Am I at risk from resistance if my partner is not yet on meds?
Hi. Me and my partner are both HIV positive and we have sex without condoms. I have been taking medication for the last three months, but he has not started treatment yet. Please, will I have drug resistance if I am reinfected by him?
Thanks for your question and it is really good that you are aware of drug resistance.
How are you both doing? It is good that you have started treatment and that this is going well.
To give a good answer it would help to know how long you have been together.
Also, do you know if you were tested for drug resistance before stating treatment? This varies defending on the guidelines in your country.
If you were having sex without condoms for a while, especially before you were both diagnosed, it is likely you both already have the same type of HIV. This is especially true the longer you have been together.
This means that even though your partner is not yet on treatment, you would not need to worry about resistance.
Is there a reason that your partner hasn’t started treatment yet? In most countries, HIV treatment is now recommended for everyone who is positive. This might be a good thing to do together as you could both support each other.
There is one other concern though. Most drug resistance occurs when someone on treatment misses their meds or still has a detectable viral load. This mean you will need to be good at taking your meds now. It also means that if your partner does start treatment he also need to not miss doses.
The risk of resistance is probably bigger if your are both on meds but one of you still has a high viral load. This is when resistance can develop and when there is a chance that resistance from one of you could pass to the other.