|am I still contagious?
Jun 22, 2011
Hi, I am hiv+, undetectable viral load, T-cells about 500, which I consider good numbers, especially since I have no aparent symptoms at the moment. I would like to know if, despite these numbers, I can still pass hiv to somebody else if I am the bottom in a sexual relationship with no condom. Are chances high that my active (top) partner get the virus from me?
| Response from Dr. Frascino
Are you still contagious despite having an undetectable viral load and high T-cell count? Yes, you are.
It is true that being on effective antiretroviral therapy that decreases HIV plasma viral loads to undetectable levels for a considerable period of time significantly decreases HIV-transmission risk but it does not completely eliminate that risk.
The CDC's estimated per-act statistical risk for acquiring HIV from unprotected insertive anal sex with a partner confirmed to be HIV positive is 6.5 per 10,000 exposures.
The bottom line is that no one should poke your bottom without a latex condom in place.
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