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. Josh

    Hi Tony,

    If you can get a multivitamin that has daily amounts of the main vitamins your body needs, poor diet is not much of an issue.

  2. Lisa Thorley

    Hi Tony,

    If you’re asking how this will effect your HIV, it won’t really. A balanced diet is important for someones overall health.

  3. Tony

    In situations where one can not afford constant balance diet, what happens?

  4. Joe

    How Joyce can you thank god and his glory for giving scientists the wisdom to find cures for these dieseases when god created the diesease in the first place. It’s got nothing to do with god it’s to do with science and research!

  5. Roy Trevelion

    Hi Patrique,
    ART means HIV Treatment, please see this guide Introduction to ART.
    ARV means AntiRetroViral drug. These are the drugs used in ART.

  6. patrique

    what is the difference between ART and ARV

  7. Joyce

    We give God the glory for giving such knowledge to scientists and we pray that the drug for curing HIV is found soon so that we are safe from the disease, thanks to the scientists for the tireless efforts towards the eradicating HIV in the whole world and above all we thank the Almighty God for the knowledge he gave the scientists,God bless you for your struggle.

  8. Roy Trevelion

    Hi Akash,

    Are taking HIV treatment (ART)? Many people gain weight when starting ART because your body is using less of its energy to fit HIV.

    Here is the section on a balanced diet in the guide to side effects and quality of life. Making sure you eat a healthy balanced diet can help increase your weight.

  9. Akash

    Mi HiV positive aahe .maje weight 55 kg aahe ,mi weight 65 paryant gain karu shakto ka?

  10. Lisa Thorley

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