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 Sam,
Even if someone is on meds and their viral load is undetectable then will still test positive. This is because the meds do not cure HIV. They control it.
Do I still test postive. Despite being on drugs and have an undetectable viral load upon a blood test
Hi Petronella,
It can be hard for people who are positive. This is due to the ignorance that surrounds it. Though it may feel like you’ve lost everything, this isn’t true. You still have your whole life ahead of you.
Is there someone that you can talk to? A close friend or a relative? How is your baby?
I was diagnosed when I was pregnant. My partner is negative. His family can’t accept my status. I have lost everything.
Hi Anna,
It sounds like you need some support. Is there someone that you can talk you? Have you started meds?
I was pregnant all my tests where negative even the day l gave birth l tested negative my boyfriend forced to slip with me during my six week s and l went and got tested l tested positive .its hard fr me to accept now he CNT even take care of his child
Hi Lulu,
It sounds like you’ve just been diagnosed. If this is correct, give yourself some time to breath. Slow down. You’ll be OK.
Being diagnosed can be difficult to come to terms with, more so if you’re pregnant. Is there anyone you can talk to? A close friend, or relative?
Feeling like you may die is common. However, unlike in the past HIV is now a very manageable health condition. That is as long as you take ARVs. Its the taking of ARVs that will help you control your HIV. Being on ARVs will also reduce the risk of transmission to your baby. If you haven’t already started them, its important that you start them as soon as possible.
For more about HIV and pregnancy, please see here:
http://i-base.info/guides/pregnancy
You may also find our starting treatment guide helpful:
http://i-base.info/guides/starting
I’m pregnant and positive, I’m worried that I may die before my baby is born.
Hi Alatu,
Please see Q’s 1 and 5 here:
http://i-base.info/qa/what-are-the-most-asked-questions
my name is alatu,
my girl and I went for a hiv text n she tested positive while I tested negative and we have been together for a month now.now my question is will I test positive or is there any other test to do so to be sure am not infected yet?