
Can HIV Be Contracted Through Unprotected Intercourse?

The risk of HIV transmission through a broken condom is less.
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
All the sex workers are not HIV positive. Less than 30% could possibly be HIV positive throughout the world as they are also more concerned with their own health they are more conscious to have safe sex.
All those exposed to positive individuals are not having HIV. Nearly 30-40% of spouses of HIV positive individuals remain HIV negative in spite of their regular sex relationship for years together and they are called as discordant couples. Moreover the risk of HIV transmission is 4-5 per 10000 exposures.
Nowadays HIV is not a life threatening disease. It is well manageable disease with drugs and lifestyle modification and the individuals with HIV positive can live longer as their counterpart without HIV.
Breakage of condom can increase the risk to an extent and not like that of unprotected sex.
You will be unlikely to have HIV/STD.
Dr S.Murugan


You are most welcome.
Detailed Answer:
Hi,
Welcome back.
You are welcome. Feel free to ask, if you have any questions.
Dr S Murugan


HIV tests become more reliable 12 weeks after the exposure.
Detailed Answer:
Hi,
Welcome back.
It is better to rule out HIV /STD with the help of blood investigations. Otherwise there will be a little tension prevails for ever. We will tend to attribute this incident for any future illnesses.
It is true that the commonly available HIV tests are better reliable only after 12 weeks of the sexual activities. There are some special tests available with certain bigger labs like SRL Ranbaxy or Lal Path to rule out HIV 1 infection within 4 weeks after the exposure. My suggestion is that you wait for 12 weeks and have the 4th generation DUO HIV test which will be reliable to the extent of 99. 8%.
Dr S Murugan


Above test reports has no value at this stage.
Detailed Answer:
Hi,
Welcome back.
You had tests for HIV, Syphilis and HSV. But all these test reports can not be reliable as you had your sexual exposure just 4 days ago. Each test has its own window period (time taken for the appearance of antibodies in the body against any organism) and within 4 days antibody formation can not be expected. Your test confirmed that you were not having HIV, Syphilis or HSV infections prior to this exposure. Better to repeat the test after 12 weeks.
Dr S.Murugan


Antibiotics have no effect for viral infection and to be discontinued.
Detailed Answer:
Hi,
Welcome back.
Antibiotics can cure or abort the diseases caused by bacteria and not the viral infection. It has no action over HIV, HSV, HPV infection. Unnecessary Antibiotics should not be taken. It will become resistant and at times when it is necessary and life saving, it will become useless to you. Siddha doctor has no rights to use Antibiotics. Seek the help of a modern medicine doctor.
Dr S.Murugan


HIV is a well manageable disease and treatment is available.
Detailed Answer:
Hi,
Welcome back.
Management with medicine is not possible after 72 hours of the exposure to prevent or abort the possibility of disease in presence of an infection.
You need not postpone your marriage. Your risk for HIV/STD is minimal only. You can take up the following test 4 weeks after that activity.
1 DNA PCR TEST for HIV 1 infection.
2. Qualitative RNA PCR test specific for HIV 2 infection available only with certain labs
3. STD Profile tests
I hope all will become non reactive. Then you can go for your marriage happily without any doubts.
Nowadays HIV is a well manageable disease and people can lead a normal healthier life for 25 years or more with treatment.
Dr S.Murugan


Sore throat can occur to anybody without HIV
Detailed Answer:
Hi,
Welcome back.
Sore throat is a common affection that anybody can have, even in the absence of HIV. All ages people can be affected. It could be a simple bacterial infection. You can take up the HIV test boldly. You will get a nonreactive result and you can get married happily.
Dr S.Murugan


Today is 24th day from the exposure,
Today i went to hospital and have taken the test..Please review the reports doctor as i attached. result is negative only.Thanks god .and doctor said to me ,No need to take any confirmation test after 3 months ( from the period of exposure). and he suggested two tablets for next 3 months , Namely 1)SHI LI capsules with goji berry extract 2) shandian ( antioxdant softgel capsules)
Should i take again test after 3 months ( from the period of exposure) ?
Sore throat infection for some other reason, not related hiv for me , correct doctor?
Now can i prepare for my marriage doctor.
Kindly suggest doctor.. Thanks in advance...
Test has to be repeated.
Detailed Answer:
Hi,
Welcome back.
The test you had for HIV, is an antibody based test. Antibodies against HIV will appear 6-8 weeks after the exposure in presence of an infection and this may be delayed up to 12 weeks in some cases. This is called as window period. So your test will be more reliable only after 12 weeks. If you want it earlier, you can go for antigen detecting test like DNA PCR, P24 antigen test. Qualitative RNA PCR separately for HIV 1 and 2 as the combination antigen test is not available for both. Those tests also considered more conclusive after 4 weeks even though it can detect HIV earlier.
Your other tests were normal. Even VDRL will be reliable only after 28 days.
Dr S.Murugan


Sore throat can occur to anybody without HIV. Not necessarily due to HIV
Detailed Answer:
HI,
welcome back.
Present test has no value.
Sore throat is a common symptom for anybody. It is not necessarily related to HIV.
Dr S.Murugan


Today is 40th day after the exposure
I have taken following hiv test for 33rd day after the exposure,
1.VDRL
2.HBsAg
3.HIV 1 & 2 Elisa
4.HIV RT PCR (Qualitative)
Reports are attached for your review doctor,
Kindly advice me , what is the accuarcy of this test after 33rd day exposure.
Doctor told to me, HIV RT PCR test are conculsive in after 4 weeks of exposure
Kindly give your suggestion and opinion doctor
Thanks is advance doctor
You are free from HIV 1 infection beyond any doubt.
Detailed Answer:
Hi,
Welcome back.
1. You are free from Syphilis.
2. No indication for Hepatitis B Infection
3. HIV 1 &2 ELISA has no value by 33rd day. (within window period)
4. HIV (RT) PCR (Qualitative) is highly reliable by 33rd day and you are free from HIV 1 infection.
Except for a marginal rise in uric acid level other vaues are within normal limits.
DR S XXXXXXX


Borderline increase in uric acid can be ignored.
Detailed Answer:
Hi,
Welcome back.
Your risk for HIV is low. HIV 2 is a very very rare possibility. You can ignore the same.
1. In spite of my assurance, if you want to have test for HIV 2, Qualitative RNA PCR exclusively for HIV 2 is available only with few laboratories. It would be reliable by now.
2. Increase in Uric acid level is very minimal and can be ignored. It has no relation to HIV.
3. If there is no joint pain, you can ignore the rise in Uric acid level. Rheumatlogist or Orthopedician are ideal specialists to approach for joint pain.
Dr S.Murugan

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