引用:

原帖由 ken1121 於 2011-1-10 23:52 發表
系 酒 吧 ...我 覺 得 1D都 唔 難 ........

Dr.Ho 話 都 系 主 要 靠 臨 床 。  HPV DNA 唔 系 驗 血 ﹐ 系 驗 細 胞 ﹐  用 棉 花 棒 掃 下 某 d部 位 去 test咋 。
我 就 掃 左 根 部 ﹐  which most likely ...

Really? Why there was no girls approaching me when I had a drink in LKF? Do I need to be proactive to be a predator?
so your partner was a Chinese or Caucasian?

I agree with Dr. Ho that it is comparatively difficult to detect the HPV which would develop to the genital warts, so be vigilant to observe your dick during the shower every night for 3 consecutive months despite your report is negative. Although the incubation period could last for 8 months, my doctor told me that the wart usually emerge on your dick within 3 months.

For the sake of your health, I would highly recommend you to have the urine test to check whether you have other STDs. It is free of charge at various non-government organizations such as Aids-Concern or CHOICE.

she is Chinese, well I was having some hard time exactly on chirtmas, so i got little drunk and started to chat with a girl who was also drinking just by herself. Don't mention anymore,  I am so regret of what I've done.I took all STDS blood and urine tests and bacterias tests 7 days post exposure. All negative. Well not meaningful for hiv and syphillis and HSV, but still good indicator that I am all clean before this. I also done a oral swab test at 14 days for hiv, as many references said hiv will start to produce antibody by 14 days, again not conclusive but also a good sign for negative.

I guess I will go do a hiv antibody and p24 antigen test, which is the latest 4th gen hiv duo test. Although Dr.Ho did not suggest doing it as he thinks this is not yet official, according to researches and other foreign STDS doctors and experts, the 4th generation hiv duo test is highly reliable. And almost 99% accurate for result receive in 28days, one doctor even mentioned he had never had a patient tested negative on week4 then came back postive on week 5.

[ 本帖最後由 ken1121 於 2011-1-11 23:39 編輯 ]

Normally, if a person who is not used to having ONS, but had one during the festive time, he or she should be desperate and seek for a moment of imtimacy, and the ultimate result could be very appalling.
I didn't have one, or even could not find one, don't know whether it is a good or bad thing.

Due to my financial difficulty, I only did the blood and urine tests in those non-gov't organization, and they only asked me to do the above tests right after I had a perilous sexual intercourse over 3 months. They have 2 reasons for that, 1) 3 months is adequate for the virus to duplicate to the level to which can be detected, 2) lack of resources, from their perspective, it is futile to have a test in less than 3 months because you have to go again after 90 days, it is a waste of resources.

I am not very acquainted with the latest development of the HIV test, it seems to be a good contribution that the virus can be detected in 28 days, but is the checking very expensive undergone in the lab?

Lets skip the ons part... everyone has his/her own reasons

Well, I spent 3k first week to do a complete std tests at a lab, which checked everything.
And1.2k at Dr.Ho on Monday, I had skin problems on my back so i paid for some medicine.
HPV DNA testing fee, dunt kn how much yet.

The new duo tests, I am not sure how much yet, but I wouldn't mind even if it cost 1-2k. I just want to assure that I dunt haf it. Since it is coming to be official in Europe and U.S., so the tests is highly reliable and recommended from the STDs experts and Doctors.

3,000 dollars for the complete STD tests seems to be quite exorbitant, brother, but if it can eliminate your stress and worries, it worths.  
It is reasonable to spend 1,200 dollars for consultation and medicine from Dr. Ho as he is a specialist.
For myself, I've spent around 7,000 dollars to cure the genital warts. In spite of the "free" government's clinical service, I would not waste my time to consult the rude doctors without cryotherapy services provided.

For the "4th gen hiv duo test", this is the first time I hear of it, although it is highly accurate and conventional in Western countries, does Dr. Ho persuade you to wait 3 months to take the traditional blood test? any lab in Hong Kong provides this kind of services?

For many brothers here, we, including me, have to wait for 3 months for the blood test, and it is really a traumatic experience. If the "4th gen hiv duo test" really works, I guess most of the brothers are willing to spend a few thousand to make our lives easier.

Here are some reference I found on medhelp.com.
The questions are answered by STD's experts/ doctors.

For normal HIV antibody blood tests:
7)The CDC says the HIV window period is 6 months , but many sources say 3 months.Which is true and for whom does it take 6 months long ?
7.  Neither is correct.  The recommendations for testing at 3 and even 6 months are the result of two factors- data from older tests no longer used (you really do not need to worry about which generation of tests you were tested with, at this time virtually all tests are far more sensitive that they were even 2-3 years ago when the 3 month recommendation was made) and secondly, the fact that some, mostly governmental agencies which have to provide recommendations for virtually everyone without the sort of interactions such as those you get with your doctor or on personalized sites such as this one, feel the cannot "afford" to be wrong and therefore make recommendations and guidelines which leave most people unnecessarily nervous for 4-6 weeks longer than the 6-8 weeks it takes virtually everyone to develop HIV antibodies.  

For Duo tests:

Answered by Dr Sean Cummings, , MBBS; T(GP); DRCOG; MRCGP; DFSRH; LLM - STD/STI HIV prevention, testing and treatment FreedomHealth London, United Kingdom.

3)Do you think the test was fine and if so how accurate was the added p24
The combination of the two tests - HIV antibody and also p24 antigen is highly accurate at 5 weeks giving you greater than 99.89% at that point.  
4)Do you think i should test again ?
The UK Guidelines say that people with significant exposures should be offered a fourth generation HIV test - you had one of these effectively - at 4 weeks post exposure and be offered a further test later. I have not experienced, out of the many many thousands of 4th generation tests we do, a negative test at 5 weeks then becoming positive later. My personal feeling is that you do not need to test again."

1) Is this HIV combo is relaible / Accurates in 45 days (If yes how much %)
1) Very reliable Reliable - approximating 99.99% at that point

2)IF antibody is not detectoble it will detect antigen right ? is there any case that antibody and antigen will not be able to dectectable after 30 to 40 days of exposure?
2) Well over 99% of people who are infected with HIV will develop antibodies at 6 weeks. Your further question in point 2 is that an HIV DUO  = antibody and antigen will be greater than 99.99% accurate at that point. I have not experienced a false negative out of literally tens of thousands of tests at our facility in London.

3) Is this p24 antigen test will detect HIV 2 Antigen
3) the p24 is related to HIV 1. HIV2 is extremely rare. Even in West Africa where it is at its most common, HIV 1 is by far the most common form of HIV. As I say, well over 99% of people will form antibodies to either form by 6 weeks = 42 days so you are HIV negative.

4) why few people are putting 3 months time ?
4) Ignorance; hyperconservatism; lack of training etc etc.

It is true that most people with new HIV infection would be positive on the duo antibody/P24 antigen test at 9 days, so that result is reassuring.  But not definitive.  
The chance you have HIV is astronomically small, assuming you don't have other exposures you haven't described.  But if you want to pursue it further, have an antibody test 6-8 weeks after the event. It will be negative.

---------------------------------------------------------------------------------------------------------------------------
-  At six weeks the ELISA test would detect over 95% of infections contracted six weeks earlier.  The added information from the DNA and antigen tests add further to the evidence that you don't have HIV.

I did ask Dr.Ho, he said he doesn't recommend it, and asked me to wait for 3 months.
He did not give me reasons, and Dr.Ho doesn't do the p24 tests so I didn't bother asking further.

There is one lab, I found, in Hong Kong that does the 4th generation HIV duo tests. I will give it a call later this week and arrange to do one. I don't know how much it costs, but how much can it costs? it definitely worth it for a few k doing this test, at least no more concern or anxiety for 3 months!

According to Hong Kong policies and guidelines, they only recommended the antibody tests at 3months. So, I guess most doctors in Hong Kong will never suggest a duo test and only antibody tests at 3 months.  As explained in previous posts, 3months-6months is the recommendation made a few years back. The technologies improved, new recommendations given, it is now adopted in the UK, soon I think HK will change when they realize how stupid they were. I am not sure about the U.S. policy, but I think U.S. and Canada, either adopted or will soon adopted this new testing recommendations at 4-8weeks.

But its still reasonable for countries to stand by their rules for 3 months; first, no further spending on researches, and its officially approved in all countries. Anxiety arousal cause people to realize what they did, which help them to think deeply about their health and partners' health.

But of courser I will take another test at 3 months, but probably just buy the aware oral swab test in Watsons and do it myself.

仲乜轉左用英文,仲要打到鬼死咁長加

講真,有得返轉頭,,唔駛錢俾你你都唔敢食啦~ 真係見過鬼都唔怕黑咩

我覺得 中aids既機會應該都好低,其實你地睇report多數都係d咩男男中,吸毒個d多,, 我估如果咁樣ons完中a都中左既,真係整定

最緊要3個月後去check多次,唔係人地都唔駛講90天空窗期啦,就係因為呢樣野係好多未知因素所以先會係定為90天

但點都好,放鬆啦朋友!

唔好既時間一定會過去,記住珍惜自己所擁有既!!!

引用:

原帖由 stanleysex 於 2011-1-10 11:53 發表


garamon & candy你地而家點呀? 應該無咩問題啦

HPV問題仍然影響緊我子宮既柏氏報告。

不過我相信,明天會更好，大家加油!!!

引用:

原帖由 ken1121 於 2011-1-11 12:54 發表
But of courser I will take another test at 3 months, but probably just buy the aware oral swab test in Watsons and do it myself.

Ken1121 你多數是自己嚇自己,那6個月後你會再做傳统的驗血嗎???

引用:

原帖由 kksick 於 2011-1-11 13:49 發表

Ken1121 你多數是自己嚇自己,那6個月後你會再做傳统的驗血嗎???

actually, I wouldn't care about the 6 months.... even Hong Kong recommended 90 days/3months.
依家科技进步左， 而且新既research都话 4th generation 系4-6 weeks 有95% accurate, 6-8weeks is 99% accurate。
其实3个月我都唔系太想做， 我 4th week or 5th week 做左 4th generation hiv test 之后6th week 做个 oral swab test 系negative 既话我都唔会再理架喇。
最多3个月后我做全身检查时顺便做埋hiv架咋。

雖然三個月係好漫長, 但一定會過去既. 其實呢度個個都捱到三個月架, 學CANDY話, 中既機會好微. 我未驗之前都好驚自己會中招, 個快速測驗果條線慢慢浮現出來果時真係嚇到標晒冷汗. 其實你帶晒套, 中既機會好細. 我中花, 雖則我都係有帶套做, 但口交無, 我懷疑係咁中招, 再唔係就係扒係度按摩時, 隔住帶床塊毛巾唔多乾淨.

其實何生都話唔推薦你去做果隻TEST, 咁不如等三個月後做快速測驗啦. 始終都唔係小數目, 加上係香港又係新野.

引用下medhelp Dr.HHH既一段分析：
As you apparently are aware, it takes time for any test for HIV to become positive.  The tests that directly detect the virus (tests for p24 antigen or PCR to detect HIV DNA/RNA) start to become positive a few days after exposure and are positive in most infected people by 2-3 weeks.  The antibody tests start to become positive at 10-14 days and are almost always positive by 6 weeks, rarely longer. Before those intervals, all these tests can be falsely negative.  But after ~2 weeks for p24 and PCR and 4-6 weeks for antibody, false negative results are rare.

- HIV antigen(抗原) 同hiv virus会系感染后几日就会产生
- p24 antigen test 同 PCR test 会系感染2-3week后 test 到 positive
- hiv antibody (抗体) 会系10-14日到开始test 到 positive, 6week 系好大程度确定positive, 好少会潜伏更长时间。
**重点 - 2week后既 p24 同pcr, 4-6week既antibody 系好少机会出现 false negative。

"Isn't Rapid Testing More Accurate?"  No.  Rapid testing has a higher chance of false positive results than laboratory-based antibody testing.
- 快速测试 - 多机会出 false"POSITIVE" (唔系false negative)

"Have you ever seen someone go from Negative at 6 weeks to positive at 13 weeks?"  No, and with the modern HIV tests in use for the past decade, I have never heard of such a case from my colleagues.
- 过去10年 Dr.HHH未试过有一case 系6week negative 到13week变positive，亦都未系拒d医生同事到听过有出现过呢d case,


以前d人话3月-6月， 其实系当时技术上认为甘样先只叫做确定， 但系医学既野永远唔会有100%出现,即系话6个月test negative其实都系99% conclusive。 所以呢d真系观点同角度问题。

依家 d research话 6-8week conclusive for 4th generation test, d政府唔系唔想认同， 而系要认同d政府自己就要再做一次research, 要用好多钱同人力先做到。拒地又唔可以adopt人地既research就甘话系conclusive or whatever， 最多只可以系自己份research再引用人地既资料。so, 拒地都唔搞甘多，反正对拒地黎讲机本上系无需要 因为antibody test 拒地一早就认定3月-6月就系conclusive, 咪有你班友仔胆心下惊下， 顺便吓下d人做足安全措施jer。

引用:

原帖由 ken1121 於 2011-1-11 14:29 發表


actually, I wouldn't care about the 6 months.... even Hong Kong recommended 90 days/3months.
依家科技进步左， 而且新既research都话 4th generation 系4-6 weeks 有95% accurate, 6-8weeks ...

呢D測試太新, 係香港似乎仲未開始成到氣候.
何生知道呢D新既測試方式?

引用:

原帖由 bebebaba1234 於 2011-1-11 14:35 發表
雖然三個月係好漫長, 但一定會過去既. 其實呢度個個都捱到三個月架, 學CANDY話, 中既機會好微. 我未驗之前都好驚自己會中招, 個快速測驗果條線慢慢浮現出來果時真係嚇到標晒冷汗. 其實你帶晒套, 中既機會好細. 我中花 ...

师兄我估你唔系搞野中...Dr. Ho话用套无可能上面中。 so, ur assumption should be correct, its more likely u caught that when u haf massage. Oral传染都好似无乜机会， 我睇过好多forum 同research都话好难oral 传hpv。

虽然Dr.Ho唔recommend, 但系我觉得test埋无妨， 起码自己真系会超级安心。 到时3个月再test咪当抽血玩玩lor。

我好似乐观左d..........

引用:

原帖由 bebebaba1234 於 2011-1-11 14:40 發表


呢D測試太新, 係香港似乎仲未開始成到氣候.
何生知道呢D新既測試方式?

拒知啊， 我有提过p24, 但系拒话唔recommend叫我3月先test antibody。

PCR 我唔知香港边到有得做， but....听闻私家医院系有得做...边间我就唔知喇， 不过一定好贵。
P24 我上网找到有间 香港既lab系有做。

引用:

原帖由 candycandy 於 2011-1-11 13:31 發表
仲乜轉左用英文,仲要打到鬼死咁長加

講真,有得返轉頭,,唔駛錢俾你你都唔敢食啦~ 真係見過鬼都唔怕黑咩

我覺得 中aids既機會應該都好低,其實你地睇report多數都係d咩男男中,吸毒個d多,, 我估如果咁樣ons完中a都 ...

唉,我都知衰喇....衰一时从动.....
我都系惊hpv同花， 呢d真系无形杀手....hiv个d真系反而无甘惊。 Dr.Ho都话机会好微。
But as usual, 无一个doctor够胆讲100% 因为仲有例外。。。。

引用:

原帖由 candycandy 於 2011-1-11 13:32 發表


HPV問題仍然影響緊我子宮既柏氏報告。

不過我相信,明天會更好，大家加油!!!

Candy
可以问下你中左几耐吗?

引用:

原帖由 ken1121 於 2011-1-11 14:47 發表


唉,我都知衰喇....衰一时从动.....
我都系惊hpv同花， 呢d真系无形杀手....hiv个d真系反而无甘惊。 Dr.Ho都话机会好微。
But as usual, 无一&# ...

花好手尾長, 會成日翻發. 所以多D留意自己下面啦.

aai I am scare
and Dr. Ho said I should not be too confident with herpes.. As herpes might come at week 3-week 4....
I am only 17 days...... now I have to worry again for another two week for herpes. I thought I am all good for herpes since I didn't have an outbreak within 14 days.
I am always suspecting my hair area now, feel kind of itchy. But nothing unusual, probably dry skin.

引用:

原帖由 ken1121 於 2011-1-11 16:41 發表
aai I am scare
and Dr. Ho said I should not be too confident with herpes.. As herpes might come at week 3-week 4....
I am only 17 days...... now I have to worry again for another two week for h ...

上面熊猫兄講一般1或兩個星期就出, 無事架

引用:

原帖由 ken1121 於 2011-1-11 16:41 發表
aai I am scare
and Dr. Ho said I should not be too confident with herpes.. As herpes might come at week 3-week 4....
I am only 17 days...... now I have to worry again for another two week for h ...

Don't need to worry about that much, you have nothing to do with it now.

you know what? after I had the surgery on that day, my anus started to be itchy, and I thought the warts also emerged near my asshole. and I went to the doctor again the next day to check again, he said I had nothing on it,and I needed to pay a few hundred bucks again.

You are mostly affected by your psychological stress rather than the physiological effect, brother. Take it easy!

引用:

原帖由 candycandy 於 2011-1-7 12:12 發表


發夢啦,hpv dr.ho都講過,係同自己既dna洗左牌,又點會有得轉返做陰性,應該咁講如果你係排斥到既,你應該唔會check到有個隻hpv no.係到囉原先,所以有左就係有左,冇得講, 我連續幾次都係check左 ASCUS,所以我都係KEE ...

Candy - 網上的人說,如果連續兩次check都是ASCUS (病變) 都是照陰道鏡穩陣啲

根據香港衛生署的資料，部分人在感染愛滋病病毒後二至八星期會產生足夠抗體讓測試呈陽性反應，但有部分人需要較長在時間才能產生足夠的抗體令測試呈陽性反應。這段時間稱之為「空窗期」。一般而言，「空窗期」都會以三個月為準。於「空窗期」後進行愛滋病病毒抗體測試，結果便會準確。

hehe, so seems like, Hong Kong is already accepting the fact that test result in 8 weeks are very convincing, and just the test in 3 month is just an insurance.