Q. HIV RNA was negative on 21st day? Can it be positive later?

Hi, Welcome to icliniq.com.

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.

Hi,

Welcome back to icliniq.com.

• It is good if the rash has subsided. Observe the area. The rash is not related to HIV. You can allay fears about HIV and rash.

• HIV-1 RNA PCR is very sensitive (more than 99%) after 10 days exposure. The chances of it coming positive later is almost nil.

• It does not detect HIV 2. So, you can go for HIV 1 and 2 RNA PCR.

• HIV Duo after one month is considered conclusive by many. With given history and tests it may be considered conclusive after one month.

• You can go for final antibodies test (HIV 1 and 2) after three months to totally be free from anxiety. The chance of HIV tests becoming positive later is nil.

For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist

Hi, Welcome back to icliniq.com.

I have gone through the photos (attachment removed to protect patient identity).

• There is no significant rash now. It may be due to irritation or fungal infection. Just clean the area with warm water twice daily. Wear loose cotton inner wears.

• These are not related to HIV. You can allay fears of HIV.

For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist

Hi,

Welcome back to icliniq.com.

• With the given history, details, test reports I would take it as HIV negative.

• The chances of HIV tests coming positive later is nil. You can allay fears of HIV.

For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist

Hi,

Welcome back to icliniq.com.

• 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.

For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist

Hi,

Welcome back to icliniq.com.

I have gone through the photos (attachment removed to protect patient identity).

• It appears to be either due to fungal infection or irritation. Clean the area with warm water twice daily.

• You can apply Clotrimazole cream like Candid cream after consulting your doctor.

• HIV RNA PCR after 10 days exposure and duo test after one month is very sensitive test. It is considered conclusive by many.

• The chances of tests coming positive later is nil. You can allay fears of HIV.

• To relieve your anxiety and get final conclusive result, it is better to get tested after three months.

For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Basti Bharatesh Devendra

Experience: 27 + Yrs

Dermatology

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