Just Diagnosed: Next Steps After Testing Positive for HIV
- Testing positive for HIV often leaves a person overwhelmed with questions and concerns. It’s important to remember that HIV can be treated effectively with HIV medicines. HIV medicines help people with HIV live longer, healthier lives and reduce the risk of HIV transmission.
- The first step after testing positive for HIV is to see a health care provider, even if you don’t feel sick. Prompt medical care and treatment with HIV medicines as soon as possible is the best way to stay healthy.
- After testing positive for HIV, a person’s first visit with a health care provider includes a review of the person’s health and medical history, a physical exam, and several lab tests.
Testing positive for HIV often leaves a person overwhelmed with questions and concerns. It’s important to remember that HIV can be treated effectively with HIV medicines.
Treatment with HIV medicines (called antiretroviral therapy or ART) is recommended for everyone with HIV. HIV medicines help people with HIV live longer, healthier lives and reduce the risk of HIV transmission.
The first step after testing positive for HIV is to see a health care provider, even if you don’t feel sick. Prompt medical care and treatment with HIV medicines as soon as possible is the best way to stay healthy.
The information collected during a person’s initial visit is used to make decisions about HIV treatment.
A health care provider reviews a person’s lab test results to:
- Determine how far the person’s HIV infection has advanced (called HIV progression)
- Decide which HIV medicines to recommend
Results from the following three lab tests help answer these questions.
A CD4 count measures the number of CD4 cells in a sample of blood. CD4 cells are infection-fighting cells of the immune system. As HIV advances, a person’s CD4 count drops, which indicates increasing damage to the immune system. Treatment with HIV medicines prevents HIV from destroying CD4 cells.
A viral load test measures how much virus is in the blood (HIV viral load). As HIV progresses to AIDS, a person’s viral load increases. HIV medicines prevent HIV from multiplying, which reduces a person’s viral load. A goal of HIV treatment is to keep a person’s viral load so low that the virus can’t be detected by a viral load test. This is known as having an undetectable viral load.
Once HIV treatment is started, the CD4 count and viral load are used to monitor whether the HIV medicines are controlling a person’s HIV.
Health care providers consider many factors when recommending HIV medicines, including a person’s drug resistance test results. Drug-resistance testing identifies which, if any, HIV medicines will not be effective against a person’s strain of HIV.
The ClinicalInfo infographic What do my lab results mean? has more information about tests used to monitor HIV infection and treatment.
Issues, such as lack of health insurance or an inability to pay for HIV medicines, can make it hard to take HIV medicines consistently. Health care providers can recommend resources to help people deal with any issues before they start taking HIV medicines.
- Because I have HIV, will I eventually get AIDS?
- What can I do to stay healthy and avoid getting other infections?
- How can I prevent passing HIV to others?
- How will HIV treatment affect my lifestyle?
- How should I tell my partner that I have HIV?
- Is there any reason to tell my employer and those I work with that I have HIV?
- Are there support groups for people with HIV?
- Are there resources available to help me pay for my HIV medicines?
- How to Find HIV Treatment Services, a fact sheet listing HIV-related resources including resources to help find a health care provider and get help paying for HIV medicines, from ClinicalInfo.
- Question Builder, a tool to use to create a list of questions to ask a health care provider, from the Agency for Healthcare Research and Quality.
- Telling Others, a webpage with information on how to share an HIV diagnosis with others, from the Centers for Disease Control and Prevention.
- From the Department of Health and Human Services: Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV:
- From the Department of Veterans Affairs: