fluid. According to the manufacturer, the window period is 3 months. Up to 1 in 12 people may receive a false negative result (i.e., the test says they’re negative, but they’re actually HIV-positive) with this test.Home Access HIV-1 by Home Access Health Corp is not actually a test, but a sample-collection kit. You use it to collect a blood sample which you then mail to a lab for processing. This test is anonymous.PCR tests (polymerase chain reaction tests) – also test for the actual virus. This type of test is often used for testing the viral load of HIV-positive people, as well as testing babies born to HIV-positive mothers. You can read more about PCR tests on the website.2-3 weeks after infection, there will be enough viral material for a positive result.

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