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. hope

    my cd4 count is 502 i am still on treatment. is it normal or low

  2. Simon Collins

    Hi Ndlamafa, it is safe and okay to get pregnant but please speak to tyour doctor about timeing or treatment. It is important to start treatment if you do become pregnant. This is for both you and oyur baby’s health.

  3. Ndlamafa

    Can I get pregnant if I am HIV Positive with the CD4count of 500 and I am not on treatment

  4. Simon Collins

    Hey, great to hear you are planning on having a baby. Being on ART is best for both you and your baby. Please talk to your health team throughout if you have questions.

  5. flash

    Am pregnant and HI’VE positive my CD4 count is very high at 1125 but am on ART am I in any danger

  6. Robin Jakob

    Hi,

    A woman’s CD4 count can drop while she is pregnant. Usually this rises again after she has given birth.

    You can find more information on HIV and pregnancy here:
    http://i-base.info/guides/pregnancy

  7. thoko

    Does pregnancy drop CD4 count?

  8. Robin Jakob

    Hi,

    The fact that this partner has a high CD4 indicates that his immune system is working well.
    His viral load gives you information about the chances of the virus being transmitted. The lower his viral load is the less likely it is that the virus gets transmitted.

    You can find more information about viral load and the risk of transmission here:
    http://i-base.info/guides/testing/viral-load

  9. Catherine

    If HIV is detected at an early stage from a male partner and cd4 count is high, what are the chances of transmitting the virus?

  10. Rebecca McDowall

    Hello Hapzie,
    It’s good that your clinic has put you on treatment-how are you getting on since you started?

    Unfortunately there is no cure yet for HIV. Treatment is very effective though and with ARVs you can have a life expectancy similar to somebody who is HIV negative.

    After you have been on treatment for 6 months or so the risk of transmitting HIV to your partner should be much lower. This is because HIV reduces the amount of virus in the body- measured using a test called the ‘viral load’. The aim of treatment is to have an ‘undetectable’ viral load (less than 50 copies). When your viral load is undetectable it is very unlikely that you would pass HIV to a sexual partner, although this is still possible. You can read more about this here.

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