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Conditions and Diseases > HIV and AIDS Forum > Possibility of HIV infection and related tests
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Q: Possibility of HIV infection and related tests
asked by: DoctorQuestion on August 16th, 2009
hi doc,,my last exposer was december 14 2008, unprotected oral sex followed by the protected(double condom) vagianal sex with csw. Since then my wife is the only one partner for me and we are freqently in sexual contact(unprotected). when i tested my blood on 27 june 2009(that is nearly after more than 6 1/2 months, my elisa came positive and the western blot indeterminant weekly reactive with p24 only. I told my wife to get tested, she tested negative elisa on 8th july 2009. it is good news for me that i couln't have infected with hiv. what is the chances for me to turn negative or positive? Also my Pcr was done at the same time and the result says it is less than 20 copies/ml. Doctor says proly it is negative because viral load dont stay uner 20 copies even if i m in seroconversion stage and the test was taken after more that 6 months from the last exposer so he also told me to repeat the test.
to ease my mind, pls suggest in my case..need help


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Dr. Goce Aleksovski , MD
replied on August 22nd, 2009
HIV and AIDS Answer A7101


According to the data you provided (positive elisa test, inconclusive western blot, PCR less than 20 copies/ml after six months of exposure), it cannot be determined for sure whether you have been infected with HIV.


HIV viral load tests are reported as the number of HIV copies in a milliliter (copies/mL) of blood. If the viral load measurement is high, it indicates that HIV is reproducing and that the disease will likely progress faster than if the viral load is low. Initial, untreated, and uncontrolled HIV viral loads can range as high as one million or more copies/mL. A low viral load is usually between 40 to 500 copies/mL, depending on the type of test used. This result indicates that HIV is not actively reproducing and that the risk of disease progression is low.


In your case, seroconversion was already expected to occur, if any. The viral load of 20 copies/ml is considered low, but you are advised to take the test again.


You might want to visit a specialist for infective diseases for additional tests and examination to check whether you are infected with HIV or not.




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