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. lebone

    hi, i am hiv+ but am not taking treatment because my cd4 is 586, but i get worried for not taking any medication, pls help. And again my partner cd4 is lower than mine and we are planning to have a baby.

  2. Rebecca McDowall

    Hi Tajuddin,

    If you are interested in the normal range of CD4 counts please follow this link to our Introduction to combination therapy treatment guide.

  3. TAJUDDIN

    SIR,
    HOW NEED MINIUM CD4 TO REGULAR PERSON ?

  4. Rebecca McDowall

    Hi Lisa,

    Being undetectable doesn’t mean there is no HIV in your blood. This means that there is only a small amount of virus in your blood. The viral load tests are not sensitive enough to pick up when there is only a little bit of virus. If you did an HIV test you would still be positive. But having an undetectable viral load is very good. This means your treatment is working really well.

    For more information about this please see this previous question: What is an undetectable viral load?

  5. Lisa

    i am positive. My doctor placed me on meds last aug, and now there is no HIV in my blood. Does this mean i will test neg. Doctors are saying that i have no HIV in blood… undetectable.1100 cd4. Can I still passed it!

  6. Rebecca McDowall

    Hi Anthony,

    This is a brilliant response to treatment! Such a fast gain in CD4 is unusual and means your treatment is working very well. When your doctor means the virus is ‘surpressed’ this means the medication is keeping HIV under control in your body. The HIV can not make enough copies of itself to make you ill. For more information about how treatment works please take a look at our Introduction to combination therapy.

  7. anthony

    Hi I was diagnosed 2 years back,my cd4 count t was 12 and viral load above 30 000 then but 6 months after taking meds cd4 went up to 596 and viral load -40,my doctor keeps saying the virus was suppressed,I’d like to know what that means

  8. Rebecca McDowall

    Hello Murr,

    It’s great that your CD4 is good and that you’re undetectable. This does mean that you are much less likely to pass HIV through unprotected sex. Studies have shown that an undetectable viral load reduces transmission through unprotected vaginal sex by up to 97%. This doesn’t offer complete protection, however, so there is still some small possible risk. Also there are no studies which tell us the protection factor through unprotected anal sex (gay or straight). More information about viral load and risk of transmission is available in our testing and transmission guide.

  9. murr

    hey i H I V positive and my CD4 counts are good and viral load is undectable can i still pass it on if i have unprotected sex

  10. Rebecca McDowall

    I’m sorry that i-base no longer answer individual questions about the risks of HIV transmission or HIV testing.

    This is because information on both these subjects are now online in two resources:

    Your questions are already answered on the FAQ page:
    http://i-base.info/qa/faq/hiv-transmission-and-testing

    Also this detailed and easy to read guide:
    http://i-base.info/guides/testing

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