Is HIV 1 RNA PCR Test Done 11 Days Post Exposure Conclusive?

Posted on Fri, 24 Feb 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 24 Feb 2017 Answered on

Fri, 17 Mar 2017 Last reviewed on

Question : Hello Doctor , I had a protected Sex with a call girl few days back. She used her hand to make my penis erect. Then she had put the condom . We had vaginal sex for 1 min . I took out the penis from her , she removed the condom. I wiped my penis with a tissue and the activity was over . She cleaned herself in the bathroom. On the 11 th day I did a HIV rapid screening test , HIV 1 and 2 antibody test , both came negative. I did a HIV 1 RNA PCR real time quantitative test and the result is awaited.
Are the above tests conclusive?.... I am living in this anxiety that I am going to die very soon leaving my family behind.
I am getting panic attacks every morning thinking about this.
I don't want to wait for 90 days to know the result.
Can I be close to my daughter , hug her and kiss her. During this time?
Can I be close to my wife during this period?
I will never repeat this activity in my life. It was my biggest mistake.
Please help me.

Answered by Dr. Bharatesh Devendra Basti (37 minutes later)

Brief Answer:
Chances of HIV transmission is nil

Detailed Answer:
Hi
Thank you for query. I am Dr Bharatesh D Basti answering your query.
Welcome to health care magic.I have gone through the details.
The chances of transmission of HIV by unprotected intercourse with a HIV positive person is very low. She may be Negative too. If protected it is nil. I do not see the need for HIV tests.
So the risk is nil.
HIV Antibodies tests are not Conclusive at this stage.
HIV RNA PCR if Negative , is almost Conclusive 11 days post exposure.
You can lead a normal life.
You can allay fears of HIV.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venereolgist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Bharatesh Devendra Basti (56 minutes later)

Hello Doctor,
Thank you so much for your reply. Just a final query, in this period of testing , can I be close to to my family, if I kiss my baby or if I kiss my wife with saliva contact mouth to mouth , is there a possible chance of transmission? Today is day 13 th of exposure and the result for PCR is awaited in another 5 days from now.

Answered by Dr. Bharatesh Devendra Basti (5 hours later)

Brief Answer:
Chances of HIV transmission by kissing is nil

Detailed Answer:
Hi
Thank you for follow up query.

The chances of transmission of HIV by kissing is nil unless there are bleeding wounds in both.
You can lead a normal life as the risk is almost nil.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Bharatesh Devendra Basti (3 hours later)

Hello Doctor,
I just received the test results for RNA PCR and it came out to be negative... can this be 100 %conclusive? Or do I need to do any follow up tests until 90 days are complete .
Has there been any case in the past in which the situation had changed later?
Please help me with your answer.

Answered by Dr. Bharatesh Devendra Basti (53 minutes later)

Brief Answer:
HIV negative

Detailed Answer:
Hi
Thank you for follow up query.

HIV RNA PCR is almost Conclusive (99%) .You can allay fears of HIV with the given risk exposure history.
The chances of tests coming positive later is nil.
You may go for HIV Antibodies tests 3 months post exposure to allay your fears.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti.

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Above answer was peer-reviewed by : Dr. Vaishalee Punj