The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter 
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


May 19, 2010

Dear Doc,

My wife is pregnant, and she did all her tests that are done when pregant and all came back negative but the HIV test was positive (ELISA). She then did Western blot and PCR DNA and I also did the ELISA test which came back negative. Her tests came back positive with a CD4 count of 290 and VL of (I think) 57000. She is now on medication to prevent mother to child transmission (Nevirapine & Lamzid).

This whole situation is very confusing, we have been together for almost 6 years. I last tested in 2006 and my results were negetive and she also tested negetive in 2006. We have been seing each other exclusively and have not been using a condom for at least more than two years now.

1. We dont know how she got infected. Is possible that this is false posive? I read somewhere that you can test positve and yet have a high VL and not all virus are infectious. 2. Why am I not infected if she is really positive? We have not be using a condom. 3. If this is true positive, how long has she had the virus?

Please shed some light on the above. Kind Regards, Worried and confused

Response from Dr. Frascino


1. It's possible there may have been a laboratory or clerical error. Your wife should see an HIV physician specialist. That doctor will run confirmatory tests to ascertain whether her initial tests are accurate.

2. Not every HIV exposure leads to HIV transmission (thankfully!). In the archives you'll find many similar stories.

3. Unfortunately that is difficult to predict with only a single blood test result. It's possible her 2006 test was a "false negative," and she's been infected for quite some time. Alternatively she could have been recently infected, and her CD4 count is still in flux. Her HIV specialist will take a thorough HIV-risk history and monitor her counts over the coming months. He will then be able to give a better estimate regarding when she may have become infected. I would urge you and your wife to read through the chapter in the archives devoted to magnetic couples. You will need follow-up HIV testing at both the three- and six-month marks to confirm your negative status.

Good luck to you both.

Dr. Bob

HIV transmission from water splash in the eye/s in public restroom
Test 4th generation after 90 days of risk

  • 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