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If i have hiv but I'm undetectable and I have a sore throat it was bleeding from coughing to much and a hiv positive person with a extremely low count not on meds and has new and older sores on his penis nuts in your mouth and you swallow it what are the risk factors for you and also what about that person using toilet same spoon etc lmk now im freaking out it feels like my throat is closing i threw up and i spit out black stuff and my throat hurts bad

Hi, Thanks for your question. If you are HIV positive and have an undetectable viral load and having unprotected sex with another HIV positive person who is not on treatment and has a detectable viral load, there is a possible risk for you to be reinfected with a different strain of the virus. However, this risk is very rare. Terrence Higgins Trust has more information on when you’re both positive here: https://www.tht.org.uk/hiv-and-sexual-health/living-well-hiv/sex-and-relationships/when-youre-both-positive. HIV cannot be transmitted by sharing the same toilet or spoons. For transmission to occur, it requires blood, semen, rectal fluids or front hole fluids from a HIV positive person who is not on treatment to enter the bloodstream of another person (often through fucking or being fucked or sharing injecting equipment). Although oral sex is considered very low to no risk for HIV transmissions, the risk for reinfection can increase if you have cuts or sores in your mouth. If you’ve had a sore throat, been coughing a lot and blood has been present, and the other person with a detectable viral load has cummed in your mouth, your risk for reinfection may increase as there are more entry points for the virus to enter your bloodstream. There may also be a risk for the transmission of other STIs, so it’s important to make sure you are having routine sexual health check-ups with your doctor or local sexual health clinic. The symptoms you are describing can be caused by other things as well, and we highly recommend seeing a doctor as soon as possible to seek further medical advice, especially if you are spitting up something black, as you described. We also recommend further discussing your risk for reinfection with your doctor who specialises in HIV and seek medical advice from them. If you live in NSW and are looking for more support, Positive Life NSW is a great organisation to reach out to. You can find them at (02) 9206 2177 or contact@positivelife.org.au.

1. How long would an hiv patients under antiviral drug live after being detected at an early stage?

Living with HIV today is a very different story to how it use to be understood. People living with HIV who are on effective treatment today can suppress the viral load of HIV in their bodies to ‘undetectable’ levels. This means that the levels of HIV in their bodies become so low that they cannot transmit HIV to a HIV negative person, and they have much better health outcomes. Their health can be improved even more if treatment is started early soon after diagnosis. This means that people living with HIV today can live long and healthy lives.

Can someone transmit HIV to another person through oral sex precum if that person is undetectable and on medication?

Hi, Thanks for your question. Oral sex is considered very low to no risk for HIV transmissions. However, this can be different for other STIs, which are easily treatable. We recommend to anyone who is sexually active to have regular sexual health check-ups with their doctor or local sexual health clinic. If you live in NSW, you can find the nearest place to get tested here: https://endinghiv.org.au/test-often/where-to-get-tested/. People living with HIV who are on effective treatment and sustaining an undetectable viral load (UVL) cannot transmit HIV to a negative person through any form of sexual activity. In fact, UVL is one of the most effective HIV prevention strategies along with condoms and pre-exposure prophylaxis (PrEP). You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/all-about-treatment/

Hi i want to ask if we are treating both of me and my patner we hace to use condoms every time? And wat gna happened or effects? if someone is not taking treatment between 2 of us?

Hi, That is a really good question! If both you and your partner have only just started HIV treatment, it is still important to continue using condoms until you both have sustained an undetectable viral load. If one or both of you still have a detectable viral load and are having unprotected sex, there is a risk that you can possibly pass on a different strain of HIV and reinfect each other, or become susceptible to drug-resistant strains of HIV. The Terrence Higgins Trust website has useful information on this here: https://www.tht.org.uk/hiv-and-sexual-health/living-well-hiv/sex-and-relationships/when-youre-both-positive If you are seeking for more medical advice, we recommend having a chat with your doctor or health professional who specialises in HIV. If you live in NSW, you can also call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

Only after physical contact i get to know my boy friend do the test and his doctor said he is HIV positive but undetectable =untransmitted Do i have chances to get the virus too

Hi, That’s a really good question. People living with HIV who are on treatment can suppress their viral load to such a small amount that we call it ‘undetectable’. People who are HIV positive with an undetectable viral load (UVL) cannot transmit the virus to a HIV negative person. In fact, most people living with HIV are on treatment and are sustaining a UVL. Along with condoms and pre-exposure prophylaxis (PrEP), UVL is also one of the most effective HIV prevention strategies. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. We still recommend to anyone who is sexually active to get tested for HIV & STIs 4 times a year with their doctor or local sexual health clinic if they have multiple partners. If you are in a monogamous relationship, we recommend getting a sexual health check-up once a year.

Last February I checked the blood at KRC at Kingkross and found that I was infected by viral load 215,000 and CD4 in the amount of 200. After that, I received the drug called "Biktarvy" for 2 months. I went to have a new blood test and found Undetectable 2 months later. I had a new blood test. It turns out that the Viral load is 45, causing me a lot of anxiety, but the doctors at KRC told me that it's okay. Therefore would like to discuss what I should do

Hi, Thanks for your question. While on treatment, a person living with HIV can sustain an undetectable viral load (UVL). This means that the level of HIV in the person’s body is so low that it cannot be modern testing cannot detect it. Having a viral load of 45 copies/mL is considered an undetectable viral load. Having a UVL can improve the overall health of a person living with HIV. Also, a person who sustains a UVL for 6 months or more cannot transmit HIV to another person. This means that UVL is one of the most effective HIV prevention strategies along with condoms, PrEP and PEP. You can read more about UVL on our website here: https://endinghiv.org.au/blog/risk-reduction-strategies-uvl/ We would recommend continuing your treatment in order to sustain a UVL. ACON also provides lots of support services for people who are newly diagnosed. This includes counselling, one-on-one peer support, as well as Genesis workshops. You can find out more information on these services by calling ACON at 9206 2000 or through the website here: https://www.acon.org.au/what-we-are-here-for/hiv-support/#newly-diagnosed-with-hiv-services

How about if a person is HIV positive undetectable, and takes his ARV medication everyday but also has genital Herpes. If he has herpes outbreak will he be able to give the other person HIV through that even though he’s undetectable?

Hi, Thanks for your question. Undetectable viral load (UVL) is a highly effective HIV prevention strategy. A person living with HIV who is on treatment and is sustaining a UVL cannot transmit HIV to a negative person, and having a herpes outbreak will not make a difference. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/ However, there may be a risk for herpes itself or other STIs to be transmitted. We would recommend visiting Sydney Sexual Health Centre or your local sexual health clinic where they can provide treatment for genital herpes. Appointments can be made through their website here: https://www.sshc.org.au/.

Today I found out my ex was born with hiv we had unprotected sex In 2016 and he’s just now telling me and I’m super scared I’ve been checked in December 2018 only thing came back was chlamydia then I went the hospital for having lower belly pains I’m may of 2019 and they did test and it was a uti and everything came back negative . I did research and it said it take 4-6weeks to show up . And it’s been years so should I be safe

Hi, Thanks for your question. Most people living with HIV are aware of their status and are on treatment, which means that many are sustaining an undetectable viral load. People living with HIV who have a UVL are unable to transmit HIV to another person. You can read more about UVL and how it is an effective HIV prevention strategy on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. From the tests that you have had, the results are conclusive that there was no HIV transmission from the sex you had in 2016. If you’ve continued to be sexually active with other partners, we recommend having regular sexual health check-ups with your doctor or local sexual health clinic. For more information, you can also call the Sexual Health Infolink at 1800 451 624 where someone can answer your questions over the phone.

Below what value is considered UVL? I recently got exposed to someone with viral load of 100. Am i at risk of infection?

Hi, thank you for your question. What you have described would be considered negligible risk for HIV transmission. The Partner study in 2017 showed that people with a viral load under 200 copies had not passed HIV on to their sexual partners. You can read more about this in on our website: https://endinghiv.org.au/treat-early/about-undetectable/ Also, see our position paper: https://www.acon.org.au/wp-content/uploads/2015/04/Position-Statement-Undetectable-Viral-Load-2014.pdf