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HIV AIDS Health Feed

Recently I had protected sex with a sex worker, my query was before having sex she rubbed my penis with her was at this time both were naked but was no penetration happened. Could you please advise is their chance of hiv spread.

Chetan Clinic 92% (910 ratings)
Sexologist, Delhi
Recently I had protected sex with a sex worker, my query was before having sex she rubbed my penis with her was at th...
Dear lybrate-user, STD is not spread with touching and rubbing penis. STD is mainly Spread with while making sexual intercourse or intimacy. STD (Sexually transmitted disease): Any disease transmitted by sexual contact; caused by microorganisms that survive on the skin or mucus membranes of the genital area; or transmitted via semen, vaginal secretions, or blood during intercourse. Just relax and make sure that opposite partner is not suffering with any STI's. For more information please consult us privately on Lybrate.
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When does hiv rna pcr / viral load test can be taken after exposure? Can I take the test after 20 days? Or do I have to take the test between 7 to 14 days only? Will the test be false neg if I take after 14 days due to antibodies against the virus?

MBBS, PG Diploma (HIV Medicines)
HIV Specialist, Surat
When does hiv rna pcr / viral load test can be taken after exposure? Can I take the test after 20 days? Or do I have ...
HIV viral load test can not be use for new diagnosis There is one concept of Window period that means if some infective micro organism enter into our body and you test on next day your report comes negative even even micro organism present in your body. Test will come positive after overturn number of day, weeks or months onky every disease and every test have different window period hiv 1 pro viral dna QUALITATIVE test has window period of 17 days that means you have to do this test only after 17 days to get accurate result HIV DUO has 3 month window period RAPID HIV ELISA AND OTHER CARD TEST HAS 6 month window period same way HBsAg, HCV and VDRL has window period of 3 month so you have to do it after 3 month of exposure. For more one to one personal counselling opt for online consultation so I can solve all your query personally it s not possible to discuss all this thing public platform so better you opt for online consultation so we can discuss personally all thing thing in depth.
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Hello doctors is hiv elisa test on 70th day from possible exposure give accurate result?

MBBS, PG Diploma (HIV Medicines)
HIV Specialist, Surat
Hello doctors is hiv elisa test on 70th day from possible exposure give accurate result?
No, There is one concept of Window period that means if some infective micro organism enter into our body and you test on next day your report comes negative even even micro organism present in your body. Test will come positive after overturn number of day, weeks or months onky every disease and every test have different window period hiv 1 pro viral dna QUALITATIVE test has window period of 17 days that means you have to do this test only after 17 days to get accurate result HIV DUO has 3 month window period RAPID HIV ELISA AND OTHER CARD TEST HAS 6 month window period same way HBsAg, HCV and VDRL has window period of 3 month so you have to do it after 3 month of exposure. For more one to one personal counselling opt for online consultation so I can solve all your query personally it s not possible to discuss all this thing public platform so better you opt for online consultation so we can discuss personally all thing thing in depth.
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Hello Dr. I had an exposure on 2nd dec 2018. After that in one week I had an elisa test on 8 days which turns negative then I had an pro viral dna test on 10 days which came not detected, then I took elisa test from apollo on 18th day and its negative and and again I took elisa test on day 22 which was negative. Again I had elisa TEST on 27th day and its negative from apollo. After that I took HIV DUO COMBO on 29th day from Dr. safe hand and its negative and 33 day I took elisa test and its negative and one more RNA pcr test on 37 day and its not detected. My question could I relax now and stay without relax with my wife or still I need to do test at three month or its conclusive am in depression.

MBBS, PG Diploma (HIV Medicines)
HIV Specialist, Surat
Hello Dr. I had an exposure on 2nd dec 2018. After that in one week I had an elisa test on 8 days which turns negativ...
There is one concept of Window period that means if some infective micro organism enter into our body and you test on next day your report comes negative even even micro organism present in your body. Test will come positive after overturn number of day, weeks or months onky every disease and every test have different window period hiv 1 pro viral dna QUALITATIVE test has window period of 17 days that means you have to do this test only after 17 days to get accurate result HIV DUO has 3 month window period RAPID HIV ELISA AND OTHER CARD TEST HAS 6 month window period same way HBsAg, HCV and VDRL has window period of 3 month so you have to do it after 3 month of exposure. For more one to one personal counselling opt for online consultation so I can solve all your query personally it s not possible to discuss all this thing public platform so better you opt for online consultation so we can discuss personally all thing thing in depth.
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HIV - Be Careful About Your Sex Life!

MBBS
HIV Specialist, Nashik
HIV - Be Careful About Your Sex Life!

The Human Immunodeficiency Virus or HIV is a virus which causes HIV infection and leads to "acquired immunodeficiency syndrome" or AIDS.  HIV is transmitted by different means and ways.

Unprotected sex is a primary mode of transmission of the HIV virus from an infected person to a healthy person.  Unprotected sex refers to having sexual intercourse without using a condom or any other mode of protection. It leads to HIV transmission along with other sexually transmitted infections.

How does HIV occur from unprotected sex?
While having sex without protection, the HIV present in the body fluids such as blood, sperm, vaginal fluid, pre-cum or anal mucus of an HIV infected patient can pass on to the body of his/her partner. The transmission occurs through the membranes of the penis in men, vagina in women, the rectum and also through mouth and throat. It is more likely for an HIV patient to pass on the virus during the first few months after getting infected. This is because the virus spreads over body fluids during this stage.

Which types of sex are more risky?
HIV is transmitted the most by having vaginal or anal sex. Anal sex accounts for being the riskiest because the lining present in the anus is much more delicate than the vaginal lining. It is prone to more damage, easily. There are two types of anal sex: receptive anal sex and insertive anal sex. Receptive anal sex is more risky. 

HIV can also be acquired from oral sex. This can happen in case the person giving oral sex has ulcers in the mouth, sore and bleeding gums. In case the person receiving the oral sex is already infected, the other person gets HIV.

A person who has sex with multiple partners regularly is at a high risk of getting HIV because of unprotected sex. You can also take the package for Having Safe Sex

 

Prevention:
Getting HIV from unprotected sex can be avoided if you use these precautions:

  1. Condoms: Condoms offer the precaution against HIV infection from anal or vaginal sex. They should be used by men before any kind of sexual contact to restrict the passing of semen or fluid, which may be infected by HIV.
  2. Lubricants: Sex is made easier by using lubricants and reduces the risk of tearing in the vagina or anus due to friction. The risk of a condom breaking is reduced using lubricants.
  3. Dental Dams: This is another precautionary device, which is a small sheet of plastic. It has to be placed to cover the mouth of the vagina or anus and reduce the risk of HIV transmission.

Unprotected sex is the primary cause of HIV and people who do not take precautions before sex are likely to be infected by HIV. If you wish to discuss about any specific sexual problem, you can consult a specilized sexologist and ask a free question.

Hi, When is the best time to take a hiv viral load test after exposure? Will a viral load test taken on 9 th day be conclusive?

Hemant Kumar 96% (34 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma in Family Medicine, Doctor of Medicine
HIV Specialist, Ghaziabad
Hi, When is the best time to take a hiv viral load test after exposure? Will a viral load test taken on 9 th day be c...
Hello. HIV VL is not recommended as a first line test for diagnosis. First go for 4th gen HIV 1 and 2 antibody, antigen test at 28 days and repeat at 90 days after the suspected exposure, if first negative. Do not waste money on VL ,its mainly done for HIV positive pts to see the base line VL and for monitoring treatment. In ICTC clinic test is done free of cost.
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Dear Doctor. I am a male 40 yrs. I had sex with a sex worker on 23 Nov. The condom got ruptured and I only realized after finishing. There was also franular bleeding and as per the doc the reason for the condom rupture and bleed was due to an old type of birth control method (copper T) that the girl was using. I consulted a sexologist and started PEP treatment on 25 Nov. Within 55 hrs of possible exposure. I took the medicines diligently without missing a single dose for 30 days. The course ended on 24 Dec. My doctor took blood sample for testing on 8 Jan and same was tested in the lab on 9 Jan. The western blot test came out Negative for all parameters. The RNA quantitative PCR was TND. In the HIV Duo (serum, CMIA) the S/CO was 0.88 Non Reactive. My doctor said although its non reactive the 0.88 value is very high and advised me to continue the medication I was taking for PEP for another 1 month. This was on 14 Jan and there was already a 3 week gap between my first PEP regime completion. As per my doc although all the test showed negative the high CMIA value 0.88 - may mean that I still have the virus and hence PEP will help. I am not entirely sure now and also worried about tbe fact that I still have a chance of getting infected. Apologies for the long post but I have tried to give all information possible. Please help and guide.

MBBS, PG Diploma (HIV Medicines)
HIV Specialist, Surat
Dear Doctor. I am a male 40 yrs. I had sex with a sex worker on 23 Nov. The condom got ruptured and I only realized a...
There is one concept of Window period that means if some infective micro organism enter into our body and you test on next day your report comes negative even even micro organism present in your body. Test will come positive after overturn number of day, weeks or months onky every disease and every test have different window period hiv 1 pro viral dna QUALITATIVE test has window period of 17 days that means you have to do this test only after 17 days to get accurate result HIV DUO has 3 month window period RAPID HIV ELISA AND OTHER CARD TEST HAS 6 month window period same way HBsAg, HCV and VDRL has window period of 3 month so you have to do it after 3 month of exposure. For more one to one personal counselling opt for online consultation so I can solve all your query personally it s not possible to discuss all this thing public platform so better you opt for online consultation so we can discuss personally all thing thing in depth.
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HI, I touched my girlfriend vaginal fluid and subsequently touched my dick head. I washed with dettol and put liquid dettol after 25 minute of touching dick .is there is any risk of getting HIV? I am not sure that she has HIV or not .but I am sure she sex with many boys.

Dr. Archana Agarwal 93% (306 ratings)
BHMS
Homeopath, Kolkata
HI, I touched my girlfriend vaginal fluid and subsequently touched my dick head. I washed with dettol and put liquid ...
Hi The risk of HIV transmission though what you have described is very small. Fingering someone carries one of the lowest risk of HIV transmission. HIV does begin to die once it is outside of the body.In order for HIV transmission to occur there needs to be a direct exchange of body fluid.
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I touch my girlfriend vaginal fluid and subsequently touched my penis cap and I washed my penis after 20 minute of touching dick with dettol hand wash and put liquid dettol .is there is any risk of getting HIV .i am not sure that she has hiv or not .what will I do. There is 48 hours completed.

Hemant Kumar 96% (34 ratings)
Doctor of Medicine, Diploma in Family Medicine, KING GEORGE'S MEDICAL UNIVERSITY.LUCKNOW
HIV Specialist, Ghaziabad
Hello. The risk is negligible. If you wish to be tested for HIV ,pl go for HIV 1 and 2 Antigen and antibody test first, at 4 wks after exposure. HIV RNA PCR is not recommended as screening test and is very expensive compared to ELISA test. You can get tested at ICTC clinic, free of cost.
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What Is Addison's Disease?

Dr. Rajarshi Mukhopadhyay 85% (20 ratings)
FRCP (Edinburg), DM - Endocrinology, CCT (Endocrinology), MRCP - Diabetes & Endocrinology, MRCP (UK), MD & DNB - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Kolkata
What Is Addison's Disease?

While cold and cough are common, diseases like Addison’s disease are rare. It is also known as chronic adrenal insufficiency or hypocortisolism as it is a result of insufficient production of hormones like cortisol and aldosterone by the adrenal glands. This disease can affect men and women of any age.

There are two types of Addison’s disease. These are:

  1. Primary adrenal insufficiency: In this case, the adrenal glands themselves have a problem.
  2. Secondary adrenal insufficiency: If the hormone production in the adrenal glands is restricted by a problem that has started somewhere else like the pituitary gland, for example, it is known as secondary adrenal insufficiency.

Primary adrenal insufficiency is more common of the two. This could be triggered as a result of autoimmune diseases or a long lasting infection such as HIV, tuberculosis and some fungal infections. Cancer can also cause this type of Addison’s disease.

Secondary adrenal insufficiency is usually caused by a problem with the pituitary gland or the hypothalamus as they are responsible for the production of hormones that stimulate the adrenal glands. Damage caused to the pituitary gland by tumors or radiation and surgery can also interfere with hormone production. Prolonged and improper use of steroid hormones can also trigger this condition.

Addison’s disease has a very slow progression and its symptoms develop gradually over time. Some of these symptoms are:

  1. Weight loss and loss of appetite
  2. Extreme fatigue
  3. Hyperpigmentation
  4. Low blood pressure
  5. Craving for salt
  6. Nausea and diarrhea
  7. Pain in the abdomen and joint pains
  8. Irritability
  9. Depression
  10. Loss of body hair and sexual dysfunction in women

Treatment for Addison’s disease involves hormone replacement therapy. This aims at correcting the hormone levels in the body. Hormone replacement therapy includes oral corticosteroids and corticosteroid injections. The dosage of these steroids could vary depending on the situation. For example, the doctor may suggest a temporary high dosage when the patient is in a stressful condition. Along with this, sodium is also recommended especially during the summer months and while exercising. This medication must be taken regularly as skipping a single dose can be dangerous.

In some cases this condition can become life threatening. An addisonian crisis causes a drop in blood pressure, sugar and a spike in potassium levels in the body. This requires immediate medical attention and can be treated with intravenous injections of hydrocortisone, saline solution and sugar.
 

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