Question
How long can I live if I’m taking HIV treatment (ART)?
15 January 2018. Related: All topics, Life expectancy, Living with HIV long-term.
Can HIV kill when you have an undetectable viral load? I’m doing well on medication and how long can i live to the cure? Lastly, why cant I stop thinking about my HIV status – first thing in the morning and also just before I fall asleep?
Polio have been eradicated but why cant scientists do the same for HIV?
Answer
The quick answer is that with modern HIV drugs (called ART) your life expectancy is likely to be similar to if you were HIV negative. The earlier someone is diagnosed and start ART, the quicker any damage from HIV can be reversed.
For most people, HIV is easy to treat and easy to manage. ART can give you a normal life expectancy and an excellent quality of life.
Hw long anyone will live depends on things you can change (smoking, exercise, medication) and thing you can’t (genetics and luck). A study in Denmark (2005) estimated that the survival is more than 35 years for a young person diagnosed with HIV infection and another study in Canada (2003) report that in the US, life expectancy at age 20 years was an additional 58.3 years.
As long as your CD4 count stays above 200 cells/mm3, the risk of most HIV complications is pretty low. At higher CD4 levels – above 350, or 500, or 700 – the risk becomes lower still. Although some health problems are slightly higher in HIV positive people compared to HIV negative people, these risks are also often reduced by ART.
If you continue to take your medication as prescribed and do not miss or taking doses late, then the risk of HIV health problems in the future s very low. However, just as HIV negative people become ill, lifestyle changes to reduce these risks are important if you are HIV positive. For example, keeping mentally and physically active, eating a balanced diet, resting well, not smoking etc).
Having HIV might not always be easy though. The shock of being diagnosed sometimes takes a long time to come to terms with and at the moment you are still working on this. Already, I am sure you feel better than when you were first diagnosed and this will continue to become easier every year.
Most people worry about the impact of HIV on their life. This could bewhy you think about your HIV status on a daily basis. If this continues to be difficult perhaps get in touch with a local support group or ask about counselling. Talking about your HIV status can help you to deal with it and also through group support you can share experiences and also learn from one another. You do not have to deal with it in isolation.
Finally, you asked about research into a cure. HIV is very complex in a way that is different to polio. Although currently there is no vaccine or cure, there is a lot of ongoing research.
HIV treatment is one of the successes of modern medicine. The breadth and expertise in scientific advances has not only developed 30 medications in five drug classes but this research has contributed to many other areas of medicine.
Even though curing HIV is difficult, there are lots of reasons to be optimistic.
This question was updated in January 2018 from an original answer posted in November 2011. (See: Question 10 at this link for more information).
I had sex with a prostitute on 2nd aug 19 using condom but oral sex without condom. Now I am worried that if I may get hiv infection…?
Hi Suzen,
Yes, but please tell your doctor what vitamins and minerals you’re planning to take. Some ART meds can interact with herbs and vitamins.
Please see HIV drug interactions here.
can I use multivitamin while I’m on art treatment?
Hi Qoba,
HIV treatment (ART) can reduce HIV to undetectable at any CD4 count.
But HIV viral load will be detectable without taking ART. This means that CD4 counts will drop. And that’s because as HIV makes copies of itself it destroys CD4 cells.
Here’s a picture of the immune system in overdrive. It’s from ART in pictures.
Hello At what stage of CD4 can the HIV be undetectable and if so how to make it undetectable?
Hi Ngo,
I’m sorry to hear about your recent diagnosis. But it’s great that you’ve already started HIV Treatment.
Do you have access to your viral load and CD4 results? Please let us know. And also tell us what HIV meds you’re taking.
I have been living with HIV 4 d past few months. I just started talking my drugs.
Hi Gift,
That sounds great. Have you talked to the clinic about how to get involved?
And if you live in South Africa you can contact the Treatment Action Campaign too.
I need to be part off hiv and aids task team
Hi Boypositive,
Some ARVs can cause rash. But the rash is usually mild, and goes away in the first few weeks of treatment. Please see this guide to skin rash.
Acne is a common skin condition. But you could talk to your doctor about changing ARVs if you think this is a side effect.
What ARVs are you taking? And do you have access to your viral load and CD4 count? Please let us know.