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After how many days of possible exposure, will CMIA result be conclusive?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

Dr. K. Shobana

Published At July 10, 2017
Reviewed AtOctober 9, 2023

Patient's Query

Hello doctor,

Please help me. I had sex with a CSW for the first time, two months back. First, we had oral and penetrative sex using a condom. Then we had oral sex without a condom. The first time, the girl helped me put the condom. But later, I put it myself, as it was the first time. I put it backward. As we were having sex, because of the friction, the condom broke, and my penis touched her vagina for a brief moment before I withdrew.

From that day, I start having stress and fear. Since then I started having nausea, joint pains, and fatigue. After 25 days, I got a sore throat due to fear, anxiety, and guilt. After 35 days, I found mouth ulcers, and after 40 days, a canker sore on my gum. After 45 days, my back and buttocks started paining. I again got a sore throat, and this time the whole neck area and armpit started paining. On about the 58th day, I found small swollen nodes on my head. I also saw red dots on my neck after shaving. Today, I have a severe body pain. The pain comes and goes. When I am busy, there is no pain.

After the possible exposure, I did CMIA test on the 36th and 57th day, and it was "non-reactive." I am scared that the condom got torn during oral sex the first time. In how many days is CMIA result conclusive?

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

I have read your concern.

  • The window period for HIV (human immunodeficiency virus) can last up to 12 weeks. HIV infection cannot be diagnosed during this period because antibodies to HIV have not developed during this period.
  • The test most commonly used in this situation are p24 antigen and the proviral DNA assay, which can be detected by fourth generation ELISA (CMIA), which is a confirmatory test at that point of time. So, CMIA is conclusive at 28 days post-exposure. Just relax, you do not have HIV.
  • The symptoms you mentioned may indicate you have herpes labialis. The primary episode usually starts 2 to 10 days post-exposure with prodromal symptoms of burning, discomfort, or itching with fever and malaise.
  • You can get checked for VDRL (venereal diseases research laboratory), HSV IgM and IgG (herpes simplex virus immunoglobulin G and M), anti-HCV (Hepatitis C virus). For more information consult a doctor back.

Patient's Query

Thank you doctor,

Sorry for late reply. Actually I was waiting for the completion of 90 days, so that I can check my HIV status as per WHO guidelines and also to make me fully sure that there is no threat of HIV. After 95 days I went for the HIV Test result, and it was non-reactive. As in our previous conversation, you have asked me for HSV Igg & IgM test. My Igg is coming reactive. I have uploaded my report. The problems faced by me nowadays are,

1. Huge pain in eyes from two days.

2. Pain in the penis.

3. Sometimes, I feel inflammation in the armpit.

4. Sometimes, I feel that some insect bites me in my back, neck, and leg.

5. It is now more than one and a half months of having ulcers on the front portion of my gums that have not been healed.

Questions:

1. What is this HSV?

2. Which type of HSV 1 or 2?

3. Is HSV curable by Allopathy, Ayurveda, or Homeopathic?

4. What precautions should I take to get rid of HSV, especially the pain in the eyes and penis?

Please help me. I am hugely tensed and afraid as I had done first time with a prostitute and met with the disease. After a few months, I am also getting married. That's why I am in fear also. What should I tell her? So, please help me.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

1. HSV (herpes simplex virus) is a viral infection.

2. It can involve the eyes.

3. It is not entirely curable.

4. This condition needs treatment with oral Acyclovir.

5. HSV 1 or 2 cannot be predicted and requires PCR (polymerase chain reaction) testing.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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