HIV and AIDS
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This is Dr. David. I am reviewing your question now and will be with you momentarily.
unprotected receptive anal sex with an HIV positive person each time has a 50 in 10,000 chance of you contracting HIV
after 4 months of duo HIV test being negative you have a 95-98% that you are truly HIV negative.
testing your CD4 counts doesn't help you. these counts go up and down on their own and is not used to check for HIV.
you should be using a condom for anal sex.
when serocoversion occurs, your antigen levels are positive and your antibody levels become positive. yours are both negative.
you don't have HIV.
you have no reason to be immunocompromised
let me know if you have questions.
you won't get positive results at 6 months
you can get HIV PCR testing now, you can get HIV Elisa tests now.
I bet these additional tests at this point will continue to be negative.
then you don't need more testing at 6 months.
let me know if you have other questions.
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you seem to be worried that you could serocovert at 6 months.
I don't think you will
I suggested more blood tests you can have now which I bet will be HIV negative.
as I said, your CD4 levels can go up and down normally. a drop in CD4 doesn't mean you have HIV.
it sounds like you have a lot of bad anxiety and worry about late seroconversion.
this doesn't happen after all of the HIV testing you have had which is HIV negative.
if HIV was causing declines of your CD4 counts right now, your duo HIV antibody and antigen test would be positive.
your HIV elisa test would be positivec.
those people who don't have antibodies have antigens
and would test positive with Elisa by 4 months.
your anxiety is trying to make up all of these super rare and crazy scenarios.
your virus load would not be too low to detect for RNA at 4 months.
you are HIV negative.
hepatitis would not delay seroconversion.
no, you don't need testing out to 12 months.
yes, I understand
and I have told you already you are 95-99% HIV negative
nothing in medicine is 100%
your testing so far is conclusive
you don't need more testing.
yes, you can resume unprotected sex with your wife.
your future tests will not turn out to be positive.
all of your tests have been negative