Q and A

Question

I’m 36 and HIV+, how long will I live?

Hi, I am 36 years old, diagnosed 2 years ago HIV Positive.

My CD4 is 547 and my viral load is under 5000 copies, I am still not on treatment and have no resistance to any of the main medications used. I have no other health problems, don’t smoke, eat well and exercise 4-5 times a week.

I know that I should reach a fairly good age but what is that likely to be? I still wonder whether I should bother making plans for pensions and I am feeling very low as I think I will have poor quality of life even if I do have another 25-30 years left.

Few people know that I am gay let alone positive which makes things difficult.

I would really like some help understanding what age I am likely to live until and what my quality of life will be.

Thanks in advance for an incredibly good website and source of information.

Answer

Hi,

Thanks for your question. It is great to hear that your CD4 Count is so high and that you are looking after your health.

You asked how long you can expect to live. This question is difficult to answer because of course each person is an individual. HIV affects everybody differently.

Being diagnosed early- when you still have a high CD4 count- is important in increasing life expectancy. A recent study looked at HIV positive men who have sex with men living in rich countries. It found that, when diagnosed early, life expectancy was 75 years. The study, which is quite technically worded, can be viewed at this link.

I hope this reassures you that you can expect to live almost as long as somebody who is HIV negative. You also said that you are worried about having a poor quality of life.

While living with HIV is not easy you can still have a good quality of life. Treatment and care within the UK is an excellent standard. We have access to the latest drugs.  Serious side effects are much less common with new drugs, and are well managed.

You mentioned that you don’t have much support and that few people know that you are gay. This must be difficult when trying to cope with your recent diagnosis. You might be interested in meeting other gay men in the UK living with HIV. If you look at this link you will see ways to contact support groups for gay HIV positive men.

If you would like to talk to somebody within i-Base for more information you can call our free phoneline on 0808 800 6013.

91 comments

  1. Diana

    i have been hiv positive for about 5 years now, but the doctor did test an it shows that my verial load has reduce to 400 so i dont know what it really means, but i have stop medicine since last year

  2. Josh Peasegood

    Hi Benup, as the semen is dry there is no risk of transmission. Please follow this link for more information: https://i-base.info/qa/factsheets/hiv-transmission-and-testing

  3. Benup

    Hy mend today my broken skin touched the dried semen I m very worry what can I do

  4. Josh Peasegood

    Hi Mend, do you know the type of test you took? Was it a test for viral load specifically?

  5. Mend

    Hi, i have been on meds for one year. I recently tested and got a negative test. Does it mean i have a low vr

  6. Lisa Thorley

    Hi Candy,

    If your friends wants to know if her ARVs are working she needs to have a viral load test.
    By negative test, if you mean will your friend test negative on a HIV test, the answer is no.
    Missing one day of meds won’t make any difference, however it’s important to try and adhere.

  7. Candy

    Hi there a friend of mine was diagnosed with HIV in 2015. She only started taking her ARVs in 2020 and still going regularly to the clinic and taking everyday her medication. How would she know if the medication is working? And when taking blood tests will it show negative? Lastly if she skips one day will the HIV be dectable in her blood? Thank you

  8. Simon Collins

    Hi Mohammed, thanks – and for your work as a viral load champion. The confirmatory test shows you are HIV negative. It just sounds like the first test was a false-positive. Please ask your doctor to also explain these results.

  9. Mohammed

    I’m working with NGO as viral load champion, I was recently diagnosed positive with determine and go for confirmatory and diagnosed negative using DNA PCR(DBS sample).

    I tested my sex partner she was negative, because i never got prick in hospital nor contermination. What action should I take next? People said determine can pick other infections, is it true? If true, what are these infection and how can I get ridge of them?

  10. Simon Collins

    Hi Bugga, so long as you use HIV treatment HIV will not reduce how long you live. This means you have to me good at taking your meds though. This online guide has a lot more information: https://i-base.info/guides/starting

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