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Is The HIV Duo 4th Generation Test Conclusive At 21 Days

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Posted on Mon, 5 Jan 2015
Question: Dear doctor,
I received unprotected oral sex from sex worker one month before. I did 21st day p24 antigen and hic duo 4th generation test,came back negative. Sir I want to know these tests are conclusive.And I got yellow patches on my tongue.Please tell me for the yellow coating reason
Thanks
doctor
Answered by Dr. Bharatesh Devendra Basti (11 minutes later)
Brief Answer:
Highly sensitive tests but not conclusive.

Detailed Answer:
Hi
Thank you for query.I am Dr Bharatesh D Basti answering your query.
The p24 antigen and HIV Duo test has come negative is a very good sign after 21 days.
It is very sensitive after 3 weeks to almost 97-99%.
You can be almost be sure of HIV negativity.
But it cannot be taken conclusive .As some may take 2 weeks to 3 months to form antibodies.
So it will be conclusive after 3 months.
The coating of tongue can be due to poor oral hygiene, vitamin deficiencies.It is not specific for HIV. You can get back with clear photos for clarification.
You can use tongue cleansers, mouth gargles.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venereologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bharatesh Devendra Basti (42 minutes later)
Dear sir,
Received unprotected oral sex is risk and also I done hiv pcr viral load test on my 10th day
The result was 66.9 copies per month.what about this test sir
doctor
Answered by Dr. Bharatesh Devendra Basti (12 minutes later)
Brief Answer:
Please enclose copy of reports.

Detailed Answer:
Hi
Thank you for follow up query.
The chances of HIV transmission by oral sex is rare unless there is open wound or ulcers in both of the involved partners.
It is not clear about results , value and units mentioned .
Please enclose copy of reports of all tests .
YYYY@YYYY
The interpretation of values varies with the type of test and recommend cut off by the manufacturers.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bharatesh Devendra Basti (1 hour later)
Thanks doctor,

Now I am in 35th day, any suggestions for hiv test
doctor
Answered by Dr. Bharatesh Devendra Basti (6 minutes later)
Brief Answer:
Go for antibodies test after 3 months.

Detailed Answer:
Hi
Thank you for follow up query.
I do not see any need for tests as of now as you have undergone PCR, P24, and Duo test too.
So relax wait for 3 months and then go for antibodies test for confirmation.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bharatesh Devendra Basti (19 hours later)
Dear doctor,

Red bubble appeared on my tongue,I attached the photos.is it related to any std
doctor
Answered by Dr. Bharatesh Devendra Basti (47 minutes later)
Brief Answer:
Not related to STDs.

Detailed Answer:
Hi
Thank you for follow up query.

I have seen the two photos sent by you.

These do not appear to be due to STDs.

It is likely to be due to stress or anxiety or deficiencies.

I would have advised topical analgesic gel with vitamin supplements.

Relax. To relieve your physical and mental stress, you can do yoga, meditation, exercises.
You can get back for any clarification.

Thank you
Dr Bharatesh D Basti
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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Bharatesh Devendra Basti

Dermatologist

Practicing since :1998

Answered : 1764 Questions

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Is The HIV Duo 4th Generation Test Conclusive At 21 Days

Brief Answer: Highly sensitive tests but not conclusive. Detailed Answer: Hi Thank you for query.I am Dr Bharatesh D Basti answering your query. The p24 antigen and HIV Duo test has come negative is a very good sign after 21 days. It is very sensitive after 3 weeks to almost 97-99%. You can be almost be sure of HIV negativity. But it cannot be taken conclusive .As some may take 2 weeks to 3 months to form antibodies. So it will be conclusive after 3 months. The coating of tongue can be due to poor oral hygiene, vitamin deficiencies.It is not specific for HIV. You can get back with clear photos for clarification. You can use tongue cleansers, mouth gargles. You can get back for any clarification. Thank you Dr Bharatesh D Basti Dermatologist and venereologist