Hiv Testing

There are different tests available to detect HIV. They may test for antibodies alone or antibodies as well as p24 antigens from blood, saliva or urine of the person. While some tests may give immediate results, some require more time, up to a few weeks.

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I had a needlestick exposure two months back with an HIV patient and had a few negative tests. Are more tests required?

Query: Hello doctor, I had a needlestick exposure two months back with an HIV patient, and I did not start ART yet. I had the following tests, which showed negative. 1 Individual donor nucleic acid test (ID-NAT) for HIV - 19 days. 2. HIV duo fourth-generation test - 45 days. 3. HIV-1 RNA, Quantitative, Re...  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. The following are the answers to your queries. 1. No more tests are required if the 117-day test result is negative and there is no other exposure. 2. No symptoms can diagnose HIV (human immunodeficiency virus). T...  Read Full »

Could I get infected by HIV by having sex with a CSW?

Query: Hi doctor, I am a 28 year old male, and a couple of months ago, I had availed an escort service. Ever since, I have been worrying all the time about possible HIV infection. I feel little embarrassed writing about all this. Please excuse if you find any content of my note below unwarranted. I will tr...  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hi, Welcome to icliniq.com. The answers to your queries are: An estimated 40 to 90 % of patients with acute HIV (human immunodeficiency virus) infection will experience acute retroviral syndrome, which includes fever, lymphadenopathy, pharyngitis, skin rash, myalgia, arthralgia, etc. These symp...  Read Full »

Can Levaquin be used for gonorrhea?

Query: Hi doctor, I did IgG test for HSV-1 and HSV-2 after four months of possible exposure, which was negative. Is it conclusive? Is there any need to do IgM test? If IgG is negative, can I consider that I am not infected?  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hello, Welcome to icliniq.com. The time required for IgG (immunoglobulin G) antibodies to develop after the exposure to HSV (herpes simplex virus) is usually 21 to 42 days. A negative HSV IgG means that you have probably not been exposed to HSV. HSV IgM (immunoglobulin M) will tell whether yo...  Read Full »

I took the HIV combo test on the 32nd day after exposure. Is it a fourth-generation test?

Query: Hi doctor, I took the HIV-1, HIV-2, and p24 tests on the 32nd day after exposure. I am attaching the file. I want to know whether this is a fourth generation test. If yes, what are the chances that a fourth-generation test is negative on the 32nd day and will turn positive after the 45th day?  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hi, Welcome to icliniq.com. The answers to your queries are: The test which has been performed is a fourth-generation test. This test looks for HIV (human immunodeficiency virus) antigens and antibodies. The test result (attachment removed to protect the patient's identity) is negative. If this...  Read Full »

What tests detect the human immunodeficiency virus (HIV) precisely?

Query: Hi doctor, I started testing for HIV after six months of sexual intercourse. It is now one year after exposure, and all the tests are negative. My recent test was a comb aids test, and it came as negative. However, I am worried because of some symptoms. 1. After one year, I developed a sore throat...  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hi, Welcome to icliniq.com. I went through your queries, and The answer to those are, 1) Lymph node enlargement is not a diagnostic sign of human immunodeficiency virus (HIV) infection. It could be non-specific and due to any viral or bacterial infection. 2) Underarm sore could be a folliculitis...  Read Full »

Can a purple blotch on the nose mean that I have Kaposi's sarcoma?

Query: Hello doctor, I had protected sex with a sex worker last year. After sex, I forgot to clean my scrotum and did not realize until 30 minutes later. I had a negative OraQuick at six months and a negative rapid blood test at 10 months, but I read that false negatives can happen. I do not remember havin...  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hello, Welcome to icliniq.com. The test kits used these days to diagnose HIV (human immunodeficiency virus) are highly sensitive and specific and gives accurate results. Your negative HIV test results (attachments removed to protect the patient's identity) at six and then at ten months of exposure...  Read Full »

After sexual intercourse with a sex worker, I developed a dry cough for nearly three months. Is this due to an HIV infection?

Query: Hello doctor,I had sexual intercourse with a sex worker 23 weeks ago. And it was protected and was my first time, and it did not last more than 10 minutes. After a few days, I fell sick for a day or two, and it was gone. But then my friend told me condoms are not 100 ℅ protective. So that scared m...  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hello, Welcome to icliniq.com. Firstly, your symptoms could be due to various reasons and not necessarily represent HIV (human immunodeficiency virus) infection. Your HIV test results are conclusive. Chronic smoking can be the cause of cough. You do not require more tests for HIV if there has been ...  Read Full »

Does unprotected oral sex put someone at risk of HIV?

Query: Hi doctor,I spent three nights with a girl I met online a week ago. There was no intercourse, but we had unprotected oral sex, mutual masturbation, and kissing. I later found out that she has had a pretty crazy sexual history (unprotected anal sex and vaginal sex). Am I at risk of HIV? My worry is t...  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hi, Welcome to icliniq.com. Unprotected oral sex carries negligible to low risk for HIV acquisition especially if there are fresh cuts or sores or lesions or bleeding gums. Mutual masturbation and kissing are quite safe. Rubbing vagina without entry, I do not think will cause any harm. Overall, I ...  Read Full »

Is HIV test a fasting or non-fasting test?

Query: Dear doctor,Which is the primary blood test for HIV? Is it fasting or nonfasting? I want to get tested for a routine checkup.  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hello, Welcome to icliniq.com. The recommended primary test for HIV detection is the fourth generation HIV rapid test. You need not be fasting for this test. If there is a recent exposure and the test result comes negative, a confirmatory test needs to be done at three months of last exposure. Pleas...  Read Full »

Temperature fluctuations after having sex with a CSW. Am I HIV positive?

Query: Hello doctor,I had a protected sexual encounter with a CSW. The very next day I found little white nonraised dots on the head of my penis. The dermatologist told me that it was a fungal infection and prescribed Ketoconazole cream and Fluconazole tablet. However, I have undergone an HIV antibodies te...  Read Full »


Dr. Ravinder Kaur Sachdeva

Answer: Hello, Welcome to icliniq.com. Firstly, if the condom had been used consistently and correctly and it did not break or slip off then the chances of acquisition of HIV (human immunodeficiency virus) or any other STI (sexually transmitted infections) is nonexistent. Another reassuring point is tha...  Read Full »

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