Your Urology Test Results: What Do the Numbers Mean? - Urology

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Concern about numbers and records?


Doctor, I had a sexually transmitted disease serological immune test at the urology department, and the results came back after seven days.
The TPPA antibody titer was reported as <1:80 (-), which is negative.
The HIV immunodeficiency screening result was (-) 0.208, also negative.
Does having a number indicate the presence of the virus, or is it normal for everyone to have a number?

Tuzi, 20~29 year old female. Ask Date: 2021/08/27

Dr. Du Shixi reply Urology


Hello: The numbers are within the testing units and are not abnormal findings.
According to the physician's explanation, wishing you good health.

Reply Date: 2021/08/27

More Info


When interpreting urology test results, particularly those related to sexually transmitted infections (STIs) such as syphilis and HIV, it's essential to understand what the numbers and results signify.
In your case, the results you provided indicate that you underwent a serological test for syphilis, specifically the Treponema pallidum particle agglutination assay (TPPA), and an HIV screening test.
1. TPPA Antibody Quantification: Your result shows "<1:80 (-)", which indicates that the test is negative for syphilis. The "<1:80" means that the concentration of antibodies against Treponema pallidum (the bacterium that causes syphilis) is below the threshold of 1:80, which is considered negative. In other words, you do not have syphilis, as a positive result would typically show a higher dilution factor (e.g., 1:80 or greater).

2. HIV Screening: The result for your HIV test is reported as “(-) 0.208.” This indicates a negative result for HIV. Most HIV tests use a cutoff value to determine positivity; if your result is below this cutoff, it is considered negative. The number (0.208) is a quantitative measure, but since it is negative, it does not indicate the presence of the virus.
To address your concern about whether the presence of a number means there is a virus: in the context of these tests, a negative result (as indicated by the values you provided) means that there is no detectable infection. It’s important to note that everyone has a baseline level of antibodies and immune responses, but a negative result means that your levels are not indicative of an active infection.


Additional Considerations
- Timing of Tests: The timing of when you were tested after potential exposure is crucial. For syphilis, it can take several weeks for antibodies to develop, so testing too early may yield false negatives. For HIV, the window period can vary depending on the type of test used, but generally, it can take 2 to 8 weeks for antibodies to be detectable.

- Follow-Up Testing: If you have concerns about potential exposure to STIs, it is often recommended to retest after a certain period, especially if you have had new sexual partners or if symptoms arise.
- Consultation with Healthcare Provider: If you have any lingering concerns or symptoms, it is advisable to discuss them with your healthcare provider. They can provide further insight based on your medical history and risk factors.

- Preventive Measures: Regardless of test results, practicing safe sex (using condoms, regular STI screenings, and open communication with partners) is essential in reducing the risk of STIs.

In summary, your test results indicate that you are negative for both syphilis and HIV, which is reassuring. However, if you have any further questions or concerns, it is always best to consult directly with your healthcare provider for personalized advice and guidance.

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