
What Tests Should Be Done To Check For HIV?

I have done unprotected sex without condom with one women on 15/6/2013 and I don't know her hiv status and than I done sex with my girlfriend on 30/12/2013 without condom but she is hiv negative and I get a dout about hiv I thought to get tested for hiv and I get tested for hiv rapid screening blood test on 30/5/2014 and my test results non-reactive and plz tell that I need any more test or not am I safe now or not and I am thinking about to be tested for vdrl test if I get tested for vdrl will vdrl test will give accurate results.
No HIV; 3 months is the maximum time for results
Detailed Answer:
Hello,
Welcome and thanks for posting your query.
I can understand your concern for HIV infection after unprotected sex with a woman and your girl friend.
After reading your query and interpreting the report done in May 2014 I can make out that you are totally free from HIV.
Let you know about HIV infection:
In an unprotected intercourse with a HIV positive person the HIV viruses gets entered into the body and divides in innumerous numbers(millions of viruses per ml).
After a period of 2-6 week there is mounting of antibodies against the viruses. These antibodies can take at the maximum of 8-10 weeks of the period to get expressed.
There fore the infection can be analyzed by two ways -
-A): By HIV virus detection: done by RNA- PCR. It tells us the number of copies of virus present in per ml of blood. By the latest of methods the viruses can be detected within 2 weeks of period.
B): By HIV antibody Detection: AS told earlier once the antibodies appear maximum of 8-10 weeks then these antibodies to HIV virus persist throughout life. The protocol of the antibody tests done for HIV is as follows: One HIV antibody test at 6-8 weeks and then a follow up final test at 3 months (84 days or 12 weeks).
Antibodies once formed to HIV can never disappear. So if a person has HIV infection, 3 months of period is the time when we say to be fully sure of whether HIV is present or not.
Now correlating all the facts and interpreting with your situation: your test is done after 5 months of sexual intercourse with your girlfriend and almost a year with other woman. So both of these time periods are beyond our limit of 3 months. Provided if you have not done any unprotected intercourse from December 2013 till now the results for HIV test is conclusive.
For VDRL also: it can be done any time after 3 months and will give you accurate result. Do tell me if you felt any ulceration or anything unusual on penile site. If you have not had any lesion then in my clinical experience it will also come negative.
Hope these informations will relax your mind. I will be glad to answer any further queries.
With regards,
Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases

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