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Is it safe to assume that I am HIV negative following a negative HIV test?

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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 April 18, 2016
Reviewed AtJuly 4, 2023

Patient's Query

Hi doctor,

I took my fourth generation ELISA (Enzyme Linked Immunosorbent Assay) antibody and p24 test at 38 days and it was negative. I also did my RNA PCR (Ribonucleic Acid Polymerase Chain Reaction) test at 35 days and it is undetectable at 20 copies/1000 mL. Am I conclusively HIV (Human Immunodeficiency Virus) negative? Because, I continue to have a pimple or rash breakout on my face and chest. Also, I have diarrhea and feel generally weak with 99 degrees temperature. Could this be due to some other disease? Or still I have chance of having HIV?

Hi, Welcome to icliniq.com.

HIV RNA PCR (Human Immunodeficiency Virus Ribonucleic acid Polymerase Chain Reaction) is very sensitive test after 10 days of exposure. Duo test (combo test) is very sensitive after one month of exposure. It can be considered HIV negative with both tests being negative. The symptoms may be due to anxiety or any simple infection. You can consult your physician for examination and management. The chance of HIV tests coming positive later is almost nil provided there is no further risk exposure. The risk of exposure details are not clear. You can get back with details for any clarification.

Patient's Query

Hi doctor,

Thank you for your prompt reply. I performed receptive fellatio on a guy but I did not ingest his sperm and I did so for five minutes. That was my only risk. Is it safe to assume that I am HIV negative? The stress is killing me and I do not have anyone to share it with.

Hi, Welcome back to icliniq.com.

With the given risk exposure and test results, you are free from HIV (Human Immunodeficiency Virus). You can allay fears of HIV. You can get tested for HIV antibodies again after three months to allay your anxiety totally.

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

Dr. Basti Bharatesh Devendra
Dr. Basti Bharatesh Devendra

Dermatology

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