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Q. Can fourth-generation HIV test results after an unprotected sexual encounter be considered conclusive?

Answered by  
Dr. Rakesh Kumar Bahunuthula
and medically reviewed by   iCliniq medical review  team.

Education: MD DVL., DNB DVL

Professional Bio:

Dr. Rakesh Kumar Bahunuthula is a well-experienced Cosmetologist with 11 years of clinical experience. He completed his MD DVL from the National Board of Examinations in 2012. He then completed his... 

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This is a premium question & answer published on Nov 01, 2022 and last reviewed on: Oct 16, 2023
Patient's Query

Hello doctor,

I am a 31-year-old male, and I am unmarried. Exactly two years ago, I had one unprotected sexual exposure with a friend whom I met via a dating application, and five months ago, I visited a spa for a body massage, which ended in a hand job. The therapist was female and fully clothed. I confirmed that she did not have any cuts on her hands. I have done HIV 1 and 2 (fourth generation), hepatitis B and C, and syphilis tests after 3.5 months of the spa exposure, and they are all negative. Apart from the above tests, I have done (Human Immunodeficiency Virus)HIV 1 and 2 fourth-generation tests almost every month for the last two years out of anxiety. The latest was last month. All the results have been non-reactive. I do not have any symptoms. Please let me know if I need further tests like PCR (Polymerase Chain Reaction) or NAT(Nucleic Acid Amplification Test) HIV.

Answered by  Dr. Rakesh Kumar Bahunuthula

Hello, Welcome to icliniq.com.

I can totally understand your anxiety, and it is very much normal. The fear of HIV is quite disturbing. HIV infection has a window period of 12 weeks, during which the test results can be false negatives. However, beyond 12 weeks of the last exposure, the result can be taken as conclusive. Also, a handjob is not considered to be a high-risk exposure and has almost zero chances of HIV transmission. Considering your history and the duration of tests done, the results can all be taken as negative and conclusive. Therefore, you do not need any further testing. Meditation, involving yourself in physical activity, would help to relax your mind and keep it away from thoughts of HIV. If the doubt persists, you could consider talking to a counselor.

Patient's Query

Hello doctor,

Thank you very much for your response. I am planning to get married soon. Can I proceed without any fear?

Answered by  Dr. Rakesh Kumar Bahunuthula


Welcome back to icliniq.com.

Yes, you need to be clear in your mind from now on. You can confidently go ahead with your wedding.

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