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Is The 4th Generation HIV Test Result 30 Days After Exposure Conclusive?

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Posted on Tue, 25 Oct 2016
Twitter Tue, 25 Oct 2016 Answered on
Twitter Thu, 17 Nov 2016 Last reviewed on
Question : Hi I received unprotected oral sex (blow job)into penis from a newly met woman for 7 to 10 seconds.then put a condom for one blow job.I have done 4th generation test after 30 days and it has come negative.Do I need to do any more tests ?
doctor
Answered by Dr. Sunil Jangid (7 hours later)
Brief Answer:
No further test is required.

Detailed Answer:
Dear XXXX,

Welcome to HCM.

HIV is not transmitted through unprotected blow or hand job and 4th generation HIV test after 30 days is also negative so allay the fear or anxiety and no need to go for any further test as you are safe and risk free. For any further query get back to me.

Thank You
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sunil Jangid (9 hours later)
Thank you doctor for your response. I have uploaded the report which i had taken after 30 days.
But from past week i.e 31st day I am having severe sore throat for which i have been taking medication/antibiotics.Also recently I had sharp pain in my left armpit and that now has moved to right armpit...are these symptoms due to any STD's or anyother disease ? Please help with your response and help me with my anxiety and worries.
doctor
Answered by Dr. Sunil Jangid (43 minutes later)
Brief Answer:
Not related to HIV or other STD.

Detailed Answer:
Dear XXXX,

Welcome back and thanks for follow-up.

Severe throat pain and pain in armpit might be due to other reason not related to HIV or STD so don't get anxious or worried and move ahead in life. The attached report for HIV and HBsAg is also negative then just calm down and nothing to worry at all.

Thank You
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sunil Jangid (8 hours later)
Dear doctor thank you very much for your response.
Off-late I have been Googling a lot and understand that the 4th generation is considered conclusive at 3 months. Could you please confirm/ guide me on this ?

Do I also need to perform the PCR HIV viral load test today at 40th day to get a final confirmation ? Kindly help me with my anxiety...

Are there any HIV related cases due to blowjob in the world ?
doctor
Answered by Dr. Sunil Jangid (6 minutes later)
Brief Answer:
No need to go for RNA PCR.

Detailed Answer:
Dear XXXX,

Welcome back once again.

You are absolutely right that 4th generation test is conclusive after three months as the window period for HIV varies from 15 days to 3 months but the exposure is not risky in your case and there are no reported cases for HIV due to blow job in the world so be relaxed, forget about the episode and move ahead in life happily.

Thank You
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Sunil Jangid (2 hours later)
Sorry doctor I am writing to you again.

I am still feeling throat sore and have lost appetite to eat..so I am still worried.
So Do I need to perform the HIV viral load test in addition to the 4th generation test which i performed at 30th day..Kindly guide me.

I had read the below article in this regard.

I visited this website : http://www.health.ny.gov/publications/9596/
It says the following :-
"The different kinds of HIV tests?
Two kinds of HIV tests can be done: an HIV antibody test and an HIV viral load test.
•HIV antibody test. This test looks for "antibodies" - cells in your body that fight infection. But, there is a gap between the time you are infected with HIV and the time that antibodies can be found by an HIV antibody test. This is called the "window period." Most people develop antibodies within a month of being infected with HIV. Almost everyone develops HIV antibodies within three months.
•HIV viral load test. This test measures any HIV in your body. It can find HIV even before antibodies develop. So, an HIV viral load test is a more accurate test if you have been infected in the past month.

The kind of test you take depends on how much time has passed since the rape or sexual assault that you are accused of:

If it has been more than 7 days but less than 30 days since the rape or sexual assault you have been accused of:
You will be given both an HIV antibody test and an HIV viral load test."

Just to add , my sore throat was caused due to swollen tonsilitis (after 30days) for which i took antibiotics and now the throat is only sore.The swollen tonsilitis has gone after taking antibiotics. And the 4th generation test was taken in afternoon and I got the swollen tonsilitis on 30th night.So kindly help me with my confusions and anxieties.

doctor
Answered by Dr. Sunil Jangid (18 minutes later)
Brief Answer:
You are thinking excessively.

Detailed Answer:
Dear XXXX,

Welcome to HCM.

You are thinking too much about HIV nothing more and relating your symptoms to it which is not true. There symptoms may be due to any other cause. So forget all these and live your life happily as you are absolutely safe and free from HIV.

Thank You
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sunil Jangid (19 hours later)
Dear Dr. XXXXXXX

Thank you very much for your patient hearing of my case and my anxieties.
In addition to my earlier uploaded test report (4th gen + HBsAg + VDRL/RPR).

I had last week went ahead and done my HIV I Viral Load test , the report of which came today as "Target Not Detected". Report of the same is attached for your reference.

With this hopefully all my worries can be put to rest once and for all.
Kindly confirm.

Thank you again for your wonderful support and prompt response of my queries.

Regards.
doctor
Answered by Dr. Sunil Jangid (1 hour later)
Brief Answer:
Yes definitely.

Detailed Answer:
Dear XXXX,

Welcome back and thanks for follow-up.

The viral load report what you had attached is clearly showing target not detected then you can absolutely put all your worries to rest forever and move ahead in life leaving behind the bad past. You are most welcome for any further help in future from my side. If you have any query feel free to ask me any time.

Thank You
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. REMY KOSHY
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Answered by
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Dr. Sunil Jangid

HIV AIDS Specialist

Practicing since :2009

Answered : 2018 Questions

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Is The 4th Generation HIV Test Result 30 Days After Exposure Conclusive?

Brief Answer: No further test is required. Detailed Answer: Dear XXXX, Welcome to HCM. HIV is not transmitted through unprotected blow or hand job and 4th generation HIV test after 30 days is also negative so allay the fear or anxiety and no need to go for any further test as you are safe and risk free. For any further query get back to me. Thank You