Question
Why is my husband HIV negative when I am pregnant and HIV positive?
23 January 2018. Related: All topics, Newly diagnosed, Pregnancy, Sero different couples, Starting treatment.
Hi , I am 36, married, and pregnant and have just found out that I am HIV positive, with CD4 of 239.
My question is I never get sick or have any symptoms that I am infected, so now I am worried that I maybe too late to start treatment, because they told me that I need to start when my CD4 count is about 350.
My mind still adjusting to the news cos its only weeks find out I am positive but I have the reason to live that is why I accept that life goes on, its the matter of changing lifestyle and live good healthy life style.
My other worry is that my husband tested 6 months ago and he said he tested negative, checking from that time do you think he lied to me about his result because now I six month pregnant and positive. Is it possible to check when I became HIV positive?
Answer
Thank you for your question.
As you asked a number of questions, I will respond to them one at a time.
Firstly, congratulations on your pregnancy.
Although it might be difficult to learn you are HIV positive, it is much better that you found out now. Earlier is always better both for your health and for your baby. You are also right in taking a positive attitude about your life.
Even though your CD4 count is less than 350, you will still get a good response to HIV treatment (ART). The meds will help get you CD4 count become higher again and will protect the baby from HIV. The meds will also protect your husband from HIV in the future. Also, since 2015, ART is recommended for everyone, even at CD4 counts above 500.
Starting ART is important, so that your viral load can become undetectable when your baby is due to be born. This is because having an undetectable viral load is the best way for your baby to be HIV negative.
This guide to HIV and pregnancy has lots more information.
If your husband was HIV positive 6 months ago, it might be good for him to test again now. There is a small chance that he might have recently become HIV positive but that the test didn’t work. He might also really be HIV negative and has just continued to be lucky.
There are many couples were one partner is HIV positive, and the other is HIV negative, even when they haven’t been using condoms. Please follow this link for more information on such cases.
More information on sero-different couples (where one partner is HIV positive and the other is negative) is at this link. The answers to Q 5, 6 and 9 at this link might also help:
https://i-base.info/qa/what-are-the-most-asked-questions
Good luck with the rest of your pregnancy and please let us know if we can help further or again in the future.
Note: This answer was updated in January 2018 and July 2016Â from a question first posted online in November 2011.
Hi Patson,
People who are HIV positive have sex all the time and with people who are negative. If your partner isn’t on treatment, then you will need to use a condom, or risk contracting HIV. If she’s on medication and has an undetectable viral load the risk of transmission will be close to zero. For more info please see the results of the PARTNER study:
http://i-base.info/qa-on-the-partner-study/
my partner is positive but I’m failing to believe it….what can I do if I want to have intercourse with her.
Hi Aqueneeth,
Yes, its very possible. Please see Q5 here for more info:
http://i-base.info/qa/what-are-the-most-asked-questions
Now that you know your status are you able to get any support? Have you started treatment yet?
I tested positive and my boyfriend claims that his negative, but I always ask myself is that possible?
Hi my name is Augusta. My CD4 count is 95, I’m not on treatment and I don’t want to tell anyone.
Hi August,
You don’t have to tell anyone about your status if you don’t want to. But you may want to get some support. Is there perhaps a support group near to where you live?
Because your CD4 is 95 its important that you start treatment. If you start treatment your CD4 will rise. Your HIV will start to become controlled.
For more info on CD4s that are less than 200 please see here:
http://i-base.info/qa/3560
Is there any reason why you aren’t on meds? Have you been newly diagnosed?
Hi Nathi,
What is it exactly that you’d like to know?
Guys my partner is positive but m negvite
And she’s pregnant
Hi Ali,
If you were having unprotected sex with your wife and you were unaware of your status, then yes you could have infected her. Therefore, she will need to test.
I had a relationship since was working away and I tested negative august 2016 and the whole of August had unprotected sex with my wife and then September I got positive results, is it possible that I in infected my wife with HIV while it was undetected from the test results