Dear Dr Young,
Thanks alot your advise have been helping me alot to get throught toughest time in my life since knowing I am positive. This website has been very resources i learn alot about my condition.
Recently I just went for blood test. Result comes back that my CD4 = 750 and viral load (hiv 1 rna) = <40 and log <1.60 .
My Question: Does this mean undetectable?
(Fyi. I have been taking meds coming 11 months already).
And if I wd like to plan have baby with my gf, is this the good timing, she is negative. Just wanna make sure 100% i won't infect my gf (future wife) and the baby. Kdly advise. Thx dr Young
Hello and thanks for posting.
Your lab results are excellent.
With regard to your question about viral load, in general, yes. A viral load test typically gives both a numerical and detectability result. A viral load that is less than 40 is very, very low and indicates the threshold that the test can reliably give a numerical value for (i.e., can tell the difference between 40 and 41). Viral loads less that these very low levels (while on HIV medications) are typically (but not always) undetectable. This result doesn't give a numerical value, but in when below the limit of quantitation (numerical value), whether the test suspects (or detects) virus.
Nearly all tests that are below the limit of quantitation, but detectable are generally not of any clinical significance, or indicate risk of drug resistance.
Regarding planning pregnancy, people with undetectable viral loads dramatically reduce their risk of transmission of virus to their partners. Indeed, in large clinical trials, people who are on treatment, adherent to medications and have undetectable viral loads have not been demonstrated to infect their partners. This is what is often called HIV treatment as prevention.
I hope that's helpful, and wish you good health.