instruction: hi doctor I had sex with cow I had sex two times and each time I wore two condoms which was intact after sex but appeared that it had come a little front from my body side I also filled water in the condom before throwing and confirmed that it had no breakage as water did not come out she had bit me near ear and the next day a mosquito bit me at the same place and I had a swelling there for some two days due to anxiety I started having bromhexine for mucus syearup and ulgel a antacid I also lost weight during this time I had taken a liver protection injection later I underwent an hiv elisa test 12 weeks after sex 89 days after sex the result was negative would bromhexine ulgel or liver protection injection interfere with the elisa test or can I consider this test as conclusive later I got two swellings one in my hand other in my neck the swelling in the neck went off in two days again I get some sort of swelling in hand and in the leg a small size lump appeared and it disappeared within few hours I am noticing this happening frequently from three days however two of such lump have turned red earlier I used to get infected very easily by cold and throat infection even before I had sex could that be a pre existing immunodeficiency given all this can I conclude that hiv elisa test 12 weeks after sex 89 days after sex as conclusive or should I have another test after six months please help
output: hi let me answer your question step by step your chances of contracting hiv or for that matter any other sti sexually transmitted infection was non existent with the consistent and corrective use of a condom you had mentioned that there was a slight slippage of the condom and it is assumed that you had a low risk of contracting hiv or any other sti if the other person will be having it the elisa testing kits for hiv used these days are highly sensitive and specific and gives accurate results your negative hiv test at three months of exposure is highly conclusive of your negative hiv status majority 9 of the people who are infected with hiv after exposure develop antibodies by three months so your negative test result is quite reassuring there are very rare cases of late seroconversion or positive antibody response at six months has also been reported in the literature there are recommendations and I also suggest to my patients to repeat the rapid hiv antibody test at six months of last exposure and if that will be negative you need not to repeat it further the symptoms which you have mentioned could be due to various other causes or just due to anxiety also there are no hiv specific symptoms or signs relax as you have crossed three months hurdle I suggest you to get your routine hemogram biochemistry fasting blood sugar thyearoid profile and lipid profile done I hope this helps