post pep testing and is I am 100% out of this hell

Dear Hugo0620

Many Thanks for your reply . Highly appricated .

sir requesting you kindly go through my history once again.

Exposure date 16/05/19 , pep started 23/5/19.

Day 31st after exposure 21/06/19 - 1 st test Tridot 4rth Generation along with TPH Test . Both Came Negative .Last Dose of pep left and completed on 22/06/19

2nd Test Clia Method on 42nd day after exposure post 7 days after pep. along with VDRL Test. Both Came Negative

3 rd Test Elsia Method Duo test on 63rd Day of exposure , 28 days post pep. result Negative and TPHA Test Also Negative

4rth Test - PCR RNA test on 92nd day of exporsure and 56 days Post pep - Result NOt Detected .

VDRL Test - Non reactive .

5th and Last test Elisa Method Antibody test HIV1 & HIV2 - Result Negative post pep 115 days 150 days post exposure .

LFT KFT CBC All normal as per doctor

plz advise on this plz

i have mentioned VDRL and TPHA TEST

Sorry I did not see the test, so you also syphilis free.

And sure I will go through again for your history and get back to you asap.

Dear Mr. worriedguy，

Sorry for the late reply as i just had my lunch break.

Here is the assessment of your whole testing record.

• First and for most, congratulations that you are HIV NEGATIVE!!! Stop doing any related test, that is just wasting money as YOU ARE FINE!!!

  I will exam each test history for you based on your post.

Exposure date 16/05/19 , pep started 23/5/19.

I do not know who suggested youto take PEP， but it is NOT right. Because PEP must be taken with 72 hours(3 days) and ideal with 24 hours to stop HIV virus multiple copy. However, 6 days after exposure is too late to take PEP.

But anyway, it does NOT affect your results.

Day 31st after exposure 21/06/19 - 1 st test Tridot 4rth Generation along with TPH Test . Both Came Negative .Last Dose of pep left and completed on 22/06/19

Compare with ELISA test, the sensitivity and specificity are very high (99.48% and 99.99%) for TRI-DOT test, which indicated this test method are suitable for a rapid test but should be confirmed by a ELISA DUO TEST.

The TPH test result also a good indicate for your syphilis test (3 months window time for syphilis in common).

However, the result for HIV test can only see as a good indicator because you should begin to test one month later after the last dose of PEP. (Any test after 23/07/2019 make sense).

2nd Test Clia Method on 42nd day after exposure post 7 days after pep. along with VDRL Test. Both Came Negative

Again, good indicator for both HIV and Syphilis, but do not have a strong clinical significance.

Clia test? You mean a window test? (I am not worried about HIV and syphilis but have you tested the other STDs?)

VDRL test is very sensitive for primary check for syphilis.

3 rd Test Elsia Method Duo test on 63rd Day of exposure , 28 days post pep. result Negative and TPHA Test Also Negative

Your test result MADE SENSE at this time as the test result one month after PEP is accurate. However, it is confused that the 3rd ELISA test is for testing antibodies only but DUO test is used for detecting HIV p24 antigen.

TPHA test is highly specificity for confirmation test for syphilis, again good indicator, but an conclusive result will be after 3 months.

4rth Test - PCR RNA test on 92nd day of exporsure and 56 days Post pep - Result NOt Detected .

Congratulations, after this test, I could tell you that you are both** HIV and SYPHILIS FREE!** (Negative).

PCR test are high sensitive and accuracy after 10 days exposure as it detect the virus itself (RNA test), and after 3 days the virus begin to multiple copy, an PCR test could detect the virus in a short time. That is also why we said PEP MUST be taken within 72 hours. VDRL Test - Non reactive . Means you are SYPHILIS FREE.

You should STOP TESTING at this point.

5th and Last test Elisa Method Antibody test HIV1 & HIV2 - Result Negative post pep 115 days 150 days post exposure .

It is great that the last test you chose ELISA antibody test for both HIV1 and HIV2 as the longer you wait to test, the antibody test results are more reliable.

But anyway, you are HIV NEGATIVE.

LFT KFT CBC All normal as per doctor

Do not know why you need to also do liver, kidney function check and complete blood count check, as all LFT, KFT and CBC could only be indicator for your sexual health status but can not tell you if you are infected by only check them. But good to hear all results are normal.

Last but not least, you are HIV and Syphilis negative.

Stop checking the two and if you did not do any window test for STDs, I highly suggest you to do one. (Chlamydia and Gonorrhoea, Hepatitis A,B,C, also because you had unprotected sex, therefore, pay attention on warts as well, but you DO NOT need to check warts or herpes unless you could see them on your body.

Good luck and please move on.

Regards,

Hugo

Respected Sir

Greetings of the day!!!!!

Many Thanks for your reply, highly valuable

Here In New Delhi Doctor gave pep medication .

2nd Test Clia Method on 42nd day after exposure post 7 days after pep. along with VDRL Test. Both Came Negative - CLIA METHOD its 4rth Generation test . checked for HIV in serum for both HIV 1 and 2 ( MAX HOSPITAL NEW DELHI) DELHI NO1 hospital

along with this doctor tested for - HCV IGM TEST VALUE IS 0.05 iu/ml

3 rd Test Elsia Method Duo test on 63rd Day of exposure , 28 days post pep. result Negative and TPHA Test Also Negative--- Its Mention on the lab test report DUO TEST Elisa Method .

4rth Test - PCR RNA test on 92nd day of exporsure and 56 days Post pep - Result NOT Detected . Along with this I was tested for VDRL - NON reactive

Last test HIV 1 And HIV 2 antibodies - Result Negative .

But Now here In India every doctor have his own opinion .

i have spoke to sexologist nothing to worry . U dont have any health issue .

other doctor says before 6 months we cannot declare u HIV free or STD free .

now hereby i am requesting you advise what should i do .

as now so symtons of anything sometime in a days pin point pain is there here and there .

Good Morning,

You are welcome.

I understand what your concerns are, yes, every doctor has their own opinion.

BUT, the testing methods are the same, the window time and guideline will not changed.

other doctor says before 6 months we cannot declare u HIV free or STD free

That statement are OBSOLETED. P24 antigens are a part of the virus, and research indicates that they tend to appear within 2 weeks of HIV entering the body.

A fourth-generation test can reliably detect HIV as soon as 1 month after a person contracts it.

Therefore, regarding on you were on PEP, so your result is reliable after 2 month.

Also, you have done all of the test and most of them are very accurate like PCR test.

My advise will be:

MOVE ON and YOU ARE HIV NEGATIVE.

Regards,

Hugo

a very good evening Sir

many thanks for your reply .

i did HEP C on 42nd day of exposure

the result as mentioned above and here is HCV IGM TEST VALUE IS 0.05 iu/ml.

now as per your advise i will go for std test and HEP A B and C test .

but till today i dont feel any type symstons just anxiety is there and slight pain on the right side of body below ribs . pin pricking type of pain .

45 day earlier i use to have red pin points dots on legs arms sometimes on face. they usually go on there own .

i consult the derma doc he says its reaction of pep medication and also the tobacco u eat .

from last months i have slight snore throat and running nose only when i wake up after that no running nose and snore throat problem. again for this consult him he said its only becoz of my tobacco chewing habbit my throat get dry .

plz advise

last 3 days ago had relation with my wife but with condom . i dont want to tke any risk . from that night till now again i m having anxiety . imight have done wrong thing.

Good Evening,

I understand your concerns very well.

Again. A) Yes, i suggest you to do a full stds check, regardless of HIV, Syphilis.

B) The quantitative range of HCV is 10 - 100,000,000 IU/mL (1.0 - 8.0 log IU/mL). so your result indicate that you are not infected.

C) I do not know the reason why you have the red pin points dots on your legs and arms and the cause of dry throat, but just as the doctor told you, it could simply because your chewing tobacco.

D) It is good that you care about your wife's health condition, so i suggest you Go to do a screen test for all stds, and when you get the results back (I a, very confident with an all negative result 😃), then move on, forget the sad time and be careful in the future.

But again, you should really move on.

Regards,

Hugo

many many thanks for your reply and i am very very sorry for my late reply . as i have been to derma doc for consulting him regarding std .he said its been long time if u had any std it would reflect on your body and private part. till no reflection .

i insist him for hep a b c and he said next week i will arange for it .

monday i am going to him again.

will update u further .

again many many thanks for your support and cooperation.

thanks with best regards

moreover my PCR RNA TEST IS QUANTATIVE - ON LAB REPORT ITS WRITTEN UNDECTACTABLE LESS THEN 50 .

DOCTOR SAY PCR IS NOT USEFUL AFTER PEP AND ALSO ITS NOT FDA APPROVED

PLEASE CLARIFY.

Hey there,

I am sorry for late reply as i was sick the whole week.

Anyway, here we go...

PCR test is quantitative method as it targets the amount of the virus, so the guideline of undetectable virus loads is fewer than 50 copies of HIV per milliliter of blood (<50 copies/mL). it is one of the most accurate test methods, and your results confirmed you are HIV negative.

I am more concerns about your hep tests result, let me know when you got them if you like.

DOCTOR SAY PCR IS NOT USEFUL AFTER PEP AND ALSO ITS NOT FDA APPROVED

I checked the FDA approval of NATs (Nucleic acid based tests), which refers to your

PCR test.

Secondly, PCR is suitable for after pep testing, within the guideline of PEP and PCR is suitable for the follow- up testing but it is expensive.

Regards,

Hugo

Respected Sir

Many Thanks for your reply .

i wish you the best for health .

i pray to my god to keep you in good health and bless u a long and healthy life .

your reply is highly valuable for me .

sir i have done HEP Test last week . Reports are with doctor . i called him he said all r negative . well I have not seen the report as my both daughter are also not fine and they suffering from cold cough and seasonal allergies .

Along with the hep test he did Hiv test 4rth generation and TPHA test also .

all test are negative post 187 days of exposure and 157 days post pep.

kindly share me your contact details if possible would like whats app you my reports .

plz advise

thanks with best regards

sorry its 193 days post exposure and 158 post pep . i did following test

1. HIV 4rth Gen Test
2. TPHA Test
3. HCV Test
4. Herpes

all test are negative as per doctor telephonic conversation . as i havent seen the report yet.

plz advise

Thanks

Hey,

It is so happy to see that you got these results back and thank you very much of your trust.

sir i have done HEP Test last week . Reports are with doctor . i called him he said all r negative . well I have not seen the report as my both daughter are also not fine and they suffering from cold cough and seasonal allergies .

If the doctor told you that your results are negative then there is no point to see the details and what you need to learn is also trust your results which means you do not need any test.

If your daughters are not feeling well, just bring them to the doctors to get check, but I am sure they just have a cold and NOTHING link to your concerns.

HIV 4rth Gen Test

TPHA Test

HCV Test

Herpes

all test are negative as per doctor telephonic conversation . as i havent seen the report yet.

plz advise

what you want me to advise you? Again, if you do not trust the results, then why you need to do the test? there is nothing i could tell you, you are STDS FREE, save the money and move on to your normal life.

Regards,

Respected Sir

Many Thanks for your reply

your advise is valuable for me .

i sent above message to have your valuable opinion .

just wanted to re confirm and have your valuable advise , can i make relation with my wife without protection and also wanted to be sure .

is any test left to be sure that i am free from all std .

i dont want to take any type of risk in my life anymore .

any possibilities of of HIV POP Up in future without any further risky exposure .

here i dint trust the doctors who gave me pep, being a doctor knows the guidelines even though he gave pep after 6 days . just to make money . He said earlier to have western blot test whereas other doctors and guideline and lab people says that western blots is no more recommended .

Thanks and with best regards

Hey,

Thank you very much and i believe everyone here is trying their best to help.

just wanted to re confirm and have your valuable advise , can i make relation with my wife without protection and also wanted to be sure .

Yes, you can, and please enjoy the lovely time with your wife.

is any test left to be sure that i am free from all std .

I do not think so. You should move on.

i dont want to take any type of risk in my life anymore .

Totally understand, so do not have sex with anyone you do not know, tbh, i will not have sex with anyone except my partner.

any possibilities of of HIV POP Up in future without any further risky exposure .

No, without risky exposure, how comes you get infection. Do not worry too much.

here i dint trust the doctors who gave me pep, being a doctor knows the guidelines even though he gave pep after 6 days . just to make money .

Shame on him!!!!!!! thing is not only related to money, PEP can cause issue. This doctor is not qualified, indeed.

He said earlier to have western blot test whereas other doctors and guideline and lab people says that western blots is no more recommended .

Western blot method could detect HIV virus after 10 days and it is just not well used in screen test, it mainly for confirmatory test if the ELISA test showed reactive. (Positive). As ELISA test with high level of sensitivity, which means if you really got infected, ELISA test could test it out but also may gave a false positive result, then we need to employ western blots to get confirm. So that is why i guess the doctor suggest you to do an western blots test. (I believe it cost a lot).

Anyway, it is time to move on to your life.

I wish you all the best.

Kind Regards,

Hugo

Respected Sir

Greetings of the day!!!

Many thanks for your reply .

all my doubts are cleared . no more confusion .

i will try my best to live normal life with out fear of this thing.

but learned a very good lesson of my life never ditch your life partner

always loyal and honest

regarding the western blot test came to know its window period is 6 weeks and above.

would u recommend to me to have western blot . as its confirmatory test when all other test shows positive , but in my case all test are negative after every intervals and from 3 different labs .

many many thanks for your kind support

highly appreciated

thanks with best regards

I agree with you if you stick to that you have contagious disease.

However, contagious disease could be variety, not only for STDs.

I suggest you move to different forum and to find out what happened to you as it is not sexual related.

Regards,

Hey,

I am glad to hear that all of your doubts and concerns are clear now and highly appreciated with your attitude which you should move on.

For the western blot test.

If i told you that you do not need it, will you listen to me and do not do the test? if you really believe me, then i am telling you now : YOU ARE HIV FREE AND YOU DO NOT NEED ANY FURTHER TEST IF YOU DO NOT HAVE ANY EXPOSURE.

All of your test result coming back with negative, and you are not happy?!!!!

I am sorry to say but what's wrong with you? Are you keep testing just for a POSITIVE result?!!

I do not know what i could help more but seriously, if you still want to test, that is your own right and money, but i am sorry, i cannot help anymore.

I do not see the point to test again.

All the best.

Kind regards,

Hugo

Tony,

I understand what your are talking about.

But my point is, if we already checked out of HIV and STDs, and if still feeling unwell.

How about go to see your GP and just do a non-sexual related test then find out what happened?

Also, please stop say anything about Chinese aids stuffs, I already reported this case to a Internet police.

Again, it is totally normal we could catch different disease, but if your sickness is not relevant to sexual health, move to the other forum or just go to see the doctor.

You could catch cold/flu during sex, but do cold/flu related to stds?!

Regards,

Again, please do not keep contribute your thoughts here, people are very concerned about their conditions, and you have no idea how difficult to stop checking and moving on to a normal life.

These users like worriedguy, who already checked all of the stds, and got an negative result back, so we hope they could really move on. However, you are keeping talking about the Chinese AIDS fear stuffs, it is very bad and unhealthy for the users who does not know that much about stds, you are making them more worried with no reason!!!

I am going to say the last time here, if you keep spearing the no-sense statement, I am going to report it as again, it is bad for the other users.

I hope you understand what i am talking about and what you are doing as well.

Regards,

Respected Sir

many Thanks for your reply .

love the way to said the things in above message . this shows how much you are concerned about me.

i am not going for any other testing . trust me

i said the things just to tell you about the doctor who gave pep to me , as he said that western blot done from me is important to give clear certificate of hiv free . when i asked the cost he said $ 550 . i said sir India's no1 lab is charging only 47 $ for the test u r charging so much high and i said u sent the sample to america for testing . then he dont have words to say.

actually i am still in fear .

i am consulting therapist for counselling .

anyways thanks for kind words , affection respect and love .

high appreciated .

thanks

i agree with you sir .

Mr Tony requesting you kindly stop this . plz

Hey,

Really happy to see you are thinking in this way.

Just want to tell you that it is totally no problem to be fear, we are human,fear is our normal emotion. But if we checked everything link to stds, and got all negative results back , then we should trust these results. You can not stay at the 'testing circle' forever, and if you still feel unwell, just go to do some normal check, as not everything link to stds/hiv.

$550 for western blots test is way too much, here in the uk, the price for western blots is around $360... I am not going to say the doctor is a cheater, but he is definitely unprofessional.

Therapist will be very helpful, if you have no clues about what kind of therapies you should go for, i suggest CBT (cognitive behavioural therapy).

Stay positive as you got all negative results and it confirmed that you are FINE x

Take care and message me if you still got any concerns.

Kind regards,

Hugo

Respected Sir

Greetings of the day!!!!!

Sir hereby i am sharing you the lab test report .

kindly check

Hereby I am sharing the lab report and MY result. 193 post exposure, 158 post pep

HIV (4th GEN) NEGATIVE

Hepatitis B profile

HBS AG NEGATIVE

HEPATITIS PROFILE

ANTI HCV NEGATIVE

INVESTIGATIONOBSERVED VALUE UNITS

HERPES SIMPLEX VIRUS I IgG 0.88 AI

HERPES SIMPLEX VIRUS I IgM 0.49 AI

HERPES SIMPLEX VIRUS II IgG 0.24AI

HERPES SIMPLEX VIRUS II IgM 0.21AI

TPHA NEGATIVE

I AM LITTLE CONFUSED ABOUT HERPES TEST

cut off .90 and my result is 0.88 . close to border line .

is this risky .

KINDLY CHECK AND ADVISE

THANKS

What you promised before?

if you keep checking in this way, sorry i cannot help.

regards

sir

plz understand

i have just shared the report . that its

this report of the last test which i have mentioned earlier

yesterday went to doctor to pay his balance fees that time i got the report , he dint discuss anything more , just said u r negative .

so i thought to share the same with you.

thanks with best regards

vinay

respected sir

Merry Christmas to u and your family .

god bless u loads of happiness and success in life . wish u long and healthy life .

regards