I had unprotected sex with a woman for two to three minutes around four weeks ago. I took HIV (Human Immuno Deficiency Virus ) 1 RNA (Ribonucleic Acid) test on 11th day which was negative. Again I took complete STD (Sexually Transmitted disease) panel tests on 21st day with HIV-1 RNA and HIV fourth generation tests, all of the results were negative. But, I can notice small rashes near tip of my penis which are appearing and going away for the past couple of days. Am I HIV positive? I am worried. Can HIV RNA be positive after negative at 21st day?
I have gone through the photo (attachment removed to protect patient identity). Though the photo is not clear, I can make out slight redness on the glans. It may be due to irritation or fungal infection. Do not over clean the area. Clean the area with warm water twice daily. Observe if any rash develops. The chance of transmission of HIV (human immunodeficiency virus) by single unprotected intercourse with a positive person is 1/200 to 1/1000. Here, it is low. She may be negative too. Then the chance is nil. HIV-1 RNA PCR is sensitive after 7 to 10 days. So, the chance of HIV -1 is almost nil. Duo test is considered sensitive after one month. It detects both antigen and HIV 1 and 2 antibodies. Some consider conclusive after one month. You can go for HIV 1 and 2 RNA PCR (Ribonucleic acid Polymerase chain reaction) at this stage. The chance of HIV-2 is very rare. You can get the women's history or get her tested to allay fears totally.
The redness has gone away now. I observed it in the morning. It has become normal. Could you please tell can I relax as the RNA test is negative? Is there any case where RNA test has turned positive later after negative at 20 days? I am planning to take Duo test on 30th day. Can I be relaxed if it comes negative?
I had one more duo test on 52nd day after exposure and it came negative. But, I am having body pains for three days and yesterday a lymph node near my groin got swollen and I got rash on penis again. Is this due to HIV?
There is no need for repeating the duo test. There will be no difference. It is better to get the test after three months to have conclusive results. It is negative reiterate that you are free from HIV.
The fungal infection or allergic rash is known for recurrence. If the rash is different from earlier rash, you can send clear photos for clarification. Otherwise follow same treatment.
Any simple infection in genital area or lower limb can lead to inguinal lymph node swelling. So, do not relate it to HIV. The symptoms are not due to HIV. Allay fears of HIV.
I have attached the pictures. Do I need to believe my HIV 1 RNA at 31 days and duo test at 52 days to be conclusive? I have seen many doctors saying six weeks duo is conclusive. Could you please advise me? Is RNA test conclusive and accurate? Have you seen any one turned positive after negative duo at seven weeks?
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The risk factors for HIV infection is having sex with unknown partners, whose HIV status is not known, or through blood transmission. Read full
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