Question 1

I'm really concerned about my husband. He had a fever and his platelet count was really low, so the doctor first thought he had a viral fever. After some medication, his platelets went up, but when we checked again a week later, they dropped again. They suggested we test for HIV, and we found out that HIV 1 came back reactive, but HIV 2 was non-reactive. They did a rapid ELISA test too. Does this mean he really has HIV? And can we still consider having a baby?

Accepted Answer

The reactive result for HIV-1 on the rapid ELISA test indicates a positive result for HIV-1 infection. However, the non-reactive result for HIV-2 suggests that HIV-2 infection is not present. It is important to confirm these results with further testing such as Western blot or PCR for HIV-1. Regarding having a baby, it is still possible to have a baby if one partner is HIV positive. With proper medical care and treatment, the risk of transmission of HIV to the baby can be significantly reduced. It is important for both partners to consult with a healthcare provider specializing in HIV care to discuss options such as antiretroviral therapy and other measures to reduce the risk of transmission during conception and pregnancy.

Question 2

I'm worried about an HIV test I took. It was a 4th generation CMIA antigen and antibody test, and it came back non-reactive. This was after I received oral sex 6 years ago. I'm relieved but also concerned because I was using nasal steroids at the time of the test as part of my treatment. Could those steroids have affected the test result and made it a false negative? What are your thoughts on this?

Accepted Answer

Fever, cold, and body pain after a piles operation can be concerning.

Normal post-operative symptoms:

1. Mild fever (less than 100.4F)
2. Slight body pain
3. Mild discomfort

However, if you experience:

1. High fever (over 101.5F)
2. Severe body pain
3. Chills
4. Increased bleeding or discharge
5. Difficulty urinating

Seek immediate medical attention, as these could be signs of:

1. Infection
2. Bleeding complications
3. Urinary retention

Consult your surgeon or healthcare provider to assess your condition and provide guidance.

Question 3

I had a scare today when the condom broke while I was with a sex worker around noon. We put on another one and finished, but now I'm really worried. I spoke to a doctor and ended up getting some PEP meds - tinofovir disoproxil and raltegravir zepdon for the next 28 days. I'm freaking out about whether I might still get HIV and when I should get tested. Does PEP actually work in these situations? Can you help explain this to me?

Accepted Answer

I understand your concern, and it's good that you've already consulted a doctor. **PEP (Post-Exposure Prophylaxis)** is effective if started within 72 hours of possible exposure to HIV. Since you started the medication with guidance, it can help reduce the risk of HIV infection. It's important to complete the full 28-day course. You should also follow up with your healthcare provider for HIV testing after about 4 weeks and again at 3 months to ensure accurate results. Stay safe and follow medical advice closely.

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Ervebo, the first FDA-approved vaccine for the prevention of Ebola virus disease (EVD), caused by Zaire ebolavirus in individuals 18 years of age and older.

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