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. Simon Collins

    Hi Rasal, yes this is good information. HIV treatment is taken carefully could easily mean you live another 30 years :)

  2. rasal

    What is life expectancy today with hiv? I’m hiv positive and lm old 37. I expect to live 30 more years, is this possible today with treatment?

  3. Simon Collins

    Hi Rasal, your question is not very clear, but HIV treatment does mean people can lead a long normal life.

  4. rasal

    Sir hiv positive people life is possible today treatment

  5. Simon Collins

    Hi Jeewan, occasional blood in not uncommon but is this continue please see your doctor – please also see Q1 at this link:
    http://i-base.info/qa/what-are-the-most-asked-questions

  6. Jeewan

    I recently contacted with prostitute. She said not to use condom as she has uninfected and has done test also. But after a week I tested and for negative but while masturbating today, blood came along with semen fluid. I am worried if am infected with STI or HIV

  7. Simon Collins

    Hi Dancan, please see information at this link – including the link about just having been diagnosed:
    http://i-base.info/hiv-positive
    Finding out about your health and options can be a good way to take control of the situation. Slowly, day by day it will get easier. Modern ART means you are likely to live as long as your would have before you were diagnosed.

  8. Dancan

    I was recently infected and now iam afraid of dying ..what can I do?

  9. Simon Collins

    Hi Rammy, life causes stress for lots of people – ad HIV can add to this. Is there anyone you can talk to? Either a friend of health worker – or a support group with other positive people? Also, if your combination includes efavirenz, your meds might be making you feel down – if yes, please see Q3 at this link:
    http://i-base.info/qa/what-are-the-most-asked-questions

  10. Rammy

    I am HIV positive currently on arvs not employed seeking for a job at healthcare centres though cause I’m a professional care worker I think not working stresses me as I have no partner to maybe talk to or go out with am I just being paranoid or is it normal to feel stressed sometimes?

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