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my hsv and vdrl is positive but ...

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hiv rna pcrSir on dated 8 / 6 / 13.while doing intercors with a call girl my condom was brocken..i imegately leave the girl.. im so affread then next day I tested(hiv) the girl she is found non reactive...but I feel some burning itching on my legs hands and face..then I go to a doctor he made my some test hsv vdrl and hiv rna hsv and vdrl is positive but hiv rna pcr is normal..this tests was done after 6 days to explore. ..plz tell me wt can I do now..

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replied June 30th, 2013
HIV and AIDS Answer A44078
Welcome to e health forum.

The history you have provided is not complete enough to give you specific advice regarding to your status.

Presence of a positive reaction to VDRL test - is indicative of a possible infection with syphilis. Though the test results may occasionally be false positive in a few individuals.

HSV tests can be False positive in many individuals, as a result of cross reactive results with past infections with chickenpox, prior cold sores, etc. Hence a proper history with regard to sexual encounters and lesions on the genitalia, etc have to be evaluated before making a specific diagnosis.

The risk of having HIV via single sexual intercourse from a infected person is very low to result in confirmed infection. The chances of you having HIV, is possible only when you have had unprotected sexual intercourse, multiple times with a HIV infected individual. Hence you should be careful before having intercourse with any person with unknown HIV status or not trustworthy.

Unprotected sexual intercourse with escorts or sex workers, can predispose you to sexuallly transmitted infections which can include HIV, Hepatitis C, hepatitis B, gonorrhea, syphilis, Herpes, etc.

A person who has HIV carries the virus in certain body fluids, including blood, semen, vaginal secretions, and breast milk. The virus can be transmitted only if such HIV-infected fluids enter the bloodstream of another person.

Using protection in the form of condoms during penetrative vaginal sex and or oral sex, helps to prevent possible infections, and hence the risk is reduced. But in case the condom is not used properly or it breaks during sexual activity, the risk of infection would be high (if the partners are HIV infected).

As per CDC recommendations, the only test used to screen for HIV is the ELISA test, which detects HIV antibodies in the body secretions and or blood. The 4th generation ELISA tests for HIV, detects both the HIV antibody as well as antigens of HIV virus. Hence the test that is very accurate and sensitive at detecting HIV infection. This test can be done after 4 weeks of exposure. A negative result especially after 6 months post exposure confirms a HIV NEGATIVE STATUS.

Please note that PCR test (viral load test) are neither approved or recommended for routine HIV testing, and it is not a test to confirm the absence of HIV infection.

It is done only in specific cases, where there is direct injection of HIV blood into the blood stream, which sometimes occurs in health care workers. It is not meant for people to check within the first 4 weeks post exposure, if they have HIV, after low risk exposures (unprotected intercourse, oral sex, etc).

Many individuals resort to doing such tests in the window period (before 4 weeks) to clear their anxiety, and testing centers (which work for profit) may not advice them properly.

In individuals with a low risk probability (such as yourself), screening with ELISA tests for HIV antibody, should be done after 4 weeks post exposure, and if found negative, should repeat it every 4 weeks until 12 weeks.

It would be recommended for you to just do a 4th Generation HIV -ELISA Test after 4 weeks and if it is negative, repeat it after 12 weeks. In case the test results are negative, then you can consider yourself as HIV free.

To clarify your current status, you should consult a sexual disease specialist who can advise you accordingly.

Since you are married with kids, it is highly advisable that you follow safe sexual practices including practicing monogamy.

I hope the information here is helpful.

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