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. Hapzie

    I was diagnosed with hiv in 2012, my cd4 count was 574 during my first test. At the clinic i was told to come after 12 months, i did so and my second cd4 count was 217, they then put me on treatment immediately. I would like to know whether hiv is curable or what? I also want to know that if i am on treatment i can pass the virus to my partner or what.

  2. Rebecca McDowall

    Hi Dave,
    Thanks for your question. Many HIV positive men have healthy babies with their HIV negative partners, without the baby or woman being infected. There is lots of information about this in our pregnancy guide and our pregnancy FAQs. Please have a look there, and then let me know if you have any questions.

  3. dave

    can an hiv positive person(men) with cd4 count of 534 who has a girl friend who is hiv negative make children.the viral load has been undetectable for some time.

  4. Simon Collins

    Hi Henok

    How are you coping? Getting an HIV diagnosis can be difficult so I hope you have support at the moment.

    ART drugs are used slightly differently depending on lots of things including which country you live in.

    In the UK, treatment is recommended when the CD4 count is about 350. A few countries recommend treatment when the CD4 is less than 500 and some at higher levels.

    It is good to talk to your doctor about the plans for the future and what the guidelines recommend in your country.

  5. Henok haile

    Hi, my name is Henok. I tested HIV two weeks ago and the result was positive. Also my CD4 count is 410. I am now taking some medication for the primary “herper zoster” infection. Can I start ART drugs?

  6. Simon Collins

    Things that are good for a healthy life are equally important for both partners. If both partners are HIV positive you will have some of the same shared experiences and can support each other. Also, you do not need to worry about the risk of HIV transmission if you are both positive.

    A CD4 count over 350 is still strong. In the UK and some other countries, HIV treatment is not recommended until the CD4 count reaches about 350. This mean that your doctor should already be talking to you about treatment in the future. This is so you can be prepared and ready for using these effective meds.

    Some countries have guidelines that recommend starting treatment at higher CD4 counts, for example, at about 500, or sometimes even higher. However, there is not much evidence to know whether or not this is better. Ongoing studies (including the START study and the TEMPRANO study) are looking at this.

  7. Malowe

    If both the husband and wife are HIV +ve, how best can they live? and is a CD4 count of 376 over 11 years safe without ARVs?

  8. Simon Collins

    The normal range for a CD4 result is different for different makes of test. In general the 400-1600 range is fairly standard. This is based on the range for 95% of people though. A few percent of people have normal levels that are either or lower than these limits, and it doesn’t appear to be related to any better or worse general health.

  9. Kelly

    I recently had a CD4 laboratory test and my T Helper Lymphs(CD3+CD4+)Abs Cnt, which I am told is the absolute count of CD4 was 1981 Cells/uL. The range on the Lab report is 410-1590 so the count was indicated as HIGH. My T Helper% of Lymphs(CD3+CD4+/CD45+), which i am told is the CD4 percentage was also 26% and the range was 31-60 so it indicated LOW.I was first tested positive in 2009 and have never been on any drug and the doctor never show me the Lab results but he always say its normal so i should just eat good food. This time I was told to have the CD4 in a different hospital and bring it to him so the results was given to me directly. Is it abnormal to have such high CD4 when i have never been on medication since i first tested in 2009? i have read on several sites that the normal range is 500-1600. And how come my CD4 is this high after all this time?. I s it that i am a rare case or what? I hope its not bad.Please help me .

  10. Rebecca McDowall

    Hi Amahle,
    Are you on treatment? Do you have any questions?

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