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What Should Be Done On Being Infected By HIV?

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Posted on Mon, 27 Oct 2014
Question: Hello doctor ,

Im XXXX and one month ago i had a sex with a prostitute and i feel like i have been infected with hiv since my condom broke while sex and i fear that stds affected me so im confused and depressed because i feel like im having the symptoms but no very sure . So what im suppose to do now ?
doctor
Answered by Dr. Arun (35 minutes later)
Brief Answer:
Please upload the picture of the tests report

Detailed Answer:
Hello XXXX, I understand your concern. I am Dr. Arun Tank & I am infectious disease specialist. I am going to answer your concern.

-If prostitute is registered in some groups, you can contact that group person to check the status of the prostitute. If she is negative you are worry free.

- If you do not trace that prostitute. I want to ask you that which test you have undergone there are various tests which have been carry out. There are various methods available to test HIV. I mean to say by which method you have been tested ELISA, Tridot, P24, PCR etc? Can you upload the photograph of the report with it?

-I can tell you that as you have passed one month only, there are only two tests that can tell you confirm diagnosis one is PCR & P24 antigen test. I think you can discuss one of the two test I mention with your doctor for you. Both are earliest confirmatory tests.

-I suggest you do not worry, because whatever happened is not going to turn back. Even in some cases even after breaking the condom case will coming negative, so can also happens with you.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you do not have any queries please rate the answer.


Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Arun (32 minutes later)
Hello doctor ,

The test done was elisa test . The results states negative but im still confused and depressed because i feel like something different i dont know whether because of my fear it appears like it . I have some neck pain or while urinating i feel like something wrong sometime . Because after the sex i washed my penis with a antiseptic dettol without diluting it will that cause anything . So im worried too much .
doctor
Answered by Dr. Arun (16 minutes later)
Brief Answer:
Go for P24 antigen assay, dettol can cause you problem

Detailed Answer:
Hello XXXX,
I understand that ELISA is not of p24 antigen and its a ordinary third generation antigen ELISA, I want to add you here that antigen ELISA give result until six month of exposure, if you have to confirm your diagnosis I suggest you p24 antigen ELISA. This is the second earliest confirmatory tests. or you can go for PCR. But PCR is some what more costly than p24 so I advice you to think about p24.

-Regarding your urination, yes it is possible if you apply direct dettol solution over your penis it may cause difficult feeling when you urinate.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Arun (34 minutes later)
Helo doctor ,

Doctor is there any symptoms to confirm the positive hiv ? Is the stds cause any symptoms ? And which is the best test within PCR AND P24 in order get accurate results ?
doctor
Answered by Dr. Arun (21 minutes later)
Brief Answer:
PCR is good as to P24, STD has different symptoms

Detailed Answer:
Hello XXXX,
There is no specific symptoms that can confirm HIV.

The symptom of the STD are various according to which organisms is involved in the disease. It varies from burning micturation, discharge, swelling in the lymphnodes, etc.

If you compare the two tests P24 & PCR. PCR is the most sensitive and specific but its very costly. While P24 is equally sensitive and specific but its somewhat less as compared to PCR and less costly. So think according to you.

If you have anything else to ask you can contact me. We wish you very best health at healthcaremagic.
If you are satisfied with my answer please close the answer and rate my answer as 5 Stat.


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Arun (1 hour later)
Hello doctor ,

As you said is there any thing to identify the swollen lymph nodes ? Where will be the swollen lymph nodes will be ? Can i identify the stds with the symptoms i having ?
doctor
Answered by Dr. Arun (20 minutes later)
Brief Answer:
lymphnode appears on the skin & STD diff on clinic

Detailed Answer:
Hello, XXXX.

-Swollen lymph nodes are identified as bulge over the skin you can feel it. Most commonly in STD it is the inguinal lymph nodes that are affected most. Some times they ulcerate over the skin and cause discharge.

-Yes you can identify the STD with the symptoms you have. Most common organisms which causing the STD have some particular features and by means of which you can identify them e.g. Herpes has pain ful ulcer over genitalia and no lymphnode swelling, while chlamydia has burning micturation and discharge. But detail sign and symptoms are required to come to diagnosis.

-If you have any of the symptoms kindly discuss with me so I can diagnose you? Do not hesitate to ask me? You can ask for various sign and symptoms from me if you want?

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Arun (30 minutes later)
Hello doctor ,

I have symptoms like neck pain where neck and shoulder join and feel something unusual neck pain , few weeks back i had diarhea along with some red liquids i guess with blood not very sure. I read in website about flu like symptoms for hiv which described worst flu . I feel like i have flu but not very worst . So these things making me so depressed . And the neck pain is better when i sleep and get up and take bath in hot water . So please let me know about this
doctor
Answered by Dr. Arun (2 hours later)
Brief Answer:
Mentioned symptoms not of HIV, Do PCR for you

Detailed Answer:
Hello XXXX,

-The symptoms of neck and shoulder pain wont be from any part is not the symptoms of HIV.

-Diarrhea with blood (if its blood) few weeks before but not continuous upto now wont also a symptoms of HIV.

-Yes initial HIV infection appears to be flu like symptoms. But it should be counted only when laboratory tests suggests in favor of it.

-In my opinion you should think of PCR test because you feel some what more tensed with the current situation. PCR is the gold standard test and make you tension free with its report.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Arun (15 hours later)
Hello doctor ,

Suppose i have hiv then what are symptoms i will experience then ? I read through internet that early symptoms like flu , headache , vomitting , fatigue, loss of weight , swollen glands , and etc but will these symptoms will always be present with me . Will the swollen glands will be always persist or frequently bulge and disappear . What are the treatment for hiv and will treatment will reduce the symptoms to be happen ? Im just wanna to prepare myself for everything . How much it cost for treatment for hiv ?
doctor
Answered by Dr. Arun (5 hours later)
Brief Answer:
Flu like symptoms go,NACO give free drug for AIDS

Detailed Answer:
Hello XXXX,

-I advice first you should go for PCR test and than think for AIDS. You are some what more paranoid with the situation. Do not worry in majority of cases even after unprotected intercourse people are not infected with the HIV.

- Now I am covering your concerns one by one

1. If suppose some person is infected with HIV than they get the symptoms as you have read it on the internet that is flu like symptoms or you can say a symptoms that you have when you infect with other virus. It also include fever, headache, malasie, fatigue. etc.

2. But loss of weight and swollen gland wont appear earlier. It happens when HIV will overcome one's immunity and he/she develops immunocompromised disease (Opportunistic Infections like Tuberculosis).

3. flu like symptoms will disappear after a few days and you will be complete normal untill you go immunocompromised. Remember that HIV it self wont cause you disease, it is the disease that caused as a result of low immunity will make person ill. So the symptoms of the loss of weight and swolen gland appear and this will not go untill the CD4 counts or immunity increases or you can say that it remains as it is.

4. The swollen gland is not because of HIV it self it arises because of secondary infection which occurs because of low immunity. e.g. Tuberculosis.

If the persons immunity will built up than swollen lymph gland will disappear as it will attack the underlying organisms.

5. The treatment of HIV is known as Anti Retroviral Therapy (ART), it is a antiviral drug against HIV. Yes by taking the ART quality of life with HIV will be improved. It wont cure HIV only the quality of life and immunity will be maintained.

6. In XXXXXXX National AIDS Control Organisation (NACO) is handling the project National AIDS Control Programme (NACP). They will provide free of cost drug to the patients. But for further information you have to contact your nearest ART center. If you thinking for taking the drug in private set up, it will be very costly.

If you want to know much about ART drugs, opportunistic infections, CD4 count or anything else I can help you over it.

But before thinking about this let you make tested for PCR test and be tension free.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Arun (16 hours later)
Hello doctor ,

As your explaination i understand that after the initial symptops like flu , headache etc i will be normal as usual rite . When does the immunocompromised disease occurs. I understand that disease occurs only when im in hiv/253657?iL=true" >aids condition that cd4 level below 200 or it will occur anytime ? If i take ART THERAPY now after the blood test will i live normal life as usual or still i will experience symptoms day after day .

Frankly speaking im too much worried about this and totaly depressed but as you said we cant undo what hapen so im preparing myself for everything . I dont know about NACO but will i able to be treated in private hospitals for the ART ? How much does it cost ? How frequent i need to do that ART ? Is the therapy like dialysis ? And how much it cost for the medication ? And my last question now im having hiv will i get ill all the time or frequently if im not geting ART ? WHAT HAPEN IF I GET ART ?

Thank you
doctor
Answered by Dr. Arun (35 minutes later)
Brief Answer:
Take ART live happy life

Detailed Answer:
Hello XXXX,

-HIV virus will attack on the CD4 receptor containing cells e.g. lymphocyte. It will gradually destroy this cells. The result is destruction of cell mediated immunity. Once this cells are sufficiently destroyed patient will become immunocompromised(ICs). Having HIV wont cause symptoms it appears only when ICs occurs. Exact CD4 count at which ICs develop is not defined it depends on the individuals health, their immunity etc.

-No taking the ART will improve ones life, It improves CD4 count. You will live normal life as your other friends are living.

-You can visit the Psychiatrist also they guide you for your current situation.

-Yes you can be treated in the private hospital, but the cost of the treatment you have to bear by your self.

-The treatment cost depends on the line of treatment you are receiving. I do not know the exact cause. But it is quite costly.

-ART requires good adherence, if you are adhere to the treatment you will have a good life. The ART is only the medicine, its not like dialysis. You have to visit the center they will give you drug and tell you how to take it. After that you can leave the center and can go home.

-If you have HIV for one time it will remain for life time you will not be cured. But if you take regular ART you will be prevented from the other infection you are getting.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Arun (56 minutes later)
Hello doctor ,

So only if my cd4 levels down i will experience problem from ICs other than that i will be normal like usual after the initial symptoms , is it right dr ? And with the ART medication my cd4 count will be alright and free from ICs and if i got ICs then taking medication will i get back normal or i paused at the ICs stage or How ? So other than that is there any symptoms like i will have through the life with hiv. SO In private hospitals to which speacilist doctor should consult for the treatment incase of hiv . Im from well settled family so i just dont want to get know to going other places as you mentioned NACO ART CENTERS . As you said the medication is very costly will it be around 20k XXXXXXX rupees for one time ART or more dont mistake me if you could let me know the amount so that i will be financially ready with it ? How frequently i have to go for the medication ?

Dont mistake me doctor im getting back to normal slowly after your consulting you since my question being answered .

Thank you
doctor
Answered by Dr. Arun (2 hours later)
Brief Answer:
CD4 count decide OIs; consult local HIV specialist

Detailed Answer:
Hello XXXX,

-Yes you are right if your CD4 count is low you will experience the opportunistic Infections.

-Yes with ART medication you will be alright, your count will remain good.

-The list of opportunistic infection (OIs)is very wide they are fungal infections, parasitic infection, viral infections & bacterial infection. If you want the list I can provide you. But all the infections are opportunistic infections.

- In private some doctors are practicing for HIV. You can consult such doctors. Usually they are M.D. in medicine.

- I dont have any issue with you to discuss prize with you but, ART treatment depends on the CD4 count you have. So once you have your CD4 count on hand they will guide you better. But approximately it is 5K XXXXXXX rupees per month wil be a cost.

-I think they are giving monthly follow up for the ART. So same followup they give to you.

I am ready here to give you your answer dear.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Arun (1 hour later)
Hello doctor ,

I read through website that the main indication of sexually transmited disease is swollen glands so is it the swollen gland or swollen lymph node indicates only hiv or it may also be other STDs . Flu like symptoms is defined worst flu ever if we infected with hiv this is what i read through websites so having a little flu and disappear in two or three days might not be a hiv infection rite ??? Other than hiv which STDs affect the immune systems
doctor
Answered by Dr. Arun (57 minutes later)
Brief Answer:
Flu is not always HIV

Detailed Answer:
Hello XXXX, feeling friendly to talk to you, thank you to contact us again.

- Yes, swollen gland means swollen lymph nodes, it is seen with many STDs .

- You are right only flu like symptoms is not suggestive of HIV.

- HIV is the only STD which affect immune systems.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Arun (35 hours later)
Hello doctor ,

Doctor i see in websites that fever ,headache, swollen gland , fatigue , etc are the early symptoms of hiv so if i dont have fever does it mean im free from hiv ?
doctor
Answered by Dr. Arun (4 hours later)
Brief Answer:
Laboratory Test confirm the HIV.

Detailed Answer:
Hello XXXX,

- You cant depend on symptoms only to know whether you have HIV.


- It requires a laboratory test for HIV to confirm.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Arun (8 days later)
Helo doctor ,

I went a STDs test this month and its states that my HSV1 viral load is three times higher than the normal positive range (my range were 33.2). Will this higher viral load will cause anychanges in my body . Will this cause anything else . Because i used to play football twice or three a month in indoor football. So i played for 1hours and 30 mins . Usually when i play i feel normal but this week when i play i feel very different . I got exhausted after sometime which usually hapen with me and i feel the exhausation at the neck .

Which week or month will be the accurate time to do the PCR or P24 test to get accurate results .?
doctor
Answered by Dr. Arun (3 hours later)
Brief Answer:
P24 tested at 3-4 weeks, details required for PCR?

Detailed Answer:
Hello , XXXX good to see you after a while.

- As we had already discussed. You can get tested for P24 antigen after approximately 3-4 weeks. After this period antibody to P24 antigen appears and it will gradually disappears from the body.
-I am not clear about whether you want to know about HIV PCR or HSV PCR in the question? Please reply so I can answer you query.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Arun (44 minutes later)
Hello doctor,

I just want to know about the my HSV 1 ( just two days back i got the result)because i went a STDs test this month and its states that my HSV1 viral load is three times higher than the normal positive range (my range were 33.2). Will this higher viral load will cause anychanges in my body . Will this cause anything else . Because i used to play football twice or three a month in indoor football. So i played for 1hours and 30 mins . Usually when i play i feel normal but this week when i play i feel very different . I got exhausted after sometime which usually hapen with me but i feel the exhausation at the neck something unusual . I just wanna know whethers these things might be because of higher viral load in my body .

Thank you





doctor
Answered by Dr. Arun (2 hours later)
Brief Answer:
Fever, fatigue, malaise is HSV infection..

Detailed Answer:
Hello XXXX, I understand your concern.

- You are infected with the HSV1. Symptoms of HSV1 infections are blisters and sores around the mouth,nose & skin around head, neck. But they may occur almost anywhere on the skin. It may be also associated with fever, malaise and fatigue which is common of other viral infections.

-Your fatigue and easy exhaustion after a football match is mostly because of the high HSV viral load.


If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Arun (9 days later)
Hello Doctor ,

How are you ? As you have recommended for PCR or P24 test for hiv , i asked my family doctor and she said there is 6month window period so she said not to do the test now and ask me to wait for 6 month and do the test . And i also have tried other places in my locality but i could not find the test you told me . So next month i have planed to fly XXXXXXX for check up because from the incident i feel something not well within me . And also my wife also having symptoms like me . So im totaly worried too much . I have plan to fly to XXXXXXX apollo but it will be my third month of the incident so if i do the test will it be accurate or i have wait to do the test ?

As you said earlier about Hiv . I still have few question to ask .

If i have hiv and do ART will i live normal life as usual as before the hiv or always i will vunerable for any kind sick ? Will my health different from before the hiv infection ?

OIs will begin from now on or only after some years i experience it ? If i take vaccine for OIs will i can be normal ?
doctor
Answered by Dr. Arun (22 hours later)
Brief Answer:
PCR can be tested now, life will be normal with ART

Detailed Answer:
Hello XXXX, good to hear your sound after many times. I am fine, how are you?

- In pro DNA PCR there is no need to worry for window period. If you get tested for PCR it will give you result with in a day. P24 antigen will gradually disappear from the body in mean time and may not be detected in three month duration.

-If you have HIV your life will be as that of Non HIV persons, but for it you have to take life long ART or Anti Retro Viral Treatment.

- OIs only appears once your CD4 count goes down below normal. For every OIs vaccine is not available.

I will be happy to answer your further concern. Feel free to ask your concern.
We wish you very happy health at healthcare magic.
Dr. Arun Tank
Infectious Disease Specialist.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Arun (5 hours later)
Helo doctor ,

Im fine good . Nowdays i feel something different . As i told you before i had flu not very worst , had throat pain very worst then i took antibiotics for it then my throat pain were fine but have a pain in right side of throat which is only milder but now after been in a/c one night it become worst .Now my right side of throat is painful during swallowing . My neck nerve is harder if stay in a/c so long . Is this condition is tonsils ?

These symptoms have anything to do with HSV 1 high viral load (my viral load is 3times higher than positive reference HSV1 )or HIV or any infections ? SHOULD I GO SEE ENT SPECIALIST DOCTOR?
doctor
Answered by Dr. Arun (6 hours later)
Brief Answer:
Symptoms not related to HSV.

Detailed Answer:
Hi XXXX,

- It may or may not be tonsils, can you provide the photo of your thick nerve? Also provide photo of the throat with open mouth if possible?

- Your symptoms is not look like HSV1 infection, it has associated with blisters and sores around the mouth, nose, genitals, and buttocks, but they may occur almost anywhere on the skin. The oral mucocutaneous surfaces are the primary sites of infection for HSV 1 virus.

-You can visit to ENT Doctor if you are having much problem.

If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Arun (3 days later)
Hello doctor ,

I have attached the photos you asked for . And i have shown the neck picture with my finger point and touching the nerve which is sometime being hard or something unusual feel .
I went to ENT doctor and he have given me some antibiotic and also he said i got lots of phlegm in the throat and also mouth ulcers . I also asked him to check the lymphnode he said its fine . In the picture only the lower neck as point by my finger said to acting different feel .


Thank You
doctor
Answered by Dr. Arun (6 minutes later)
Brief Answer:
Kindly attach the image..

Detailed Answer:
Hi XXXX,

Good to hear you,

I read all your recent query but I wont be able to find out the picture you attached. Can you reattach it for me to help you out.

Thank you,
Dr. Arun Tank
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Arun (13 hours later)
Helo doctor ,

Here i have attached 7 photo pls check over . For explaination of photo pls refer my previous follow up questions

Thank You
doctor
Answered by Dr. Arun (1 hour later)
Brief Answer:
Attached photo not found..

Detailed Answer:
Hello XXXX,

Your images have not uploaded. I suggest you upload again on right side of your dash board where you can find option to upload images or reports.
Or
You can send to YYYY@YYYY with subject as ATTN: Dr Arun

I will be happy to answer your further concern.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer
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. Bhagyalaxmi Nalaparaju
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Dr. Arun

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What Should Be Done On Being Infected By HIV?

Brief Answer: Please upload the picture of the tests report Detailed Answer: Hello XXXX, I understand your concern. I am Dr. Arun Tank & I am infectious disease specialist. I am going to answer your concern. -If prostitute is registered in some groups, you can contact that group person to check the status of the prostitute. If she is negative you are worry free. - If you do not trace that prostitute. I want to ask you that which test you have undergone there are various tests which have been carry out. There are various methods available to test HIV. I mean to say by which method you have been tested ELISA, Tridot, P24, PCR etc? Can you upload the photograph of the report with it? -I can tell you that as you have passed one month only, there are only two tests that can tell you confirm diagnosis one is PCR & P24 antigen test. I think you can discuss one of the two test I mention with your doctor for you. Both are earliest confirmatory tests. -I suggest you do not worry, because whatever happened is not going to turn back. Even in some cases even after breaking the condom case will coming negative, so can also happens with you. If you have anything else to ask I will be very happy to answer that. We wish you a best health at healthcare magic. Thank you, Dr. Arun Tank If you do not have any queries please rate the answer.