I had a risk two days ago. Should I test now?
No — go to A&E or a sexual health clinic today and ask about PEP.
PEP can prevent HIV taking hold if started within 72 hours, and the sooner the better. It is free.
A test today would be negative regardless, because it is far too early to show anything. Do not let a test delay you.
How long do I have to wait for a reliable result?
Most infections are picked up by 4 weeks with a fourth-generation test, and a negative result at 45 days is conclusive for exposures before that point.
What does a reactive result mean?
It means a confirmatory test is needed — it is not a diagnosis. False positives happen with screening tests.
If it is positive, what actually happens?
This is worth stating clearly, because the fear is usually worse than the reality.
HIV in the UK is a treatable long-term condition. People diagnosed today and treated effectively have a normal life expectancy, and take medication that is typically one tablet a day.
And they cannot pass it on to sexual partners — undetectable equals untransmittable, which is established beyond doubt. Care is free on the NHS regardless of immigration status.
Can I get PrEP from you?
No — it is prescribed by NHS sexual health services, and it is free there.
If your risk is ongoing rather than a one-off, PrEP is a far better answer than repeated testing. It is worth booking.
Is it confidential?
Yes. NHS sexual health services are confidential and can be accessed without going through your GP, and results are not shared without your consent.
Should I test for anything else?
Usually yes. Full STI screening covers chlamydia, gonorrhoea and syphilis alongside — syphilis in particular is rising in the UK and is easily missed.
Testing for one infection while leaving the others unasked is rarely the right answer.
Are home test kits reliable?
Yes, and many are free from NHS services. The same window period applies, and a reactive result still needs laboratory confirmation.
Do I need to fast?
No. No preparation of any kind, and it can be done at any time of day.