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Undetermined HIV test! Please give me your advise!
Nov 10, 2010

Hello Dr. Bob

Hope you're well. I had sex with a friend that I hadnt seen for a while last April. We had unprotected sex for about 10 seconds then we used a condom. 4 days later I did a routine HIV test: Results as follows: HIV 1&2 EIA: Reactive HIV 1&2 Ab/Ag EIA: non reactive Westerblot: Non specific reactivity PCR RNA: Not detectable Theys said that the findings are not consistenat with the HIV infection. However an EDTA is requested within 4-6 weeks to rule out infection. I freaked out. Then after a week I got every symptom in the book: Flu, thrush, ulcers, swollen glands, yeast infection, rash. I cried to sleep every night and prayed alot. After 4 weeks of first result I went back for another HIV test. Test results are as follows: NAT Proviral DNA subtype B: Not detected HIV 1&2 EIA: reactive HIV 1&2 Ab/Ag EIA: non reactive Westenblot: non specific reactivity PCR RNA: not detectable They said there has been no changes in the serological test from the first test. No evidence of HIV infection. I was so relieved... but not for long. I read that you still need to wait 3 months to get a conclusive result and my symptoms had not gone away. After 6 months from the first test i went and got another HIV test and the CDC. I explained my whole situation to them. So I did my test and got the result which as follows: HIV 1&2 EIA: reactive HIV 1&2 ab/ag: non reactive no evidence of HIV infection

I asked them why a westernblot was not done. They said because there had not been any changes when they compared my test with the April results and now I can stop testing. DR. Bob, I am having a hard time letting go cause of my symptoms which still persist. I want to put this behind me. Please give me your advise and let me know what you think. Can I finally let go?

Response from Dr. Frascino

Hi,

I agree that your tests over the past six months indicate you are HIV negative and that no further HIV testing is warranted. If your indeterminate results form six months ago were an indication that you were in the midst of seroconverting to HIV positive, your more recent results would have been definitively positive, as seroconversion would be complete by now.

Whatever is causing your symptoms, one thing is certain: it's not HIV. Follow up with a good internal medicine doctor for any persistent ailments. Can you finally let HIV go? Absolutely! However remember never ever put yourself at risk again, OK?

Dr. Bob



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