cd4 and viral load dilema - what to do?
Oct 30, 2011
Hallo Dr Holodniy, I have been HIV positive for 12 years and not taking medication. For the last year, my Doctor has told me we need to start treating the virus. Here is a sample of my labs; Last week cd4-214, viral load-400,and 37%. A month ago it was, cd4-218, viral load-314, and 35%. Three months before that, cd4-350, viral load-500, and 35%. Basically my viral has been below 1000 for the last 6 years when i was diagnosed, cd4 goes up and down from 500 to a low of 200 and back to 350 most of the times. The % has been over 32 all along. Right now i am under a lot of stress and i so unprepared to start medication. My health is good,no fatigue or nausea,all the other blood counts are normal.
My question is what do you think is the reason for the low cd4, low viral load and high per cent. Would you recommend medication asap if i was your patient?
Response from Dr. Holodniy
You are correct this is a dilemma, as there is a disconnect between your low CD4 count, normal percent and the very low viral load. The HIV treatment guidelines and experts are unlikely to have a unified recommendation or consensus on what to do in your kind of situation, as there is just not enough data on outcomes to be smart about this. Although I don't think there is an urgency to start, I agree with your doctor. I think starting treatment will shut the virus down, stabilize your CD4 count, and eliminate this nagging problem of such swings in CD4 count.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Dry Cough After Unprotected Anal Sex Without Ejaculation Does It Mean I Have HIV
- Penis Discharge After Anal Sex Worried I Have HIV
- Rectal Bleeding After Vaginal Sex Without Condom Does It Mean I Have HIV
- Antibiotics Used To Treat Gonorrhea And Chlamydia
- Is Chlamydia In The Blood?
- Are There Rare Hiv Infected Who Don't Develop Antibodies?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.