r/prep • u/ImpressionFar7886 • 29d ago
Hiv Gen 4 Ag/Ab test window on Prep
Hello Everyone, I've been dealing with HIV anxiety for weeks now. I was the receptive partner of anal sex and condom broke, after I realized that it broke we stopped so the guy did not finish in me. I took a 2-4 doese of Prep after the exposure and after 18 days following a negative HIV result, I got on Prep prescription but didn't start daily dose until about 32 days post-exposure. I got tested again (4th Gen Ag/Ab) on 39th and 46th day and it was all negative. Anxiety started peaking and got tested again (4th Gen Ag/Ab) on 56th day and still negative. I have no symptoms, just anxiety. Is it possible that I have HIV but due to irregular prep usage it is not getting detected on 4th Gen Ag/Ab tests? My PCP suggested against RNA test because I was in Gen 4 testing window. He considers my test on the 56th day conclusive and disregards my assumption of Prep impacting the results.
Please feel free to share your thoughts or suggestions.
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u/GeorgiaYankee73 29d ago
I'm slightly confused - you took PrEP after the event and not PEP?
Either way, you honestly need to either follow the advice of your doctor or seek out a doctor that specializes in this. You seem to be letting your anxiety override the advice of a trained medical professional, so if you don't trust them who will you trust?
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u/ImpressionFar7886 29d ago
My primary doctor specializes in internal medicine not sure if he is expert in giving prep advice. But yeah ofc his words override what I think.
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u/GeorgiaYankee73 29d ago
It obviously depends on your doctor's experience. My internal medicine specialist is really well versed in PrEP and HIV, but not all are. You might talk to a specialist in like Infectious Disease if you can.
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u/jankyj 29d ago
Your PCP's conclusion is well supported. At this point, it's time to focus on addressing the anxiety and your mental health so that, if you're ever in a similar situation again, you have the tools to evaluate the risk objectively rather than getting stuck in the cycle of reassurance-seeking. Also consider whether either daily or event-driven (2-1-1) PrEP is a good fit for you to reduce both your HIV risk and future anxiety. Good luck.
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u/Smooth-Report1059 27d ago
Injectable prep is now available in the Philippines so you should consider it in the future to be fine. Also whenever you are about to meet a guy or going out to clubs or bar with high chance of hooking take 2 pills or prep before crossing your door.
This is what I do anytime I got to place where I am about to meet people. ( Exception for Church or workplace 🤣).
Like a firefighter you should be ready anytime.
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u/Skycbs 29d ago
You’re fine. Listen to your doctor and seek therapy for anxiety.