HIV Basics

In this page, you will find answers to some of the most common questions you may have about the basics of HIV. Click on any of the links below and you will be taken to that specific section.

What is HIV?

HIV (Human Immunodeficiency Virus) is a virus that attacks cells in the immune system which is our body’s natural defense against illness. As HIV destroys more cells in the body, it gradually weakens a person’s immune system, making it harder to fight off diseases and infections if left untreated.

While the human body cannot get rid of HIV and no effective cure for HIV exists, people with HIV who are on effective treatment can live a long and healthy life. The treatment for HIV is called Antiretroviral Therapy. If HIV is left untreated, the immune system may become so severely damaged that it can no longer defend itself at all.

For additional information, please visit: hiv.gov.

 

How can someone get HIV?

HIV is found in body fluids such as blood, semen, breastmilk, or vaginal and rectal fluids of someone living with HIV. A person can only contract HIV if the virus is transmitted into their bloodstream through any of the following ways:

  • Sex – Having unprotected sex with someone who has HIV.
  • Breastfeeding – A mother infected with HIV can pass it to her child through breastfeeding or directly through blood during pregnancy and child birth.
  • Contaminated Injection Equipment – Sharing or getting stuck with syringes/needles that were previously used by someone who is HIV positive.
  • Contaminated Blood Transfusion and Organ Transplants – Receiving blood transfusion and organs from someone infected with HIV.

HIV cannot spread through sweat, saliva or urine; the virus cannot be passed through coughing, sneezing, or hugging with a person who is HIV positive.

For additional information, please visit: webmd.com/hiv-aids.

 

How can I prevent myself from getting HIV?

While anyone can get HIV, there are various steps you can take to reduce your risk of getting or transmitting HIV. Below are some of the strategies for prevention:

  • Get tested and treated for HIV and STDs. You and your partners should get tested for HIV and other sexually transmitted diseases (STDs), as well as get treated, if applicable. Having an STD increases your risk of getting HIV or spreading it to others.
  • Use condoms every time you have sex. HIV is mainly spread by having anal or vaginal sex without a condom or without taking medicines to prevent or treat HIV. Read this CDC fact sheet to learn about the effective use of condoms.
  • Limit your number of sexual partners. Having multiple partners increases your exposure to partners with poorly controlled HIV, STDs, or an unknown sexual history.
  • Learn whether pre-exposure prophylaxis (PrEP) is an option for you. PrEP is an HIV prevention medication for people who don’t have HIV but who are at risk of getting HIV. PrEP involves taking HIV medicines daily to prevent HIV infection. To learn more, read this: AIDSinfo fact sheet on Pre-Exposure Prophylaxis (PrEP).
  • Do not inject drugs. Never share injection equipment. HIV can live in a used needle up to 42 days, so avoid sharing needles, syringes, rinse water, or other equipment.

 

When should I get tested for HIV?

Getting tested is the only way to know your HIV status. The CDC recommends that every person between 13 and 64 years old should get tested at least one time as part of routine care, even for those who don’t believe they are at risk.  People who have a higher risk of contracting HIV, such as individuals with multiple partners and sexually active gay and bisexual men, should get tested more often, such as every 3 to 6 months.

If you have experienced any of the following, you should get an HIV test as soon as possible:

  • Had unprotected sex with someone who is HIV positive.
  • As a man, had sex with another man.
  • Have shared syringes, needles or other injecting equipment.
  • Have been diagnosed with or treated for hepatitis, tuberculosis, or a sexually transmitted disease.
  • Had sex with someone who has done any of the above or someone whose sexual history you don’t know.

Pregnant women and those who want to put their mind at ease should also talk to their healthcare provider about getting tested for HIV.

 

What are the symptoms for HIV?

Testing is the only way to learn if you have HIV, as the symptoms of HIV vary depending on the person and the phase of infection. For example, some people can experience flu-like symptoms within 2-4 weeks of contracting the virus. However, many people don’t have symptoms at first and may not experience symptoms for years or decades. In the case that HIV is not treated, individuals usually go through the following stages:

Stages of HIV:

  • Stage 1 – Acute Infection: In the earliest stage, people may experience flu-like symptoms, including fever, aches, rash, fatigue, or chills. These symptoms may be mild or a person may not even notice these symptoms.
  • Stage 2 – Chronic Infection: In this stage, the HIV virus starts to reproduce slowly, causing damage to your immune system. Many people may not have any symptoms during this stage; however, the virus is prevalent in the body and one can still spread it to other people. Without treatment, a person may remain in this stage for years.
  • Stage 3 – AIDS: In this stage, the immune system is severely damaged making one’s body vulnerable to infections and diseases. This is when one has AIDS. Symptoms for AIDS include chills, fever, sweats, swollen lymph glands, weakness, and weight loss.

 

Where can I get tested for HIV?

You can obtain an HIV test by asking your healthcare provider. You can also access tests at many health clinics, community centers, hospitals, and even some pharmacies. To find a testing site near you, visit: gettested.cdc.gov, or call 1-800-232-4636.

Most health insurance plans cover HIV testing, and some testing sites may offer low-cost or free tests.

You can also opt for HIV self-testing. OraQuick is the only FDA-approved antibody test you can take at home. This test produces results in about 20 minutes. You can purchase the rapid self-test kit at a pharmacy or online at oraquick.com/.

About the types of HIV tests:

There are various testing methods available to determine HIV infection. Ask your doctor which of the following is right for you.

  • Antibody test: This is the recommended test for HIV. The antibody test looks for proteins your body makes to fight the virus. The test uses a small blood sample from a vein in your arm or finger stick. It can also use fluid from inside your mouth (oral fluid test). With rapid antibody screening tests, you can typically get your results in approximately 30 minutes.
  • Nucleic acid test (NAT): This test looks for traces of HIV in your blood. Your blood sample is sent to a lab for testing, so it may take a few days to get the results.
  • Self-test (home test): OraQuick is a rapid antibody test you can take at home. You swab your gums to get a fluid sample and use the kit to test it. Results are ready in about 20 minutes. It’s important to use the test correctly or it won’t work well. An at-home test that shows HIV should always be confirmed by another test taken at a doctor’s office, clinic, or testing center.

 

How can HIV be treated?

People with HIV can live a healthy life with early and appropriate treatment. The treatment for HIV is called antiretroviral therapy (ART), which involves taking a combination of medicines that slow the progression of the virus in your body. ART can’t cure HIV, but it helps people with HIV live longer, healthier lives, and the treatment dramatically reduces the risk of HIV transmission, if taken as prescribed. In fact, people who use ART as directed can suppress the virus to the point where it can neither be detected nor transmitted (U=U)! ART is recommended for all people living with HIV regardless of how long a person has had the virus or how healthy they are.

It is recommended that individuals who are newly diagnosed with HIV begin ART as soon as possible, as delaying treatment can have threatening consequences and put individuals at risk of developing opportunistic infections (OIs). Women with HIV who are pregnant and not on HIV medication should talk to their doctor to start HIV treatment as soon as possible.

Individuals should work with a healthcare provider to choose an HIV regimen, or combination of medicines, which will depend on each individual’s unique needs. The goal of the treatment is to reduce the viral load, or amount of HIV in a person’s blood, to an undetectable level. Reaching an undetectable viral load may take 3-6 months from the beginning of treatment.  Once the virus is undetectable, it can’t be transmitted (U=U).

Learn more about HIV treatment at: aidsinfo.nih.gov.

 

Many people confuse HIV and AIDS, as they are related, but not the same. HIV (human immunodeficiency virus) is a virus that attacks a type of white blood cell called CD4 in a person’s body, while AIDS (acquired immunodeficiency syndrome) is a condition or set of illnesses which are a result of an immune system damaged by HIV. A person can have HIV and not develop AIDS. However, if left untreated, HIV can develop into AIDS.  In the US, most people with HIV receive treatment and so do not develop AIDS, because following an effective HIV treatment slows the progression of the disease. Learn more about the difference between HIV and AIDS below.

HIV is a virus

HIV is a virus that can lead to immune system deterioration. The term “HIV” stands for human immunodeficiency virus. The name describes the virus: Only humans can contract it, and it attacks the immune system. As a result, the immune system is unable to work as effectively as it should.

Our immune systems can completely clear many viruses our bodies, but that’s not the case with HIV. However, medications can control HIV very successfully by interrupting its viral life cycle.

AIDS is a condition

While HIV is a virus that may cause an infection, AIDS (acquired immunodeficiency syndrome) is a condition. Contracting HIV can lead to the development of AIDS.

AIDS, or stage 3 HIV, develops when HIV has caused serious damage to the immune system. It is a complex condition with symptoms that vary from person to person. Symptoms of AIDS are related to the infections a person may develop as a result of having a damaged immune system that can’t fight them as well. Known collectively as opportunistic infections, they include tuberculosispneumonia, and others.

Certain types of cancer become more likely when an immune system works less effectively as well. Adherence to antiretroviral therapy can prevent AIDS from developing.

The content for this page was compiled from several public information sources. We would like to thank and give credit to the following sources:

What is HIV?

How can someone get HIV?

How can I prevent myself from getting HIV?

When should I get tested for HIV?

What are the symptoms of HIV?

How can HIV be treated?

What is the link between HIV and AIDS?