HomeAnswersHIV/AIDS specialisthivHad unprotected sex, negative HIV tests. Still concerned?

Can fourth-generation HIV test results after an unprotected sexual encounter be considered 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.

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Published At November 1, 2022
Reviewed AtDecember 1, 2023

Patient's Query

Hello doctor,

I am a 31-year-old male, and I am unmarried. Exactly two years ago, I had one unprotected sexual exposure with a friend whom I met via a dating application, and five months ago, I visited a spa for a body massage, which ended in a hand job. The therapist was female and fully clothed. I confirmed that she did not have any cuts on her hands. I have done HIV 1 and 2 (fourth generation), hepatitis B and C, and syphilis tests after 3.5 months of the spa exposure, and they are all negative. Apart from the above tests, I have done (Human Immunodeficiency Virus)HIV 1 and 2 fourth-generation tests almost every month for the last two years out of anxiety. The latest was last month. All the results have been non-reactive. I do not have any symptoms. Please let me know if I need further tests like PCR (Polymerase Chain Reaction) or NAT(Nucleic Acid Amplification Test) HIV.

Hello, Welcome to icliniq.com.

I can totally understand your anxiety, and it is very much normal. The fear of HIV is quite disturbing. HIV infection has a window period of 12 weeks, during which the test results can be false negatives. However, beyond 12 weeks of the last exposure, the result can be taken as conclusive. Also, a handjob is not considered to be a high-risk exposure and has almost zero chances of HIV transmission. Considering your history and the duration of tests done, the results can all be taken as negative and conclusive. Therefore, you do not need any further testing. Meditation, involving yourself in physical activity, would help to relax your mind and keep it away from thoughts of HIV. If the doubt persists, you could consider talking to a counselor.

Patient's Query

Hello doctor,

Thank you very much for your response. I am planning to get married soon. Can I proceed without any fear?

Hello,

Welcome back to icliniq.com.

Yes, you need to be clear in your mind from now on. You can confidently go ahead with your wedding.

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

Dr. Rakesh Kumar Bahunuthula
Dr. Rakesh Kumar Bahunuthula

Dermatology

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