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How Is HIV Transmitted?

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Posted on Tue, 9 Sep 2014
Question: Hi.
I had protected sex but the condom slipped. No cuts. I did fingering job and washed my hands after that, but not with soap. I've undergone a HIV Card test after 9 weeks(60 days) and the result is Negative. I have mild throad pain and heat rashes. do i need to worry.?
doctor
Answered by Dr. Sanjay Kumar Kanodia (22 minutes later)
Brief Answer:
Negligible (no) risk of infection

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

After reading your query I can understand that you are stressed about probable HIV infection after the incidence of slipped condom and fingering.

First and foremost let me reassure you that I have not observed any case of HIV infection by condom slip or by fingering.

To tell you medically about HIV infection:

If any non-infected person has exposure of HIV viruses by any major route of infection such as unprotected intercourse or blood and if person acquires the infection then the HIV viruses starts multiplying in body.

These viruses are detectable after around 14 days by latest of the tests such as RNA PCR.

The immune system of the infected person starts secreting antibodies after the infection. The range of expression of these antibodies is 6- 12 weeks. It means that if a person is infected then these antibodies are detectable earliest by around 6 weeks and maximum by 12 weeks of period.

So you can get that 6 weeks is minimum and 3 months (12 weeks) is the maximum set limit where HIV infection if present then will show in all antibody tests.

Getting above informations you can very well judge that the test performed at 9 weeks period is fine enough with your kind of exposure. Going with your kind of exposure there is negligible risk of infection. I have not observed any case of HIV infection by condom slip or by fingering. So in my clinical view I consider this test as fair enough to assure your negative status for HIV. Even then for your peace of mind you can go for test at 12 weeks which in my clinical judgement would be negative.

I hope these informations will help you. I will be glad to answer any further of your queries.

Dr Sanjay Kanodia
MD-Dermatology & Sexually transmitted diseases
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (14 minutes later)
Thanks a lot for such a detailed explaination.
Jus a couple of questions..

1. If a condom slips, it will fall under unprotected sex category right?
2. Is Card test (Basic test for HIV antibodies) is reliable.? is it accurate?
doctor
Answered by Dr. Sanjay Kumar Kanodia (33 minutes later)
Brief Answer:
The card test is accurate.

Detailed Answer:
Dear young fellow,

Thanks a lot for so swift follow up.

Regarding your further queries:

1. Condom slip does not come under unprotected sex. It's just a coincidental mishap which occurs quite too often. A protected sex is one where there had been no use of condom or if at all used and broke for a long period of time without knowledge of the user.

2. A card test is fully reliable and accurate. We are into 21st century where the HIV testing has been very much improved and sensitive. That is why those tests which took 6 months of period for HIV testing are now available to test within 6 weeks. So do not worry about accuracy of these tests.

I again reassure you that with your kind of exposure you are totally clean.

Hope I have answered your query. If you have any further questions, I will be happy to help or if not then can close the discussion and rate the answer.

Wish you good health.

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases
Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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How Is HIV Transmitted?

Brief Answer: Negligible (no) risk of infection Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. After reading your query I can understand that you are stressed about probable HIV infection after the incidence of slipped condom and fingering. First and foremost let me reassure you that I have not observed any case of HIV infection by condom slip or by fingering. To tell you medically about HIV infection: If any non-infected person has exposure of HIV viruses by any major route of infection such as unprotected intercourse or blood and if person acquires the infection then the HIV viruses starts multiplying in body. These viruses are detectable after around 14 days by latest of the tests such as RNA PCR. The immune system of the infected person starts secreting antibodies after the infection. The range of expression of these antibodies is 6- 12 weeks. It means that if a person is infected then these antibodies are detectable earliest by around 6 weeks and maximum by 12 weeks of period. So you can get that 6 weeks is minimum and 3 months (12 weeks) is the maximum set limit where HIV infection if present then will show in all antibody tests. Getting above informations you can very well judge that the test performed at 9 weeks period is fine enough with your kind of exposure. Going with your kind of exposure there is negligible risk of infection. I have not observed any case of HIV infection by condom slip or by fingering. So in my clinical view I consider this test as fair enough to assure your negative status for HIV. Even then for your peace of mind you can go for test at 12 weeks which in my clinical judgement would be negative. I hope these informations will help you. I will be glad to answer any further of your queries. Dr Sanjay Kanodia MD-Dermatology & Sexually transmitted diseases