apollo
  • male
  • 30 Years
  • 22/01/2025

I'm really concerned about something that happened a year ago. I had an encounter with a prostitute, and during sex, the condom ripped. Although I didn't fully penetrate her, my penis did come into contact with her vagina. She assured me there was no risk, but I'm still worried. I'm not sure if she had HIV, and if there's a chance I might have contracted it. Should I consider getting an HIV test?

Doctor 1

Answered by 1 Apollo Doctors

Considering the potential exposure to HIV, it is advisable to get tested for HIV. You can take a combination of antiretroviral drugs such as Truvada (emtricitabinetenofovir) as post-exposure prophylaxis (PEP) within 72 hours of the exposure to reduce the risk of HIV transmission. It is also recommended to get tested for HIV using a fourth-generation HIV test, which can detect both HIV antibodies and antigens. Follow up with your healthcare provider for further evaluation and management.

Dr. Ranjith Suggests...

Consult a Infectious Disease specialist

Answered 04/07/2025

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I'm feeling really anxious because even though my HIV test came back negative after two years, I'm still experiencing symptoms like oral thrush, tongue pain, itchy lips, and some rashes on my body. My lymph nodes are kind of swollen too. I had an RNA PCR test and it said target not detected, my CD4 count was 1197, and the antibody-antigen serology test was negative. I'm worried because I think I might be a late seroconverter. Should I wait a few more years and keep testing to be sure, or could there be another issue causing these symptoms? Please help. I'm really unsure if I could be negative or positive.

Negative HIV test after 2 years, but symptoms persist: *Interpretation:* 1. HIV-negative status confirmed. 2. CD4 count (1197) is normal. 3. RNA PCR (viral load) undetectable. 4. Antibodyantigen serology negative. *Symptoms may indicate:* 1. Immune reconstitution inflammatory syndrome (IRIS) 2. Opportunistic infections (e.g., oral thrush) 3. Allergic reactions 4. Other health conditions (e.g., autoimmune disorders) *Recommendations:* 1. Consult an infectious disease specialist or immunologist. 2. Rule out other infections (e.g., fungal, bacterial). 3. Consider: - Antifungal treatment for oral thrush. - Topical creams for lip itching and rashes. - Pain management for tongue pain. 4. Monitor lymph nodes and repeat testing if necessary. 5. Address anxiety and stress through counseling or support groups. *Late seroconversion unlikely:* Given your negative HIV tests and undetectable viral load, late seroconversion is unlikely.

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I'm really concerned about finding reliable HIV testing methods. I've read about the 4th generation HIV 12 Antibodies and p24 Antigen test with a shorter window period of around four weeks after exposure. I live in Chennai and have tried to locate a lab or medical center that offers this test using the CMIA method but haven't had any luck so far. Do you have any suggestions on where I might find this test available in Chennai?

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