Dr. Basti Bharatesh Devendra
Dermatology
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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Patient's Query
Hello doctor,
I am a 26 year old male. I had protected vaginal sex with a sex worker 15 days back. However, the condom broke and I ejaculated inside her. I asked her whether she was HIV (Human Immunodeficiency Virus) positive and she said no. But, I cannot trust her. I have been having chills all over my body since yesterday. I was told by the HIV helpline to do the DNA PCR (Deoxyribo Nucleic acid polymerase chain reaction) test on the 21st day. What are the chances of me being HIV positive? Should I be worried about the chills? I have never had such chills before, especially in the legs and hands. I am panic. What should I do? Please suggest
Hello, Welcome to icliniq.com.
The chances of transmission of HIV (human immunodeficiency virus) by single unprotected intercourse is very low that is 1/200 to 1/1000. Condom tear can be almost similar to unprotected intercourse. If she is negative, then no problem. You can get her tested or you can go for human immunodeficiency virus 1 and 2 polymerase chain reaction (HIV-1 and 2 RNA PCR) after 10 days to allay your anxiety. The symptoms are non-specific and may not be due to HIV. It may be due to any simple infection or anxiety.
Patient's Query
Hello doctor,
I had the RNA PCR (Ribonucleic acid polymerase chain reaction) test as you suggested and it came back negative. I have the following doubts. Does a negative RNA PCR after 10 days of exposure mean I have nothing to worry about? Is the test result accurate just after 10 days of exposure? Do I need to do any confirmatory test after a few days again? Please guide.
Hi, Welcome back to icliniq.com.
HIV PCR (Human Immunodeficiency Virus Polymerase chain reaction) is a sensitive test (99%) after 10 days. With the given history, it is almost conclusive. But, it would be better to go for HIV (Human Immunodeficiency Virus) 1 and 2 antibodies tests after three months to have conclusive results. The chance of test coming positive later is almost nil.
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Dermatology
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