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HIV testing

 

 

There are three main types of HIV tests.

The first type of test is the HIV antibody test. This test shows whether a person has been infected with HIV, the virus which causes AIDS. The second type of test is P24 antigen testing. It is primarily used to screen the blood supply but in some places it is used for testing for HIV in individuals. P24 antigen is a protein that is part of the HIV. In the early stages of the HIV infection, it is produced in excess and can be detected in the blood serum by a commercial test. The P24 test can detect HIV infection before the HIV antibody test can. Therefore, P24 antigen testing is used in diagnosing HIV early in the course of infection. The third type of test is used when a person knows that she or he is already infected with HIV. These tests show the level of virus in the blood (viral load test).

HIV testing

The HIV test looks for antibodies in a person's blood. When HIV enters a person's body, antibodies are produced, which are the body's special chemical response to an infection. So if a person has antibodies to fight HIV in their blood, it means they have been infected with HIV (an exception is the case of an HIV negative baby born to a positive mother, who will retain her antibodies for some months). For most of the people it normally takes about 3 months to develop antibodies. In the rarest of rare cases, it can take up to maximum 6 months. It would be extremely uncommon to take longer than 6 months for antibodies to develop.

Getting tested earlier than 3 months may result in an unclear test result, as an infected person may not yet have developed antibodies to HIV. The time period between infection and the development of antibodies to the infection is called the window period, the period in which people infected with HIV have no antibodies in their blood that can be detected by an HIV test. However, it might be true that the person may already have high levels of HIV in their blood, sexual fluids or breast milk and can get transmitted to another person during this window period. Although, an HIV test will not show that the person is infected with HIV, therefore, the best policy is to wait for at least three months after the last time you were probably at higher risk level before taking the test. Some test centers may recommend re-testing again after another 6 months have passed, in order to be extra cautious in this regard.

It is also crucially important here, that, you are not at any further risk and get infected with HIV during this time period. The test is only accurate if there are no further incidental exposures between the time of possible exposure to HIV and time of testing. The only way to know for sure whether you are infected with HIV is to have an HIV antibody test. It is just not possible to tell from any symptoms without proper diagnostic test.