{"id":26848,"date":"2026-10-09T14:13:54","date_gmt":"2026-10-09T14:13:54","guid":{"rendered":"https:\/\/i-base.info\/qa\/?p=26848"},"modified":"2026-10-11T21:14:04","modified_gmt":"2026-10-11T21:14:04","slug":"26848","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/26848","title":{"rendered":"Can I rely on U=U? I feel guilty and anxious despite being undetectable for many years"},"content":{"rendered":"<p>Hi there<\/p>\n<p>Thanks &#8211; we sometimes get\u00a0similar emails so other people\u00a0experience\u00a0this too.<\/p>\n<p>After five years of being undetectable and good adherence, your viral load is probably less than 5 copies\/mL. Most of any virus is also likely to be defective and not able to actively reproduce anyway. Maybe do your own research on this, including look at the studies about U=U:<br \/>\n<a href=\"https:\/\/i-base.info\/u-equals-u\/\">i-base.info\/u-equals-u<\/a><\/p>\n<p>Your levels of anxiety sound extreme though. So your reactions are likely related\u00a0to earlier experiences &#8211; either in life in general\u00a0or about HIV. But if you won&#8217;t let professionals help you, and don&#8217;t believe them, then perhaps find alternatives to having sex.<\/p>\n<p>Or maybe try finding partners who are also living with HIV, or who are on PrEP, or just use condoms.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hi everyone, I am HIV-positive and have been on Biktarvy for many years. I take my medication every day, usually at 10:00\u201310:20 pm, and I have been undetectable for around eight years. <\/p>\n<p>My latest viral load result in June was undetectable, and my CD4 count is around 1,100. My HIV clinic has repeatedly reassured me that I can rely on U=U.<\/p>\n<p>However, I have been struggling with significant anxiety, especially over the past year. <\/p>\n<p>Whenever I have sex with someone and they later develop symptoms such as a sore throat, cough, runny nose, headache or fever, I immediately become afraid that I might have infected them with HIV.<\/p>\n<p>Recently, a woman I was intimate with developed cold-like symptoms about a week after we met. Another man I was intimate with also became ill around a week after our encounter.<\/p>\n<p> I know that these symptoms are common and that their timing does not prove I transmitted anything, but I cannot stop connecting these events to myself. <\/p>\n<p>Even hearing someone cough can trigger intense anxiety and make me feel as though I am going to lose control.<\/p>\n<p>I have consulted doctors, nurses and a psychologist at my HIV clinic. They have reassured me that, with sustained viral suppression, HIV cannot be transmitted sexually. I take my medication consistently, yet whenever someone becomes ill, I start doubting everything I have been told.<\/p>\n<p>I also struggle with feelings of guilt. I have had several sexual partners recently, and I sometimes wonder whether my anxiety is a sign that I should slow down and reconsider my approach to intimacy. I am believer, and sometimes I worry that God might be trying to tell me something through these events. <\/p>\n<p>I do not know whether this is a genuine reflection of my values or simply anxiety making me feel guilty.<\/p>\n<p>My main question is: has anyone else experienced this kind of persistent anxiety despite being undetectable for so long.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,23,51,36,37],"tags":[],"class_list":["post-26848","post","type-post","status-publish","format-standard","hentry","category-all-topics","category-hiv-transmission","category-prep","category-sero-different-couples","category-sexual-health"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/26848","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=26848"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/26848\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=26848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=26848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=26848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}