A member asked:

Am i hiv positive if the 4th generation hiv test is reactive with no antibodies for hiv 1 or 2 and no qualitative hiv 1 rna? i took an hiv test jan 2021 & aug 2021 and it came out reactive 8 months apart.. everything else was negative?

A doctor has provided 1 answer

You have HIV infection. You likely have very low levels of virus circulating in your body, (hence the negative HIV RNA assay) slowly destroying your T lymphocytes (hence the “everything else” being negative). HIV can be a very slowly progressive disease, over years or decades (except for a very, very few “elite controllers”). You need an HIV specialist to discuss options.

Answered 8/16/2021

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