Women and HIV Viral Load
Table of Contents
HIV attacks immune system cells called CD4 cells. HIV enters these cells and turns them into virus factories that produce thousands of copies of HIV. As the virus grows, it damages or kills CD4 cells, weakening your immune system.
Viral load is the amount of HIV (number of copies) in your bloodstream. The higher the amount of HIV, the greater the chances of your immune system being damaged.
Viral load can be measured by several different lab tests: a polymerase chain reaction (PCR) test, a branched DNA (bDNA) test, or a nucleic acid sequence-based assay (NASBA). All these tests are accurate, but each has a different way to measure the amount of virus. It is best to stick with the same kind of test and not switch between the two or it will be difficult to compare results over time.
Viral load results are reported as the number of copies of HIV in one milliliter of blood. The lower the number, the less virus there is in your blood. Numbers can range from about one million copies to as few as 50 copies. If you have less than 50 copies, your health care provider may tell you that your results are "undetectable."
Being undetectable is a great result because it means your virus is under control. However, undetectable does not mean that you have been cured of HIV or that you cannot pass it to others. It just means that there is not enough HIV for the test to measure. It is also important to know that labs that test viral load have different cut-offs below which they cannot detect HIV. For example: you could have 35 copies of HIV in your blood, and in lab #1, which cannot detect any HIV below 50 copies, your viral load would be considered 'undetectable.' However, in lab #2, which cannot detect any HIV below 20 copies, your viral load be considered detectable.
Viral load tests are an important tool to:
One goal of HIV treatment is to keep viral load levels as low as possible for as long as possible. This gives you the best chance of staying healthy. With effective HIV treatment regimens, viral load can be reduced to undetectable in many people. This is a great result. It means that your HIV drugs are working and you are doing a great job taking them. However, HIV is still in your body. If you stop taking your HIV drugs, the virus usually starts reproducing and your viral load will increase.
While a lower viral load generally means you are less likely to pass HIV to others, it is important to know that even with an undetectable viral load you might infect someone else with HIV if you share needles or have unprotected sex.
In the past, viral load levels were used with CD4 cell counts to determine when people living with HIV (HIV+) should begin treatment. Current guidelines recommend using CD4 cell counts as the main way to figure out when someone should start HIV treatment. Providers now see a high viral load (100,000 or more) mainly as a predictor of someone not doing well with their disease.
This article was provided by The Well Project. Visit The Well Project's Web site to learn more about their resources and initiatives for women living with HIV. The Well Project shares its content with TheBody.com to ensure all people have access to the highest quality treatment information available. The Well Project receives no advertising revenue from TheBody.com or the advertisers on this site. No advertiser on this site has any editorial input into The Well Project's content.
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