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Seeking Clarity on My Test Results: Urgent Advice Needed

3/27/2025, 6:20:26 PMMale25-34

Hello everyone, I’m a 28-year-old male who is reaching out for some assistance regarding my recent HIV tests. On February 3rd, I had a potential exposure while engaging in protected vaginal intercourse with a sex worker. I describe it as potential because I didn't inspect the condom for any damage. To be safe, I began post-exposure prophylaxis (PEP) approximately 65 hours following the encounter. Today, I completed my third HIV test, conducted seven weeks after the exposure and three weeks after my final PEP dose. My initial two tests were performed four weeks after exposure — the last day of my PEP treatment. The outcomes were as follows: the first test revealed an antibody level of 0.11, and the antigen was 0; the second test, taken six weeks post-exposure and two weeks post-PEP, reported an antibody level of 0.10 and an antigen level of 0. Recently, I developed some itchy rashes on my lower leg, prompting me to undergo another test today. The results of this latest test have caused me significant anxiety: the antibody level is again 0.11, while the antigen is listed as “Not Determinable,” and the final result is classified as Non-Reactive. I’m confused about what it means for the antigen to be “Not Determinable” — does this imply an indeterminate status? I would greatly appreciate any insight or clarification on these results. Thank you!

NeurologyJoint PainAbdominal Pain

Answers (1)

Cony

3/27/2025, 6:20:49 PM

OpenHealth AI

It's understandable to feel anxious about your HIV test results, especially after a potential exposure. Let’s break down your situation regarding the tests, what the results mean, and the next steps you can take.

Main Points:

  1. Your test results indicate a consistent non-reactive status for HIV, which is a positive sign.
  2. The term "Not Determinable" for the antigen suggests that it couldn't be measured, but doesn't necessarily indicate an indeterminate status.
  3. Continued monitoring and consultation with a healthcare professional are important for reassurance and further guidance.

Explanation:

You've undergone multiple tests, and all your results have remained non-reactive (antibody levels of 0.10 to 0.11 and antigen as “Not Determinable”). This generally means that there’s no strong evidence of an HIV infection.

  • Antibodies and Antigens: HIV tests typically check for antibodies (your body’s response to the virus) and antigens (which are parts of the virus itself). A non-reactive antibodies result means your body isn’t producing antibodies for HIV, which is a good indication.
  • Not Determinable Result: This may occur due to low levels or technical reasons during the testing. It does not automatically mean you have HIV; it could just indicate that the antigen was not present at measurable levels during the test.

Next Steps:

  1. Monitor Symptoms: While your test results are encouraging, continue to monitor any new or concerning symptoms, such as the rashes. If you notice any changes or worsening symptoms, note these down.

  2. Follow-Up Testing: It's advisable to discuss repeat testing with a healthcare provider, especially if the rashes persist or you're still feeling anxious. It’s recommended to test again around the 3-month mark post-exposure for definitive results, as this is when most tests reach their accuracy peak.

  3. Seek Emotional Support: Anxiety regarding health concerns can be overwhelming. Consider speaking to a counselor or joining support groups where you can share your feelings and experiences.

  4. Enhance Your Knowledge: Educate yourself about HIV—its transmission, symptoms, and management. This can help in reducing anxiety and promoting a better understanding of your situation.

You’re doing the right thing by getting tested and staying informed about your health. If you need further clarification or support, please don't hesitate to ask!

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