The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App 
Professionals >> Visit The Body PROThe Body en Espanol
Ask the Experts About

Safe Sex and HIV PreventionSafe Sex and HIV Prevention
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  • Email Email
  • Glossary Glossary

Indeterminate/Discordant 3 Times over 6 months..Pls Help

Jul 4, 2009

Hie Getting straight to the point, had oral, unprotected,sex-used condom mid January,with a former girlfriend haven't seen in yrs. Always tested negative in my previous test, test march came back discordant (Determine +, Uni Gold -) did second after three months, same result, repeated test after two weeks, same. Doc sent me to some lab to do a viral load, the guys gave me a letter to give Mr Doctor back to take blood sample and send to them, like I wasn't there??? what do I do in this situation, obviously the doc either inst really a doc, or he just ain't taking my case seriously to break the tie. Either way, am pretty much prepared to take whatever the tier breaker will give, since the doc already reported to me am positive, even when its clear the results are discordant. but please advice,


Response from Dr. Frascino

Hello CJ,

Your doctor reported you as HIV positive based on three paired rapid tests with discordant results. My first piece of advice is that you find a more competent physician!

Your discordant results over six months would suggest you are HIV negative. If you were in the midst of seroconverting at the time of the first discordant result, you certainly would have completely seroconverted by the time of the six-month test. I don't understand why you had two different rapid tests performed. Let's assume you had a positive (repeatedly reactive) rapid test (Determine or UniGold). This would be considered a "preliminarily positive" result. It would require a confirmatory Western Blot test before you could be considered to have a "positive HIV test." I would suggest you have an ELISA test. If negative, you're HIV negative and no further testing is warranted. If the ELISA is positive, a confirmatory Western Blot should be run. If the Western Blot is negative, you are HIV negative. If the Western Blot is positive, you should consult an HIV specialist for further evaluation. HIV plasma viral load testing is not warranted at this time. You can read much more about HIV diagnostic tests in the archives and on related links on this site.

Your HIV-acquisition risk from the activities described is extremely low assuming the latex condom was used properly for penetrative sex and did not break.

I'm very confident you are HIV negative.

Good luck.

Dr. Bob

Low Risk but Serious Real Symptoms
Ask for the first time sir

  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS



This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint