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About Dr. Tan
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Consultation STD Consultation – $60.00

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Comprehensive (Male) Blood – Syphilis, Hepatitis B/C, Herpes Simplex Virus Type I and IIUrine – Chlamydia and Gonorrhoea PCR, Monilia, Trichomonas, NSU, Mycoplasma, Ureaplasma, Urine Culture, Candida $ 390.00
Comprehensive (Female) Blood – Syphilis, Hepatitis B/C, Herpes Simplex Virus Type I and IIVaginal Swab – Chlamydia and Gonorrhoea PCR, Monilia, Trichomonas PCR, Gardnerella PCR, Candida PCR, Group B StrepNSU, Mycoplasma, Ureaplasma, Direct Microscopy, Candida, Vaginal swab culture $ 525.00
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Herpes Simplex Virus Type I IgG Antibody Herpes Type 1 $ 40.00
Herpes Simplex Virus Type II IgG Antibody Herpes Type 2 $ 40.00
Non-Specific Urethritis (NSU) Culture Mycoplasma, Ureaplasma $ 118.00
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HIV RNA/DNA Polymerase Chain Reaction (PCR) Test $600
Add $100 for expedited results
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Rapid Fingerprick Blood HIV-1/2 Antibody Test (Determine) $ 50.00
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1,729 Comments

  1. I had received an oral sex from a CSW

    I tested her after 7 days she was negative for HIV 1&2 COMBO Test

    I tested myself on 17,27,34 and 40 days for HIV 1&2 COMBO Test and all were negative.

    I TESTED MYSELF FOR HIV PCT AFTER 44 DAYS IT WAS UNDETECTABLE

    ARE MY TESTS CONCLUSIVE AND REQUIRE NO FURTHER TESTING

    THANKS

  2. Jennings

    Dear Dr Jonathan,

    Are you aware of cases in medical literature where someone has been infected from contaminated clinical gloves during a HIV test? Is it a realistic risk?

    Thanks

    Jennings

  3. dr. i get testd with Alere determine HIV-1/2 at 66 days of exposure to hiv and the result is NAGATIVE. please is the result counclusive without the use of combo product?
    please can i get Alere determine HIV-1/2 combo in nigeria? if yes which hospital can i get it.

    • Your result is not conclusive with the Alere Determine until 3 months post-exposure. I do not know about availability of 4th gen combo testing in Nigeria. Please speak to your doctor.

  4. Hi doc wanted to ask is one of hiv symptoms keloids or you can get them even if you are hiv negative.

    • No, keloids are not symptoms of HIV. So yes, you can get keloids without HIV. They are not related in any way.

  5. Kamal Sadiqi

    Hello Doc ,
    Please help me , in Ethiopia on the date of 10th jan 2016 in the morning i had a small scratch on my finger which was bleeding for 1 minute not more and then stopped, same day evening i met a csw in the hotel and we went to my room she took off her clothes as well i took off my t-shirt and she set on my legs trying to tease me i found some wet on my pants and i am not sure is from her or is it my pre-cum as i was Real on , she gave me handjob 2 times while i was touching her vagina also with the same finger which i had scratch on early morning from outside but it was not bleeding , then i relized that that is the same finger so i stopped , i ejaculted on her boobs and ass and then she washed and we smoked and then she gave me a second time handjob and she was holding my penis from the middile only , I asked about her hiv status and she said she is clean and she said that she never had sex without condom , Anyway i did an HIV P24 Ag/Abs Combo test on the date of 13th March 2016 means after 9 weeks and result was non reactive, (stupied me again )on 4th Nov 2016 i met a girl which we have been friends since almost 2 years and she gave me handjob two times and we cuddled on bed with some kisses but without Saliva exchange and i did my last HIV P24 Ag/Abs Combo test on date of 17th April 2017 means about almost 24 weeks from the last expousre & 15 months from the first expousre i mentioned above and got the result after 2 hours as of Non-Reactive again,
    -I never felt fever or rash or got the flue since 2 years back or so .
    Do you think my tests are conclusive ?
    I believe that as per your site announced of the HSA RECALL that the ag component might only affected and the test after 3 months is not affected?

    Do you agree that only Abs will clear the Ag ??
    Please help help,

    • Your exposure risk is zero. And your testing is conclusive.

      • Kamal Sadiqi

        Please let me know if only abs will clear ag in the blood and if there was not abs still then the ag will stay detectable in blood ?

        Do i need to retest after a year

  6. Dr. Am Sule from NIGERIA my question is that is Alere determine HIV-1/2 equal with Alere determine HIV-1/2 combo. If no then is Alere determine HIV-1/2 effective at 47 (6 weeks ) or can the result be concluded if nagative.

    • No, the Alere Determine is a 3rd generation antibody-only test, which is only considered conclusive at 3 months or more post-exposure. The Combo test is a 4th generation test and is considered conclusive at 28 days post-exposure.

  7. I had received an oral sex from a CSW

    I tested her she was negative for COMBO Test

    I tested myself on 17,26,33 and 40 days for COMBO Test and all were negative.

    Can I conclude that I am HIV negative?

  8. Doctor please address it. Like I said before 1 year after exposure 3 negatives. Lymph nodes swell neck armpit and groin, has Rash on neck, seborric dermitites, now even my mouth have ulcers and when I sleep my joint and muscle hurt. Also I have thrush and headaches. I also notice my tonsil have a cut now. With yellow or
    White spots don’t know if they are tonsil stones.

  9. Hello doctor it been three weeks since my last exposure and tomorrow I’m planning to go for test which one u suggest to me to use alere combo or cmia test which is more accurate? I’m confused.

    • It’s best to visit us for a proper consult and assessment of what types of testing would be most appropriate. Either way, your tests would not be conclusive until 4 weeks or more post-exposure.

  10. Hiv Paranoid ,

    Hello Doc,

    I heard that if am facing breathing problems and have thin lines grey on one or two nail fingers it might be early sign of HIV infection ,

    My case was recieved handjob from csw in thailand and the girl took my penis and massages it with her breasts with oil and not sure if she was breastfeeding or not and I don’t know her HIV status but she wanted me to have entercourse but with Condom only , I refused it and agreed to continue with her with handjob only two times till ejaculation and on tissues and while I tried to touch her vaginal same time after two seconds i realized that my finger was scratches in the same day early morning so i stopped that was all ,

    I did p24 HIV Ag/Abs combination test on day 62 and result came back Nonreactive , I heard its not conclusive so I did a second test after 455 days from the exposure HIV Age/Abs Combo test and result was Nonreactive as well and I did Hepatitis C,B and results also Negative.

    I never had fever or flu for the past 2 years , but I have the first about symptoms and small lympho in my neack for more than a year and not increasing but still there and decreasing very slow ,

    Please advice if my both tests convulsive and how risky is it ?

    I am freaking out that I have did something wrong to my lady and since the expousre i am using condoms with my lady.

    Does the self immune system illness in the bones will cause delay of the abs ??

    Last Q is the HSA RECALL affect only the p24 ag component as zero sensitive or not accurate or what u advise as it was in GCC well known lab ,

  11. Hi one year after my exposure and 3 negative through through the year. I grew swollen lymph nodes on my armpit and groin. The one at the groin is gone but the armpit one is still here and now my face beside my mouth have seborrheic dermatitis with flu for almost 3 weeks also feel very cold with just the fan on usually not affected by cold. Is it really conclusive I need to know been to stress to sleep lately ever since the swollen lymph nodes grew and over some time more and more symptoms appear. seborrheic dermatitis Rash grew 2 days ago.

    • Also not just beside my mouth my whole face have dry patch of scaly skins. Some times itch and burn.

    • I would consider your testing conclusive, and your symptoms due to other unrelated conditions.

      • Not to forget thrush as well. But in this case since it’s conclusive I do not have to go for another test again?

  12. Hey, good day, have been worried for 2months now, I started having itchy tongue after taking Cipro 2months ago, but found out its listed as 1 of the symptoms of HIV,i also noticed I have a painless lymph in both my armpit, and neck went searching and found it there,since then have been worried can’t eat enough and am loosing weight, I have gone for HIV test four months post exposure, it came out negative but still worried and depressed

    • I would consider your test conclusive, no HIV. If you are worried about symptoms, have them assessed properly by a doctor.

  13. Asif maploy

    Doctor Tan ,

    handjob case & some soft kisses and that was all without any insertive at all , ejaculation on her hand and thats it ,
    I did test called Hiv p24 ag/abs Combo test after 22 weeks equal 145 days and it took 2 hours and then i got the result Non Reactive ,

    Do i need to re test !?
    Is it reall reall high risky!?
    Why they call the test p24 combo ? Is it the one looks for abs and ag ??

    I never got fever or flu or rash or dry cough at all, but my breathing is getting heavy I mean not like usual and a lympho in my neack for less than 1 cm for long time ,

    Kindly answer my questions above,

    • Your risk is zero. Your tests are conclusive, no HIV.

      • Asif maploy

        Thanks for your direct answer ,

        Is it a must that if i contracted HIV i have to face a high fever and worst flu ever ?

        Could you please let me know the cases that body would delay the abs or ag in the blood ?

  14. Hi docs, did my combo test yesterday at 19 days post-exposure, neg for both ag-ab. how accurate is the test at this stage? TIA

  15. What is deference of combo and duo

  16. Paplo zety

    Good morning ,

    I am freaking out as i had low risky ( Handjob) & i Never had insertive sex with that csw lady that night 5 Months ago & the lady used her saliva and she Spit
    On my penis alot but never sucked it or put it inside her mouth at all ,

    i did HIV P24 Ag Abs Combo test 15 days back means after 125 days and i had to wait 2 hours till i recieved the result as of Non-Reactive , no symptoms but light grey lines under my 2 different nails thats all , no flu or rash ,

    What you think of my test which almost close to 19 weeks ??

  17. Good morning Dr am sule from Nigeria i hard an unprotected sex with my girl friend on 23 of November 2017, on 27 November she tested hiv positive and i tested negative my doctor gave me a drugs call avocomb to take for 30 days, after the completion of the drugs i tested negative using home test kit on 8 January 2018. Pls is that result conclusive? What is your advice. Also can i have sex with the same lady using condom? Please reply me.

    • Your result is a good indication but I would recommend a repeat at 3 months post-exposure for conclusive results. Condoms will reduce the risk of HIV transmission by up to 98% but it is not 100% safe still.

  18. Good day doctor,first forgive my English level ,I find the sex worker at 19/12/2017,no protect oral sex ,and protect sexual ,but when she lay and kiss me ,when my penis (glans)and her vagina have contact with the case did not wear condom at that time ,I’m am not sure if there is no contact with vaginal fluid if there is infection is hiv high risk ?a week later ,I found three red dots in my hand ..I’m very worry ..hope doctor can reply me soon

  19. Light cream

    Hi Sir ,

    I just need to know if a case of handjob and soft kisses without Saliva exchange would put me in a high risky getting to contract HIV ,

    CSW offered me a hot massage which already happened and after that she licked my balls and then i was very shocked and asked here to continue only with Handjob ,

    Ejaculation on her boobs thats all ,

    I did After that Hiv p24 ag abs Combo test after 5 months from thar expousre and result came back Non Reactive but i sm not sure it will look for hiv 1,2 or not all i know it was written HIV p24 Ag Abs Combo and the result as mentioned ,

    Please advise as she licked my balls and am afraid ,

    • Your risk is zero and your test is conclusive.

      • Light cream

        Doc ,

        Shall i go back to my life and stop using condoms with my wife , in fact in the past 8 years i didn’t have any intercourse except with my wife, do you think i should move on ?

  20. Hi I had 3 negative test 1 from DSC clinic 2 from Robertson walk but after 1 year lymph nodes has been I notice swollen lymph nodes on my right armpit and my groin area. Is it possible it’s false negative ? Please reply I’m panicking.

    • Your test results are conclusive. If you are concerned about lymph nodes, why don’t you have them properly assessed. There are many conditions that cause lymph node swelling that are not HIV or STD related.

      • Have check with doc on the lymph nodes at my armpit but now even my chest and groin have them. Is it 100 sure I don’t have to retest after 3 negative.

  21. Hi Doctor ,

    I had a low risky case of blowjob on date of 6th Nov 2016 from csw in philipine and i asked her status of HIV and she said she was okay and she never had sex without condom , anyway she performed the oral sex on me protected and for 12 minutes i guess and i ejaculated on her belly and my penis touched her skin as i rubbed it on her belly , and while she was performing it i fingered her vagina as well and alot of fluids was coming out but not sure if i had any cuts open or not on my finger , that was all ,

    I tested on date 16 April 2017 and test was written down HIV p24 Ag Abs COMBO TEST & Hebtit C And the lab give me the results after 2 hours as of Non Reactive for HIV & Negative for the Hbs C .

    Do you think i should move on or it was so risky and needs to be repeated after 8 months or one year??

    • Dr Elaine Loh

      Your risk of contracting HIV was very low to begin with. In my opinion, you do not need to retest, unless you are still very concerned. Re-test is just for the peace of mind.

  22. nervous nelly

    Hi Dr,

    Getting conflicting information from reading your answers to some of the questions on your forum. If the HIV Ag/AB test is conclusive after 4 weeks, why the need to retest at 12 weeks post exposure?

    Basically tested for HIV Ab/AG combo test along with test for HCV at 4 weeks post exposure. Both came back non-reactive. Was told by the doctor to retest for HIV at 3 months. However, you seem to be of the opinion that a negative result at 4 weeks is conclusive.

    Also, in the event of a coinfection with HCv, ive been told that window period for HIV testing will be extended. Any truth in that?

    Thanks in advance.

    • There have been rare cases of co-infection with HCV that can extend the window period. In the absence of HCV co-infection, I would consider your HIV test conclusive.

  23. Hi Doctor,
    I had protected sex with a female SW on 12th nov and then again with another one on 10th dec. The condom was intact and did not break. However On one occasion she performed oral sex on me without a condom. I did not have any symptom barring an itching foreskin on my penis, which the doctor told was normal yeast infection. The itching and mild redness on the top of penis went off in 2 days after medication. Is there something, I need to worry about … if yes what all tests on Hiv and STD do I need to take and when (considering the 21 day window) for the combo test … thanks

    • Your risk for HIV is very low, but condoms are not 100% protective. You would also be at risk of other STDs from the unprotected oral sex such as chlamydia, gonorrhea, herpes, etc. If you wish to test for HIV, the window period is 28 days for conclusive results, but 21 days is a very good indication. We can check for urinary tract infection at this point already. Please visit us for a proper consult and evaluation.

      • Thanks Dr. Tan. I went to the Robertson Walk clinic today and got the Hiv combo test with Dr Deepa … My exposures as told to you was on 12th nov and 10th dec … so today was the 29th day. The result was NEGATIVE … Can I move on now, considering the test is conclusive ? Thanks ….

  24. Hi Doctor,

    My last risk exposure was on the 4th July 2017. I have tested on the 23rd October 2017 with 4th Gen combo test at Robertson Walk clinic, 1st Nov 2017 with ag/ab lab test and 3rd November 2017 with 3rd Gen test at Robertson walk clinic. All 3 tests came back negative. However, I have developed bad breath with white coating on tongue and 2 ulcers around 29 Dec 2017. I am worried the 3 tests I took were not conclusive. Please advise me if they are conclusive for me to stop worrying about the symptoms. Thank you very much.

  25. I took a combo 4th generation at 40 days!4 days later I got my result and it was non reactive. At 61 days I had a negative oraquick at home test. At 69 days I had a determin rapid finger prick test ag/ab first one was invalid second one negative.At 71 days another oraquick at home hiv test negative!!!Can I move on I’ve been having postnasal drip for almost a month and had muscle aches from here to there for 1 week. I’m going crazy 🙁

  26. Hi ,

    Merry Christmas to you guys , i would like to know if it is correct that the virus are not easy to be detected in the blood after HIV P24 AG ABS COMBO TEST AFTER 5 months from the expousre for protected oral sex in Thailand case , i have heard un-logical opinion says its not even easy to detect it in years ?

    • The test at 5 months would be conclusive. Detection rate is essentially 100% if the virus was contracted, so what you have heard is inaccurate.

  27. VIncent W

    Hi Doc
    Had a protected vaginal sex with condom with a CSW 2 weeks back..However very worried now due to articles over internet. Post That incident I have also had sex with my wife unprotected and worried if I have put her to risk..

    The sex was with durex latex condom which did not came out or got broken( visual inspection)

    Am I at risk ? If even lil how much?

  28. Dr,

    HIV combo test done multiple times over four years after exposure and tested negative But suffering from constant lower abdominal pain, sweeling of foot and having prurigo nodolaris in leg, body and scalp. Do you think it can be because of HIV . Is HIV pcr test required to rule to HIV??

    • No, I know for sure your symptoms are not due to HIV, as your tests are conclusive.

      • Ok sir. It is sure that I am suffering badly and all my symptoms matches with weak immune system. I am very scared to take PCR test and all the time I feel i am infected with HIV.

        Sir does the actual type of risk and source matters after having repetative negative combo test for 4 years?

        • And Sir I forgot to mention that I am having constant dark urine all this four years and it has not improved with medication also.

  29. Hi Doc,
    My last exposure was on 6th of Dec 2017. If I take the test on 27th Dec 2017 at your clinic, will the result accurate ? Or should i wait till 30 days of the exposure.
    Kindly advise, thanks.

    • A rapid 4th gen HIV test at 21 days post-exposure is a very good indication, but for conclusive results we would recommend a repeat at 28 days or more post-exposure.

  30. Hello Doc ,

    I want to ask if the body can develop swollen lympho nodes after infection with more than 6 months , i am using a condom every time with my lady since the last expousre i am afraid of with a csw which was only Handjob and i was fingering the csw as well but without insertive at all with the csw ,

    I did HIV P24 AG ABS COMBO TEST after 23 weeks with result non Reactive ,

    Please advise as am afraid i did something wrong to my wife .

    • Your tests are conclusive – no HIV. If you are worried about lymph nodes then get them assessed by a doctor.

  31. Hi ,

    Is the HSA Recall related to lots in Singapore only ??

    My case low risky protected oral sex with a lady and my test HIV p24 ag abs combo and result nonreactive after 24 weeks ,

    Is it affected the abs combonand ?

    Do I need to retest?

    • Please speak to the healthcare providers who have performed your tests to see if they are affected by any test kit recall. In any case, I would say your tests are conclusive and your risk was essentially zero in the first place.

      • Thank you Doc , i will ask the lab afain , but its freaks me out now ,

        One last thing , Assuming it was affected , is it only for the early Ag detection ,

        My test was after 23.49 weeks so any test in the world will only look for the abs ,?

        Give me please your opinion for my case considering the above,

        • Yes, you are correct. The recall was due to affected p24 Ag detection component. So your test is fine. And your risk is zero anyway.

  32. Doctor i do alere hiv ag/ab combo rapid test at 47 days after my last sex , my hiv test result alere hiv ag/ab combo rapid test at 47 days after my last sex is negative .
    My questions is :
    1) do you think my negative hiv test result alere hiv ag/ab combo rapid test at 47 days after my last sex is conclusive ?
    2)i should do hiv repeat test or not ?

  33. Doctor i do alere hiv ag/ab combo rapid test at 47 days after my last sex , my hiv test result alere hiv ag/ab combo rapid test at 47 days after my last sex is negative .
    My questions is :

    1) do you think my negative hiv test result alere hiv ag/ab combo rapid test at 47 days after my last sex is conclusive ?

    2)i should do hiv repeat test or not ?

  34. Hi,

    Will thyroid hyperthyroidism or hypothyroidism affect HIV testing results?

  35. Rafael Suarez

    Doctor i am very nervous but in such a case that I touch blood or semen with my hand can something happen?

  36. I had two 4th generation tests 35 and 88 days post exposure. The tests results were 0.09 and 0.12 both non reactive.
    Does a rise in the index value pose threat?

    Thank you

  37. Hello doctor I really need help I’m a student in Malaysia and I’ve had a pcr for hiv 1 RNA qualitative after 36 day and it not detected . It’s written on the report ,by cepheid genexpert and also (95% confidence interval 253 to 305) I don’t know what does this mean and I couldn’t find the doctor he is sick could you please tell me is this result conclusive

  38. Rafael Suarez

    Hello doctor, my risk was to masturbate a penis of transvestite without ejaculation, I do not have wounds in the hand, I made a test alere combo 4th generation at 29 days and gave negative, I am 100% healthy of the hiv?

    • Yes, your test is conclusive. And your risk is zero anyway.

      • Rafael Suarez

        Thank you Doctor for the answer, but in such a case that I touch blood or semen can something happen?

  39. Doc did the rapid antibody test before week 12 (11 week 5 days) conclusive?please i really need an answer

  40. Doctor i’m from malaysia . I do hiv rapid test at 4 december 2017 at the red clinic in kuala lumpur malaysia. My hiv rapid test result is SD bioline hiv ag/ab combo rapid test is negative , but i’m confused about SD bioline hiv ag/ab combo rapid test recall . It SD bioline hiv ag/ab combo rapid test also recall at all clinic in malaysia ?

  41. Hi Doctor,

    I had my RNA PCR on 8th day and virus was undetectable. I then followed up with combo test ( antibody and p24 antigen) CMIA test on 18th day, 22nd day and 28th day. All were non reactive with index value in range of 0.07-0.09. I finally had ELISA done on 31st day and it was also negative. Can I now believe that my tests are conclusive and I am not infected? i have read on multiple forums that combo test is conclusive at 28 days. Please advise and I would really appreciate.

    Thanks

  42. My HIV duo test negative (0.17/1) after 3.5 years from unprotected vaginal sex with married woman who is also test negative on recent test.am I safely rule out HIV infection or is any further testing is required please tell me doctor

  43. Hi Doctor,

    I did a 3 steps finger prick test at one of your clinic after a post hiv potential exposure of more than 45 days. I was tested negative. Is the result conclusive for both HIV 1 & 2?

    Thanks.

  44. Doctor . What the meaning of hiv ag/ab test ?

  45. Hallo ,

    I had low risky as you mentioned in your previous comments ( handjobe) on date 3th Nov 2016 night and some soft kisses and that was all without any insertive at all , ejaculation on her belly and thats it ,

    I did p24 ag)abs Combo test on date 16th April 2017 means after 155 days and it took 2 hours and then i got the result Non Reactive ,

    Do i need to re test !?

    Is it reall reall high risky!?

    Do you think my test got affected with the HSA RECALL for that date ?
    I never got fever or flu or rash or dry cough at all

  46. Hi doc what makes a false positive for HIV?because i had a flu like symptom right now,im afraid that it would give a false positive result in my testing,i actually already tested in 5th week with ag ab test and the doctor recommend to take another test in week 12

  47. Hi Dr.

    Do autoimmune diseases extend the window period for 4th generation tests or it’s still conclusive at 28 days?

  48. Hi Doctor,

    What are the chances of HIV virus being entered into the body through broken skin on scortum and penis (ie. scratched skin due to itching from eczema)? I had condom on and had sex with a csw. Can you please advise?

    • Hi Doctor,

      Any advise? Any guidance will be much appreciated. Thanks!

      • Your risk is mainly from the penetrative sex, scratches or cuts from eczema or not. The risk would be very low for protected sex.

        • Thanks Doctor Johnathan. I am just wondering if the virus can entered into my body through those open scratches or cuts if any part of the vaginal discharge touches it. However, I did develop dry flaky skin and itch on my penis and scrotum which tends to be itchy at night coupled with multiple eczema spots on my body as well. Is it a call for concern of any other std or HIV?

  49. Hi,
    Looking for some advice. I had unprotected insertive vaginal sex with a sex worker in the UK. I’m a circumcised male and there was no visible blood or trauma.
    I spoke to her 4 weeks post exposure and asked her regarding her hiv status. She said she is tested monthly, her last test being 2 weeks ago (so 2 weeks post exposure) and that she was negative. Said she had certificate and documents from the hospital. Obviously I’ve not seen this and can’t say what she said is 100% the truth.
    I’ve had the following tests:
    14 days post exposure – Alere HIV Combo (antibody/antigen test) (20 min result) – Negative
    21 days post exposure – Alere HIV Combo (anti/antigen) (20 min result) – negative
    28 days post exposure – Alere HIV Combo (anti/antigen) (20 min result) – negative
    35 days post exposure – Alere HIV Combo (anti/antigen) (20 min result) – Negative
    38 days post exposure – HIV DUO Lab test (antibody/antigen) (next day result) – negative
    42 days post exposure – Alere HIV Combo (anti/antigen) (20 min result) – negative

    The doctor said to me that since I’ve not had any obvious HIV symptoms and that all the tests that I have had are negative I can forget about hiv.

    Just wondering if that’s correct advice or am I right to still be anxious?

    Thanks

    • Your tests are conclusive. Move on with your life.

      • Hi Doc,

        One more thing. Does the timing and accuracy of the duo/combo test depend on risk? Basically if the exposure was very high risk – would the duo/Combo still be accurate at 28 days or would this change?
        Thanks

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