Q and A

Question

My viral load is now 125 after being undetectable for a year…

I’ve been HIV positive for about a year now and ive also been on treatment for about a year and tested undetectable in my last viral load test (below 40).

Now I tested again and viral load came back 125 – my doctor explained that a viral blip occurred.

I had unprotected vaginal sex with my negative girlfriend and I’m worried that I may have put her at risk. Although we went on PEP immediately.

Answer

Thanks – your doctor is giving you good advice.

So long as you have been taking your meds carefully, viral load usually stays undetectable.

Low level blips are common and usually become undetectable again without need to change treatment.

Your partner will still be protected, as this is okay when viral load is less than 200. (It is probably also okay when less than 1000 for straight couples, though guidelines don’t say this).

Using PEP is still probably a good idea if you were worried. This will also reduce the risk of HIV in case this is not a blip.

Please check your viral load again after four weeks though. Don’t let this go for months in case it is not a blip.

Please see this link for more information about PEP:
https://i-base.info/qa/factsheets/pep-faq

12 comments

  1. Simon Collins

    Hi Buyiswa, thanks. Please don’t worry, changing the time you want to take you meds is easy. Sticking to roughly the best time for you is good but the most important thing is to take you meds every day.

    Please talk to your doctor about the bumps near your ear as we are not doctors and someone needs to physically see the bumps.

  2. Buyiswa

    Hi i took my ARV’s at 6am and was not home I didn’t take I decided to change to 6pm is it still ok.. And would like to know is it safe to take on an empty stomach I have bumps near my right ear what is the cause?

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