Q and A

Question

If my CD4 count is 1295, does it mean I no longer have HIV?

I am HIV positive. My first CD4 count was 685 and then it went up to 1295 does that mean I am healthy and is the virus cleared in my body?

Answer

Thank you for your question.

A CD4 count of 1295 is fantastic! However, unfortunately it does not mean HIV is cleared from your body. CD4 counts do fluctuate up and down. It could also be that you were recently infected and your CD4 count is increasing after the initial infection. For more information please follow this link.

The good news is that your immune system is very good as your CD4 count is so high.

What is your viral load result? Usually this would be detectable, even with a high CD4 count, though a small percentage of people (less than 0.01%) maintain a high CD4 count and undetectable viral load, without needing HIV treatment.

213 comments

  1. Emmanuel

    My cd4 count is514 and Viral load is 10 .what am I facing

  2. Roy Trevelion

    Hi Perhaps,

    There could be a mistake with your CD4 count. Please can you check with your doctor? This is because a CD4 count of 3000 is above the average. A normal CD4 count for an adult who is HIV negative is between 400 and 1600 cells.

    But it’s great that your viral load is 40. This means HIV is undetectable because it’s lower than 50. What HIV treatment are you taking? It looks as though it’s working well.

    It’s a good idea to check with the doctor and ask for the results again.

  3. Perhaps

    My cd4 count is over 3000 and my viral low is in the 40 should I be worried

  4. Lisa Thorley

    Hi Lesego,

    Are you on medication for the HIV? If you are its the medication that will help protect your baby. If you aren’t taking ARVs, you’ll need to start them. There’s more info here about HIV and pregnancy: http://i-base.info/guides/pregnancy

  5. Lesego

    Hi I’m lesego n I’m hiv positive with a cd4 count of 160 n I’m also pregnant what will happen to me…

    Will my unborn baby be infected

  6. Lisa Thorley

    Hi Fikile,

    Your CD4 count is really high, you’re clearly doing very well. Do you know what your viral load is?

  7. Fikile

    hi

    Last year November I had my CD4 count and it was 195 this year I have done it again its 785. So the new results for my CD4 is it good or bad?

  8. Roy Trevelion

    Hi Jo Doe,

    That looks like an unusually high CD4 count. What does the doctor say about it?

  9. Jo Doe

    I have a CD4 count of 2040 the last time my bloods were took in December which shocked me as it’s always between 1400 and 1600. What could be the reason for such a jump in my CD4 count

  10. Lisa Thorley

    Hi Nonthando,

    Yes you’re doing well. Your HIV is under control. This is because your viral load is undetectable. Your CD4 count is also well within the range of normal.

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