Question
How long can I live if I’m taking HIV treatment (ART)?
15 January 2018. Related: All topics, Life expectancy, Living with HIV long-term.
Can HIV kill when you have an undetectable viral load? I’m doing well on medication and how long can i live to the cure? Lastly, why cant I stop thinking about my HIV status – first thing in the morning and also just before I fall asleep?
Polio have been eradicated but why cant scientists do the same for HIV?
Answer
The quick answer is that with modern HIV drugs (called ART) your life expectancy is likely to be similar to if you were HIV negative. The earlier someone is diagnosed and start ART, the quicker any damage from HIV can be reversed.
For most people, HIV is easy to treat and easy to manage. ART can give you a normal life expectancy and an excellent quality of life.
Hw long anyone will live depends on things you can change (smoking, exercise, medication) and thing you can’t (genetics and luck). A study in Denmark (2005) estimated that the survival is more than 35 years for a young person diagnosed with HIV infection and another study in Canada (2003) report that in the US, life expectancy at age 20 years was an additional 58.3 years.
As long as your CD4 count stays above 200 cells/mm3, the risk of most HIV complications is pretty low. At higher CD4 levels – above 350, or 500, or 700 – the risk becomes lower still. Although some health problems are slightly higher in HIV positive people compared to HIV negative people, these risks are also often reduced by ART.
If you continue to take your medication as prescribed and do not miss or taking doses late, then the risk of HIV health problems in the future s very low. However, just as HIV negative people become ill, lifestyle changes to reduce these risks are important if you are HIV positive. For example, keeping mentally and physically active, eating a balanced diet, resting well, not smoking etc).
Having HIV might not always be easy though. The shock of being diagnosed sometimes takes a long time to come to terms with and at the moment you are still working on this. Already, I am sure you feel better than when you were first diagnosed and this will continue to become easier every year.
Most people worry about the impact of HIV on their life. This could bewhy you think about your HIV status on a daily basis. If this continues to be difficult perhaps get in touch with a local support group or ask about counselling. Talking about your HIV status can help you to deal with it and also through group support you can share experiences and also learn from one another. You do not have to deal with it in isolation.
Finally, you asked about research into a cure. HIV is very complex in a way that is different to polio. Although currently there is no vaccine or cure, there is a lot of ongoing research.
HIV treatment is one of the successes of modern medicine. The breadth and expertise in scientific advances has not only developed 30 medications in five drug classes but this research has contributed to many other areas of medicine.
Even though curing HIV is difficult, there are lots of reasons to be optimistic.
This question was updated in January 2018 from an original answer posted in November 2011. (See: Question 10 at this link for more information).
Never had an HIV test… Symptoms and signs like white odorless discharge, swollen lymph nodes behind me ears but eventually disappeared… I also had painful abdomen, joint pains and diarrhea..
Hi Mary,
When you say symptoms what do you mean? Did you do a test when you were pregnant?
If you think you may have HIV, you will need to test. If you are positive then there is treatment that you can use. If you are positive, your baby will also need to be tested.
I have not tested for HIV yet since I am scared, but I am suspecting that I am an HIV positive due to symptoms that are starting to appear. I am not scared about my life and thanks to my loving and supportive husband, but I just gave birth 4 months ago, I am so scared that my baby might have HIV virus… What will I do? Pls. advice…
Hi Andrew,
If you think there’s a chance that you may have contracted HIV, you will need to test.
Please see Q 1 here:
http://i-base.info/qa/what-are-the-most-asked-questions
I’m not sure if I’m positive or not. What should I do?
Hi Igoche,
Your wife being on meds is the best thing that she can do to control her HIV. Her being on meds will also reduce the risk of transmission to the baby.
As for what you can do, just support her.
I and my wife have been together for 4years now. We went to hospital and she tested positive, I tested negative. She’s on meds and is pregnant. What I do to help her?
Hi Lalita,
Its great to hear that you’re OK with your status and that you’re getting on with your life.
With regards to the meds, being late by 10, 20 or 30 minutes is fine. This won’t have any impact on your health.
Hi I’m a 30 year old woman living with HIV for about 10 years now never been sick or anything but I lost weight after my second born and had to start treatment when I was pregnant but my worry is that I often forget to take my treatment on time everyday I’m always late by 10 or 20 to 30 minutes, will that affect my health or what? My status is never a problem I never worry about it or anything I even forget that I’m positive sometimes.
Hi Micky,
Thanks for sharing your story with us, its great to hear that you’re doing so well. Its also great to hear that you understand how HIV works. Yes, there is stigma, but its a very manageable health condition.
Good luck.