Q and A

Question

How long can I live if I’m taking HIV treatment (ART)?

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).

547 comments

  1. Lisa Thorley

    Hi Matthews,

    If you take your meds, HIV won’t ‘kill’ you.

    Please see Q10 here:

    http://i-base.info/qa/what-are-the-most-asked-questions

  2. Matthews

    Hi

    quick question plz….if im hiv positive and i regularly take my medicine and that way my life expectancy is somewhere around the 50’s…what will kill me at the end?? is it hiv that’s gonna finish the job or something else???or the virus will grow strong and uncontrollable and kill me??

  3. Peter

    Thanks for ur information

  4. Lisa Thorley

    Hi Griev,

    Some ARVs are taken once daily, others twice daily. It all depends on what your combination is. For more info about ARVs, please see here:

    http://i-base.info/guides/starting

  5. Griev

    I wanted to confirm how the medications are taken.how many times a day

  6. Lisa Thorley

    Hi Augustine,

    There’s no reason why you can’t play football, or be a footballer if you have HIV. If you’re worried that you might transmit it whilst playing, this won’t happen.

  7. Augustine

    When one is affected by HIV can he play football or be a footballer?

  8. Lisa Thorley

    Hi Jose,

    If all of your tests other than the first came back as being negative then this would imply that you’re negative.

  9. Jose

    I had a test done may 11 and came back reactive then it was sent for confirmation and the confirmation back negative. In June I had another test done and came non-reactive. I also done a few rapid test and came back negative. What does that mean?

  10. Lisa Thorley

    Hi Thabo,

    No you can’t transmit HIV through oral sex when you’re one meds. Its also very hard to transmit HIV through oral sex when you aren’t on meds. Therefore if this is something that you enjoy doing, then you can do.

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