Can Hiv/aids Be Prevented
You can reduce the risk of spreading HIV by
- Getting tested for HIV
- Choosing less risky sexual behaviors. This includes limiting the number of sexual partners you have and using latex condoms every time you have sex. If your or your partner is allergic to latex, you can use polyurethane condoms.
- Getting tested and treated for sexually transmitted diseases
- Not injecting drugs
- Talking to your health care provider about medicines to prevent HIV:
- PrEP is for people who don’t already have HIV but are at very high risk of getting it. PrEP is daily medicine that can reduce this risk.
- PEP is for people who have possibly been exposed to HIV. It is only for emergency situations. PEP must be started within 72 hours after a possible exposure to HIV.
NIH: National Institutes of Health
How Would I Know If I Have Hiv
Are you looking for signs? Dont fool yourself. Dr. Demetre shares how you know for sure if you have HIV.
As with many other sexually transmitted diseases , HIV often shows NO symptoms initially. As a result, people who have HIV often dont find out until much later when the disease is further along and treatments may be less effective.
You cannot rely on symptoms to tell you whether or not you have HIV. The only way to know for sure if you have HIV is to get tested.
#AskTheHIVDoc is a video series from Greater Than AIDS featuring top HIV doctors providing answers to commonly-asked questions about HIV prevention, testing and treatment.
This information is shared for educational purposes only and should not be used as a substitute for professional medical advice. The views expressed are those of the featured medical professional and reflect information available to that professional at time of filming. Always consult a health care provider for any personal health decision.
While we make every effort to keep the medical information on our website updated, we cannot guarantee that the information reflects the most up-to-date research. Also, please note the views expressed by individuals who appear in Greater Than AIDS videos and other content are their own and are not made on behalf of any groups/organizations/associations.
Other Prevention Benefits Of Hiv Treatment
In addition to preventing sexual transmission of HIV there are other benefits of taking HIV medication to achieve and maintain an undetectable viral load:
- It reduces the risk of mother-to-child transmission from pregnancy, labor, and delivery. If a woman living with HIV can take HIV medication as prescribed throughout pregnancy, labor, and delivery and if HIV medication is given to her baby for 4-6 weeks after delivery, the risk of transmission from pregnancy, labor, and delivery can be reduced to 1% or less. Scientists dont know if a woman living with HIV who has her HIV under control can transmit HIV to her baby through breastfeeding. While it isnt known if or how much being undetectable or virally suppressed prevents some ways that HIV is transmitted, it is reasonable to assume that it provides some risk reduction.
- It may reduce HIV transmission risk for people who inject drugs. Scientists do not yet know whether having a suppressed or undetectable viral load prevents HIV transmission through sharing needles or other injection drug equipment, but it is reasonable to assume that it provides some risk reduction. Even if you are taking HIV medication and are undetectable, use new equipment each time you inject and do not share needles and syringes with other people.
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How Can You Tell If You Have Hiv
The only way to know for sure if you have HIV is to get tested. You cant rely on symptoms to tell whether you have HIV.
Knowing your HIV status gives you powerful information so you can take steps to keep yourself and your partner healthy:
- If you test positive, you can take medicine to treat HIV. By taking HIV medicine daily as prescribed, you can make the amount of HIV in your blood very lowso low that a test cant detect it . Getting and keeping an undetectable viral load is the best thing you can do to stay healthy. If your viral load stays undetectable, you have effectively no risk of transmitting HIV to an HIV-negative partner through sex.
- If you test negative, there are more HIV prevention tools available today than ever before.
- If you are pregnant, you should be tested for HIV so that you can begin treatment if you’re HIV-positive. If an HIV-positive woman is treated for HIV early in her pregnancy, the risk of transmitting HIV to her baby can be very low.
Use the HIV Services Locator to find an HIV testing site near you.
HIV self-testing is also an option. Self-testing allows people to take an HIV test and find out their result in their own home or other private location. You can buy a self-test kit at a pharmacy or online, or your health care provider may be able to order one for you. Some health departments or community-based organizations also provide self-test kits for free.
Take Time To Process The News
- Receiving an HIV diagnosis can be life changing. You may feel many emotionssadness, hopelessness, or anger.
- Allied health care providers and social service providers can help you work through the early stages of your diagnosis. They are often available at your health care providers office.
- Learn more about what a positive test result means.
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Getting Your Hiv Test Results
Most HIV test results are available within a week.
If the test result is negative, you may receive your results within a few days.
If the initial test result is positive, then additional testing to confirm the result needs to be performed in a reference laboratory and this can take up to a week to get a result.
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Medication For Your Baby
Your baby will need to take anti-HIV drugs for a period of time after birth. This will be in liquid form. This does not mean that your baby has HIV.
pre-exposure prophylaxis
Antiretroviral drugs used by a person who does not have HIV to be taken before possible exposure to HIV in order to reduce the risk of acquiring HIV infection. PrEP may either be taken daily or according to an event based or on demand regimen.
The length of time your baby will need to take medication will depend on your viral load. If you are undetectable throughout pregnancy, your baby will be giving medication for two weeks. If you are detectable, this may be extended to four weeks.
In the early years of your babys life, HIV tests will be done several times: just after birth at six weeks at 12 weeks and at 18 months .
If these tests are negative and you have never breastfed, you will know for sure that your baby does not have HIV.
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Hiv Treatment As Prevention
Treatment as prevention refers to taking HIV medication to prevent the sexual transmission of HIV. It is one of the highly effective options for preventing HIV transmission. People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners.
TasP works when a person living with HIV takes HIV medication exactly as prescribed and has regular follow-up care, including regular viral load tests to ensure their viral load stays undetectable.
What Is Safer Sex
We know a lot about how HIV is transmitted from person to person. Having safer sex means you take this into account and avoid risky practices.
There are two reasons to practice safer sex: to protect yourself and to protect others.
Protecting yourself
If you have HIV, you need to protect your health. When it comes to sex, this means practicing safer sex to avoid sexually transmitted diseases like herpes and hepatitis. HIV makes it harder for your body to fight off diseases. What might be a small health problem for someone without HIV could be big health problem for you. Your VA provider can prescribe condoms for you if you need them.
Protecting your partner
Taking care of others means making sure that you do not pass HIV or any other sexually transmitted infections to them.
Being safe usually means protecting yourself and others by using condoms for the highest-risk sex activities, specifically for anal and vaginal sex. When done correctly, condom use is very effective at preventing HIV transmission. In recent years, being safe has come to include two other important strategies for reducing HIV infections: 1. HIV treatment for people with HIV and, 2. PrEP for HIV negative people . Both are very effective at reducing the risk of HIV infection. One or more of them is likely to be appropriate for your situationbe sure to ask your health care provider for more information.
What about antiretroviral therapy for HIV prevention?
What about pre-exposure prophylaxis ?
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Early Symptoms In Primary Hiv
The first noticeable stage is primary HIV infection. This stage is also called acute retroviral syndrome , or acute HIV infection. Because HIV infection at this stage usually causes flu-like symptoms, its possible for someone in this stage to think their symptoms are due to a severe flu rather than HIV. Fever is the most common symptom.
Other symptoms include:
Centers for Disease Control and Prevention , primary HIV symptoms may show up two to four weeks after initial exposure. Symptoms can continue for up to several weeks. However, some people may exhibit the symptoms only for a few days.
People with early HIV sometimes dont show any symptoms, yet they can still transmit the virus to others. This is attributed to the fast, unrestrained viral replication that occurs in the early weeks after contracting the virus.
How Long Does It Take To Show Symptoms Of Hiv
Some people notice flu-like symptoms 1-4 weeks after they’re first infected. They often only last a week or two. This stage is called acute or primary HIV infection.
Then, you may go for 10 years or more without further symptoms. This is called asymptomatic HIV infection. Even though you feel fine, the virus is still active in your body. And you can still give it to someone else.
Once HIV has seriously harmed your immune system, you’re at risk for diseases that a healthy body could fight off. In this stage, symptomatic HIV infection, you start to notice problems caused by those “opportunistic” infections.
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What Can Effective Hiv Treatment Do
HIV medication keeps you healthy so you can live a normal lifespan.
Treatment can also reduce your viral load to undetectable levels so that you wont be able to pass on HIV to anyone else. It can take up to six months from starting treatment to become undetectable, so its important to test and start treatment on time.
Is There A Period When The Virus Isnt Transmittable
HIV is transmittable soon after its introduced into the body. During this phase, the bloodstream contains higher levels of HIV, which makes it easy to transmit it to others.
Since not everyone has early symptoms of HIV, getting tested is the only way to know if the virus has been contracted. An early diagnosis also allows an HIV-positive person to begin treatment. Proper treatment can eliminate their risk of transmitting the virus to their sexual partners.
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How Do People Become Infected With Hiv
HIV is in the blood, semen, vaginal fluid and breast milk of an infected person. It can be spread by exposure to these body fluids by:
- unprotected anal or vaginal sex without a condom
- sharing drug injecting equipment
- tattooing, piercing and other procedures with unsterile needles or equipment
- transmission from mother to baby during pregnancy, childbirth or breastfeeding
- oral sex, although this is rare
- sharps injuries
It is important to remember that HIV is not spread through activities such as kissing, sharing cups and cutlery, normal social contact, toilet seats or mosquitoes.
You are at higher risk of HIV infection if:
- you are a man, a transgender woman or a person who identifies as gender diverse who has sex with men
- you have sex or share needles with someone else at risk of HIV
- you share sex toys
- you have sex with people from countries with a high rate of HIV infection
- you inject drugs
- you have had tattoos or other piercings overseas using unsterile equipment
- you have a sexually transmitted infection . People can be infected with several different STIs at the same time. Having an STI can make it easier to become infected with HIV and pass it on to sexual partners
- you have had a blood transfusion in a country where the blood supply is not safe
Some people are at a higher risk of HIV infection because they are exposed to more people with HIV infection and/or engage in more high-risk behaviour. These include:
What Are The Tests For Detecting Hiv
Various tests may be used for HIV detection:
- HIV antibody test: This test detects the antibodies produced in the body in response to HIV.
- Antigen test: This test can be done at an earlier stage than an HIV antibody test. It measures a protein called p24 antigen, present in the virus and produced in high amounts after the infection.
- Nucleic acid test : It is also called an RNA test. It is a very specific test that looks for the virus itself and can detect HIV as early as about 10 days of infections.
- In-home test kits: Although less accurate than the laboratory-based tests, home-based kits have the advantage of testing in the privacy and comfort of the home. Only FDA approved home-based kits should be used.
- Viral culture: This involves using the patients sample and growing the virus in the lab. It takes longer to get the results and is not the most preferred test for HIV.
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Stage : Acute Hiv Infection
Within 2 to 4 weeks after infection with HIV, about two-thirds of people will have a flu-like illness. This is the bodys natural response to HIV infection.
Flu-like symptoms can include:
- Swollen lymph nodes
- Mouth ulcers
These symptoms can last anywhere from a few days to several weeks. But some people do not have any symptoms at all during this early stage of HIV.
Dont assume you have HIV just because you have any of these symptomsthey can be similar to those caused by other illnesses. But if you think you may have been exposed to HIV, get an HIV test.
Heres what to do:
Second Stage: Clinical Latency Symptoms
After your immune system loses the battle with HIV, the flu-like symptoms will go away. But thereâs a lot going on inside your body. Doctors call this the asymptomatic period or chronic HIV infection.
In your body, cells called CD4 T cells coordinate your immune systemâs response. During this stage, untreated HIV will kill CD4 cells and destroy your immune system. Your doctor can check how many of these cells you have with blood tests. Without treatment, the number of CD4 cells will drop, and youâll be more likely to get other infections.
Most people don’t have symptoms they can see or feel. You may not realize that you’re infected and can pass HIV on to others.
If youâre taking ART, you might stay in this phase for decades. You can pass the virus on to other people, but itâs extremely rare if you take your medicines.
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You Cant Get Hiv From Just Any Kind Of Contact
Myths still abound about HIV/AIDS. For example, you cant get HIV from insect bites or stings, hugging, shaking hands, or sharing toilets or dishes, according to the CDC. You also cant get infected from a closed-mouth kiss or contact with an infected persons sweat or tears. You cant get it by simply working or hanging out with someone who has AIDS or is HIV positive, either. HIV transmission from one woman to another woman through sexual contact is also rare, the CDC says.
Being Young And Hiv Positive
FAST FACTS
As you get older, youll probably want to manage your own health and treatment but just because youre becoming an adult doesnt mean youre meant to know it all.
Remember, its your choice as to when, where and how you tell people about your HIV status.
You might benefit from joining a support group for young people living with HIV to share your feelings and experiences.
Living with HIV shouldnt stop you from having fulfilling relationships and a healthy sex life when youre ready.
Whether youve recently found out you have HIV or grown up knowing your status, being a young person living with HIV can have be challenging.
Your teenage years are a time of great change your body develops during puberty, and its often very emotional. It can be an intense and exciting time, but it can also feel difficult to cope with everything.
You may be finishing school and taking exams, and youre probably thinking about your future. This is also a time when many people have their first relationships.
Whatever challenges you face its important to remember you are not alone. Lots of other people have been, and still are in, similar situations. Many people find it helpful to speak to a counsellor or join a support group.
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Fever And Night Sweats
People with HIV may experience long periods of low-grade fever. A temperature between 99.8°F and 100.8°F is considered a low-grade fever.
The body develops a fever when something is wrong, but the cause isnt always obvious. Because its a low-grade fever, those who are unaware of their HIV-positive status may ignore the symptom.
Sometimes, night sweats that can interfere with sleep may accompany fever.
Women with HIV can experience changes to their menstrual cycle. Their periods may be lighter or heavier than normal, or they may not have a period at all.
HIV-positive women may also have more severe premenstrual symptoms.