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Is there a risk of HIV despite negative test results?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had sexual intercourse with a commercial sex worker without a condom. After 3 months of exposure, I got tested for HIV antibody 1 and 2, and the result was non-reactive. Again after 6 months, I got tested for HIV antibody 1 and 2, and the results again were non-reactive. I have no symptoms other than dizziness and palpitation. I have osteoporosis, and I am very worried.

Do I need any other test? Please reply.

Thank you.

Answered by Dr. Hariharan

Hello,

Welcome to icliniq.com.

First, I want to confirm that you do not have HIV (human immunodeficiency virus) or acquired immunodeficiency syndrome (AIDS). Please do not worry. The window period of HIV is about 3 months, and if a person has an HIV infection, the HIV antibody test will definitely be positive. You have done the test at 3 months and 6 months after the exposure, which is the correct thing to do. Those tests came negative, so you definitely do not have HIV. The symptoms like dizziness are most probably due to fear and anxiety. I guess you are very anxious that you may have any infection after this intercourse. If we constantly think we have a headache, a headache will really occur. Since you are anxious, you are feeling this dizziness kind of symptom. There is no need for any treatment for this. Please relax and do mind relaxation exercises like yoga and pranayama. You have told me that you have osteoporosis. I want to ask you for how many years you have had this problem and if you have taken any treatment for this problem. Maybe some of the drugs for osteoporosis might also be causing this symptom. Are you sleeping well? Because if you do not have a night of adequate sleep, you may have these symptoms like dizziness and headache.

Thank you.

All my best wishes for your good health.

Patient's Query

Hello doctor,

After one month of exposure, I lost weight without any fever, mouth infection, or diarrhea which is now gradually improving. I got my HIV antibody test done from private laboratories, and do you think government testing laboratories will be more reliable? For osteoporosis, I take Vitamin D3 and Calcium. If a rash appears on the body, is it a symptom of HIV?

Answered by Dr. Hariharan

Hello,

Welcome back to icliniq.com.

The weight loss you had may be because of your fear. If we get constantly worried about something, we start losing weight. Since you did blood tests that came negative, your worries lessened, and you stopped losing weight. The laboratories where you tested are reliable, and you do not need to go for another round of testing. If you still want to get a test done, do an HIV test by the western blot method. The tests you did might be using the ELISA (enzyme-linked immunosorbent assay) method. Please check your reports, and if it is the western blot method, then no need for further testing. But if they used ELISA, do HIV testing by the western blot method. HIV usually comes with a high-grade fever followed by multiple lymph node enlargements in the body, followed by frequent lung and skin infections. Please do not worry.

Regards.

Patient's Query

Hello doctor,

I have attached my reports for the test which I undertook after 6 months of exposure. Can you tell me whether there is a chance for a positive result in a western blot method after so many non-reactive results?

Answered by Dr. Hariharan

Hello,

Welcome back to icliniq.com.

I am 100 % confident that you do not have HIV. I suggested western blot because you were still worried the last time when you contacted me. Western Blot is the ultimate test for HIV. So to make you confident, I advised you that. I have seen your reports (attachments removed to protect the patient's identity). You did an HIV antibody test after 6 months. You can feel safe. You do not have HIV. After 6 months of exposure, if the HIV antibody test is negative, then there is no need to do further testing.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply. Please tell me what is the difference between an allergy and the flu. I have had an allergy since my childhood, and it worsens in the winter season.

Answered by Dr. Hariharan

Hello,

Welcome back to icliniq.com.

Flu is cold and fever that comes during the winter season and disappears in a day or two with or without drugs. Allergy is something different. It is not present in all people. I will give you an example; walking in cold weather may not cause a cold for many people; only when exposed to too much chillness they may get a cold and fever. But in Allergic patients, even less amount of chill weather can cause cold. There are many stimulants for allergies. Hay, ice water, chocolate, milk, fish, etc., can cause allergies in some people. For them, avoiding these itself is enough. Different kinds of allergies exist. Some may have only a cold, some have severe sneezing, some have cold plus pain in the face, some have breathing difficulty like wheezing, and some have skin allergies. The frequency of getting symptoms differs from person to person. Some may get cold every day, some once a week, some once a month, and some may have a cold only during the rainy and winter season. All these types of allergies can be controlled by taking anti-allergic drugs for one month. Both allopathic and ayurvedic drugs are available, and they are very effective. An easy way to prevent seasonal allergies is to not go outdoors in a chilly climate. If a person has to go at that time, wear a cap that covers the nose, mouth, ears, and a helmet while riding bikes. Avoiding air conditioners will prevent getting cold.

Thank you.

Answered by

Dr. Hariharan

Medically reviewed byiCliniq medical review team

Published At August 29, 2022
Reviewed AtJuly 11, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hariharan

Dr. Hariharan

Diabetology

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