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Can HIV Be Contracted Through Vaginal Fluid Contact With Skin?
Question: Dear sir , I have a sexual exposure on 7th sept. 2015. It was a night stay with a prostitute having 3 session. After having 1st session i removed my condom and then she washed her hand and vagina with a bucket of water. During washing she put her hand inside bucket. After that I washed my hand and penis with same water. Then after 30 min we did another session. After Intercourse she removed my Condom And Then She Washed her Vagina and Hand With Same Water. Again she put her hand inside the bucket. After that I washed
my penis and hand with same water. Then after 20 min we again moved for 3 rd session. Again she washed her vagina and hand with same bucket water. This time water is very less in bucket. After that I washed my hand and penis with same water. During that night I saw a Paper in her file written as STD and some medicine was written there. I asked her about that but she hidden me and that is just an infection in my vaginal area. After 22 day of my exposure I got flu like feelings but when temperature measured it was 98.6 always. Fever stays upto 4 weeks l. In between that. I got sore throat which also stays 5 weeks. Then I got severe muscle pain and tingling sensation on my palm and sole. Also skin rash is there in my palm and sole. These skin rash are felt like hot sensation. I have lost my weight around 4 kg. I have white layer on my tongue and white lining on my side of the tongue also ulcer in mouth. All the symptoms are still existing (11.11.15). After 18 day of my exposure I did real rime pcr, quantitative (chenai -shankar netralaya ) result was not detectable. I did hiv cmia test on 30th,38th,53th and 61 st day of my exposure and all are negative. It might be due to window period. I am waiting for my 90 day test result. I visited a doctor here after getting my throat infection he suggested some medicine after taking that I got irritating feelings on my hand and feet sole. Then I stopped that medicine and again went to same doctor again he changed some medicine but to off no result. Now my throat infection is some how ok. After taking hot salt water gargling. Then I went for another doctor for my muscle pain and tingling sensation but do not tell them about my incident. He suggested for cbc, urine culture and liver function test and found every thing ok. Then he said some viral infection might be there and suggested some medicine.After 60 day of my exposure I have tested for dengue, hepatic b and c , very and prp but everything ok. Now I am with mind that I am hiv positive. I do not know the accuracy of CMIA hiv test results obtained from Dr lal path lab. In UK it is considered as conclusive after 28 days. But here in XXXXXXX all are saying result will be accurate after 90 day. Sir in my 52 day cmia hiv test the value is 0.07 and 61 day value is 0.46. Will it be above 1 after 90 day ? I have asked Dr lal path lab that why they are not mentioning p24 value , they said that , that value is for both. Is it like that ? Or in test report p24 value and antibody value written separately? Should I trust the result obtained from Dr lal path lab.
my penis and hand with same water. Then after 20 min we again moved for 3 rd session. Again she washed her vagina and hand with same bucket water. This time water is very less in bucket. After that I washed my hand and penis with same water. During that night I saw a Paper in her file written as STD and some medicine was written there. I asked her about that but she hidden me and that is just an infection in my vaginal area. After 22 day of my exposure I got flu like feelings but when temperature measured it was 98.6 always. Fever stays upto 4 weeks l. In between that. I got sore throat which also stays 5 weeks. Then I got severe muscle pain and tingling sensation on my palm and sole. Also skin rash is there in my palm and sole. These skin rash are felt like hot sensation. I have lost my weight around 4 kg. I have white layer on my tongue and white lining on my side of the tongue also ulcer in mouth. All the symptoms are still existing (11.11.15). After 18 day of my exposure I did real rime pcr, quantitative (chenai -shankar netralaya ) result was not detectable. I did hiv cmia test on 30th,38th,53th and 61 st day of my exposure and all are negative. It might be due to window period. I am waiting for my 90 day test result. I visited a doctor here after getting my throat infection he suggested some medicine after taking that I got irritating feelings on my hand and feet sole. Then I stopped that medicine and again went to same doctor again he changed some medicine but to off no result. Now my throat infection is some how ok. After taking hot salt water gargling. Then I went for another doctor for my muscle pain and tingling sensation but do not tell them about my incident. He suggested for cbc, urine culture and liver function test and found every thing ok. Then he said some viral infection might be there and suggested some medicine.After 60 day of my exposure I have tested for dengue, hepatic b and c , very and prp but everything ok. Now I am with mind that I am hiv positive. I do not know the accuracy of CMIA hiv test results obtained from Dr lal path lab. In UK it is considered as conclusive after 28 days. But here in XXXXXXX all are saying result will be accurate after 90 day. Sir in my 52 day cmia hiv test the value is 0.07 and 61 day value is 0.46. Will it be above 1 after 90 day ? I have asked Dr lal path lab that why they are not mentioning p24 value , they said that , that value is for both. Is it like that ? Or in test report p24 value and antibody value written separately? Should I trust the result obtained from Dr lal path lab.
Brief Answer:
Nonreactive 4th generation tests ruled out possibility of HIV 1 infection
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
You had protected exposures. The risk of HIV by using the same water from a bucket for washing the genitals by you and your sexual partner is almost nil. HIV can not survive outside the body fluid not more than few seconds. It will not survive in bucket of water.
All your symptoms including throat infection, fever, body pain and mouth ulcers are not specific to HIV infection. They are quite common symptoms for anyone to get in the absence of an HIV infection. Close intimacy during sex facilitates the transmission an ordinary viral infection through air (breath, cough and sneeze).
Regarding your test reports, Lal path lab has a good reputation and their tests are highly reliable. Undetectable viral load with RNA quantitative test is useful to assess the prognosis of the infection rather than for diagnosis. RNA Qualitative test or DNA PCR test would be of more use than the RNA Quantitative test, that too, of more value by 4 weeks than with 18 days.
Regarding CMIA tests, if it is forth generation test (COMBO/DUO), the nonreactive test done after 28 days had ruled out the possibility of HIV 1 infection beyond any doubt as the P24 part of the test became conclusive by 4 weeks after the high risk exposure whereas the antibody part of the test would become conclusive by 12 weeks after the window period. HIV 1 infection is more common throughout the world except in certain pockets of XXXXXXX to the extent of more than 99% (either in UK or in India). HIV 2 is very very rare possibility and can be ruled out by any HIV test done after 12 weeks post exposure. Upload the copy of the test report (CMIA), to verify whether it is a 3rd or 4th generation test.
Dr S.Murugan
Nonreactive 4th generation tests ruled out possibility of HIV 1 infection
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
You had protected exposures. The risk of HIV by using the same water from a bucket for washing the genitals by you and your sexual partner is almost nil. HIV can not survive outside the body fluid not more than few seconds. It will not survive in bucket of water.
All your symptoms including throat infection, fever, body pain and mouth ulcers are not specific to HIV infection. They are quite common symptoms for anyone to get in the absence of an HIV infection. Close intimacy during sex facilitates the transmission an ordinary viral infection through air (breath, cough and sneeze).
Regarding your test reports, Lal path lab has a good reputation and their tests are highly reliable. Undetectable viral load with RNA quantitative test is useful to assess the prognosis of the infection rather than for diagnosis. RNA Qualitative test or DNA PCR test would be of more use than the RNA Quantitative test, that too, of more value by 4 weeks than with 18 days.
Regarding CMIA tests, if it is forth generation test (COMBO/DUO), the nonreactive test done after 28 days had ruled out the possibility of HIV 1 infection beyond any doubt as the P24 part of the test became conclusive by 4 weeks after the high risk exposure whereas the antibody part of the test would become conclusive by 12 weeks after the window period. HIV 1 infection is more common throughout the world except in certain pockets of XXXXXXX to the extent of more than 99% (either in UK or in India). HIV 2 is very very rare possibility and can be ruled out by any HIV test done after 12 weeks post exposure. Upload the copy of the test report (CMIA), to verify whether it is a 3rd or 4th generation test.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir, I have uploaded my report for your kind consideration. 1. During initial infection viral load must have high range, so quantitative real time pcr should detection the copy no . What is your suggestion about this ? 2. I am waiting for 60 day qualitative dna pcr report, after getting I will touch with you 3. I am getting all the symptoms still now like muscle pain, tired XXXXXXX mouth sore, sore throat, weight loss and loss of apetite, tingling sensation on my feet and palm. 4. Please sir guide me what to do next
Brief Answer:
HIV 1 infection ruled out. Symptoms unlikely to be due to HIV
Detailed Answer:
Hi,
Welcome back.
1. As you rightly pointed out in early infection the viral load must be very high. But that is during seroconversion period (3-4 weeks upto 12 weeks). Antigen can be detected by one week on wards. But in rare occasions it may be low due to late in establishing the infection inside the body. So the PCR test is more reliable after 3-4 weeks.
2. DNA PCR is very much conclusive by 6o days as far as HIV 1 infection is concerned.
3. Symptoms are unlikely to due to HIV. Consult a good physician.
4. Your CMIA test are 4th generation COMBO tests. These negative test totally ruled out the possibility of HIV 1 infection beyond any doubt and they are very much reliable.
Dr S.Murugan
HIV 1 infection ruled out. Symptoms unlikely to be due to HIV
Detailed Answer:
Hi,
Welcome back.
1. As you rightly pointed out in early infection the viral load must be very high. But that is during seroconversion period (3-4 weeks upto 12 weeks). Antigen can be detected by one week on wards. But in rare occasions it may be low due to late in establishing the infection inside the body. So the PCR test is more reliable after 3-4 weeks.
2. DNA PCR is very much conclusive by 6o days as far as HIV 1 infection is concerned.
3. Symptoms are unlikely to due to HIV. Consult a good physician.
4. Your CMIA test are 4th generation COMBO tests. These negative test totally ruled out the possibility of HIV 1 infection beyond any doubt and they are very much reliable.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir, to day I received my dna pcr report and it is negative. 1. What is the accuracy of dna pcr on 60 day of exposure? 2.presenty I am getting muscle pain, Fatigue, rash on palm, sore throat and tiredness, what is your suggestion about this? 3. I talked to Dr lal path lab about cmia hiv test accuracy, they said that after 90 day of exposure this test is accurate, as per your experience what you suggest to me ?Sir, during that night stay, after every session of inter course she removed my condom and washed her vagina and hand by inserting the hand into the bucket again I used that water for cleaning of my penis. Is not it risk? Sir 3rd and 4th generation antibody test is accurate after how many weeks? Now I am in 10th week , is my antibody test will give the accurate result?
Brief Answer:
You are free from HIV 1 infection.
Detailed Answer:
Hi,
Welcome back
DNA PCR 4 weeks after the high risk activity is reliable to the extent of 99.9% and it is conclusive that you are free from HIV 1 infection. Similarly 4th generation test can also predict the antigen part by 4 weeks whereas the antibody part of the test and third generation become conclusive by 12 weeks. Once again I assure that there is negligible risk by using the same bucket of after for washing the genitals of your partner and yourself.
Dr S.Murugan
You are free from HIV 1 infection.
Detailed Answer:
Hi,
Welcome back
DNA PCR 4 weeks after the high risk activity is reliable to the extent of 99.9% and it is conclusive that you are free from HIV 1 infection. Similarly 4th generation test can also predict the antigen part by 4 weeks whereas the antibody part of the test and third generation become conclusive by 12 weeks. Once again I assure that there is negligible risk by using the same bucket of after for washing the genitals of your partner and yourself.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Prasad
Dear sir, still now I am getting all the symptoms specially muscle pain, Fatigue, rash on palm, tiredness, sore throat and mouth sore, weight loss etc ( since third week of exposure to till date ), is it normal ? Should I need any further hiv test?
Brief Answer:
Your symptoms are not related to Acute HIV 1 infection
Detailed Answer:
Hi,
Welcome once again.
I understand your concern.
Your symptoms are not due to HIV 1 infection. Rarest possibility of HIV 2 is yet to be ruled out. It is quite unlikely. Consult a good physician for your present problems and get well soon.
You have repeat the Rapid test (Antibody detection test) or 4th generation test once again to rule out HIV 2 infection, if you have any doubt about the relationship of these symptoms to HIV infection, 12 weeks after the exposure. It is quite unlikely.
Dr S.Murugan
Your symptoms are not related to Acute HIV 1 infection
Detailed Answer:
Hi,
Welcome once again.
I understand your concern.
Your symptoms are not due to HIV 1 infection. Rarest possibility of HIV 2 is yet to be ruled out. It is quite unlikely. Consult a good physician for your present problems and get well soon.
You have repeat the Rapid test (Antibody detection test) or 4th generation test once again to rule out HIV 2 infection, if you have any doubt about the relationship of these symptoms to HIV infection, 12 weeks after the exposure. It is quite unlikely.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Prasad
Dear sir, I am attaching my dna pcr report. Plz go through it. Sir my doubt is , this dna pcr is only for sub class c of hiv -1 or for overall hiv -1 ( included all the sub class like M (A-H) and O. Sir can I have a western blot test now (10th week) is it give accurate result . Now I have the symptoms like fatigue and muscle aches.
Brief Answer:
HIV 1 is ruled out by DNA PCR also
Detailed Answer:
Hi,
Welcome back.
Your DNA PCR is also not detecting any HIV particle. So it is extra confirmed that you are free from HIV 1 infection including all sub-types. Not to worry.
Western blot by 10 weeks will be able to detect antibodies as almost you crossed widow period. But it would be more conclusive by 12 weeks. As HIV 1 had been ruled out already Western blot is not necessary for you. Regarding HIV 2 infection, it is as equal to any other rapid test. So rapid test would be adequate. It would be conclusive by 12 weeks. Regarding your symptoms would be unlikely to be due to HIV.
Dr S.Murugan
HIV 1 is ruled out by DNA PCR also
Detailed Answer:
Hi,
Welcome back.
Your DNA PCR is also not detecting any HIV particle. So it is extra confirmed that you are free from HIV 1 infection including all sub-types. Not to worry.
Western blot by 10 weeks will be able to detect antibodies as almost you crossed widow period. But it would be more conclusive by 12 weeks. As HIV 1 had been ruled out already Western blot is not necessary for you. Regarding HIV 2 infection, it is as equal to any other rapid test. So rapid test would be adequate. It would be conclusive by 12 weeks. Regarding your symptoms would be unlikely to be due to HIV.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir, in my dna pcr report ( at Bottom ) it is clearly written that it is for hiv-1 sub type c. Please sir check throughly. So my doubt is this dna pcr not covered all sub types, what is your suggestion ? 2. Is hiv -2 is in XXXXXXX ? 3. Should I check for syphilis, what is the window period for syphilis ? In my 10th week should I have my syphilis test, if yes then which test should I do? Should I move for Western blot for hiv 1 and 2 in my 10th week. ?Dear sir, please suggest me the name of dna pcr for both hiv 1 and hiv 2 separately , to know the initial infection ( during window period ). So that I can do the same test in XXXXXXX Currently I am in XXXXXXX
Brief Answer:
Negative DNA PCR ruled out all types of HIV 1 infection
Detailed Answer:
Hi,
Welcome back.
1.Your DNA PCR test ruled out all subtypes of HIV 1 whereas Type C predominates in XXXXXXX
2. HIV 2 is present in XXXXXXX The prevalence is less than 0.5%.
3. Syphilis can not be transmitted through contaminated water (washing in a common bucket). Syphilis can be detected by RPR (rapid plasma reagin) test and will become positive by 4 weeks after the exposure in the presence of infection.
You can go for any antibody test 12 weeks after the exposure. That also would be likely to be nonreactive.
Dr S.Murugan
Negative DNA PCR ruled out all types of HIV 1 infection
Detailed Answer:
Hi,
Welcome back.
1.Your DNA PCR test ruled out all subtypes of HIV 1 whereas Type C predominates in XXXXXXX
2. HIV 2 is present in XXXXXXX The prevalence is less than 0.5%.
3. Syphilis can not be transmitted through contaminated water (washing in a common bucket). Syphilis can be detected by RPR (rapid plasma reagin) test and will become positive by 4 weeks after the exposure in the presence of infection.
You can go for any antibody test 12 weeks after the exposure. That also would be likely to be nonreactive.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir, still I am confused with your answers. Have u checked my report, sorry sir , but my doubt is my dna pcr test held is for only sub type c of hiv-1 or all sub type of hiv _ 1. At Bottom of my report , it is clearly written that this test is only for sub type c of hiv -1. Please clear my doubts. Again if I want to do dna pcr for hiv -2 after 10th weeks of exposure, how accurate is it be ? Should cmia hiv test after 10 week exposure will eleminate the risk of hiv -2 ?
Brief Answer:
HIV 2 PCR can be reliable by 10 weeks to confirm HIV 2 status.
Detailed Answer:
Hi,
Welcome back.
Laboratories want to protect their skin from medico-legal problems. So their instructions sometimes are not necessarily taken as absolute. As far as my knowledge goes you need not bother about other serotypes of HIV 1. You are free from HIV 1 infection.
HIV 2 RNA PCR or DNA PCR by 4 weeks on wards can rue out or confirm HIV 2 infection.If it is available you can very well take up the same. But I feel that you need not worry about HIV infection with this exposure. CMIA by 12 weeks can rule out both HIV 1 and 2, can not be taken as 100% conclusive by 10 weeks.
Dr S.Murugan
HIV 2 PCR can be reliable by 10 weeks to confirm HIV 2 status.
Detailed Answer:
Hi,
Welcome back.
Laboratories want to protect their skin from medico-legal problems. So their instructions sometimes are not necessarily taken as absolute. As far as my knowledge goes you need not bother about other serotypes of HIV 1. You are free from HIV 1 infection.
HIV 2 RNA PCR or DNA PCR by 4 weeks on wards can rue out or confirm HIV 2 infection.If it is available you can very well take up the same. But I feel that you need not worry about HIV infection with this exposure. CMIA by 12 weeks can rule out both HIV 1 and 2, can not be taken as 100% conclusive by 10 weeks.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir, I hv uploaded some pics which shows skin rashes. Skin rashes exist since 5 weeks before. Still now I am getting fatigue , tiredness and muscle pain in thighs and hand and in legs. Even I am unable to walk, feeling tiredness. Please sir suggest me where I can get a dna pcr test for both hiv 1 and hiv 2. Currently I am in XXXXXXX Acute symptoms stays how many day's ? I have tested for prp and it was negative. After 71 day of exposure I have tested cmia hiv test. It was negative. What is the chance it would change in 90th day? Should I move to test for other std? Dear sir, please suggest me the name of dna pcr for both hiv 1 and hiv 2 separately , to know the initial infection ( during window period ). So that I can do the same test in XXXXXXX Currently I am in XXXXXXX
Brief Answer:
PCR tests available separately for HIV 1 and 2 infection
Detailed Answer:
Hi,
Welcome back
There is no PCR test common for both HIV 1 and 2 infection. Qualitative RNA PCR tests are available for HIV 2 with some bigger labs like SRL Ranbaxy or Lal Path etc. DNA PCR is available with many labs. Instead of looking for HIV tests you can meet a good physician and get well soon. Chances of seroconversion for HIV for you by 90 days is remote.
Dr S Murugan
PCR tests available separately for HIV 1 and 2 infection
Detailed Answer:
Hi,
Welcome back
There is no PCR test common for both HIV 1 and 2 infection. Qualitative RNA PCR tests are available for HIV 2 with some bigger labs like SRL Ranbaxy or Lal Path etc. DNA PCR is available with many labs. Instead of looking for HIV tests you can meet a good physician and get well soon. Chances of seroconversion for HIV for you by 90 days is remote.
Dr S Murugan
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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