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HIV: causes, symptoms, testing, & treatment

HIV is short for Human Immunodeficiency Virus, which causes AIDS. AIDS is short for Acquired Immune Deficiency Syndrome.
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Worldwide, about 37 million people have HIV/AIDS. It’s an STD that destroys your immune system. Over time, HIV damages your immune system so badly that you’re unable to fight off other infections. It’s only in the last stages of HIV infection that you develop AIDS.

A person infected with HIV is described as being HIV positive (HIV+), seropositive, or person living with HIV/AIDS (PLWHA).

HIV is an incurable disease. However, there are treatments available to prolong the time you remain healthy before you develop AIDS. Nowadays, someone who’s infected with HIV and on treatment can have a near-normal life expectancy.

How do you get HIV?

You can get HIV from infected bodily fluids, such as pre-ejaculate, semen, vaginal secretions, breast milk, and blood.

HIV is spread by both sexual and non-sexual activities.

Sexual activities include having unprotected oral, vaginal, and anal sex. Unprotected anal and vaginal sex carry much higher risks of HIV infection than unprotected oral sex.

Non-sexual activities include sharing of unsterilized hypodermic needles, receiving tainted blood transfusions, and breastfeeding. HIV can also be spread during childbirth from an infected mother to her baby.

You can't get HIV by sharing food or water, or being bitten by a mosquito.

Certain diseases can increase your risk of getting HIV:

Related: 13 Common STIs and STDs in Men and Women

What are the signs of HIV?

The first signs of an HIV infection can appear like a common cold or flu, which is why most people aren’t aware that they’ve been infected.

If you notice signs like a fever, headache, rash, diarrhoea, and sore throat three to six weeks after you’ve had unsafe sex, it may be wise to get tested for HIV. But of course, the trouble is most people wouldn’t first consider these signs of an HIV infection.

Without treatment, these flu-like symptoms clear up by themselves. However, if you’re infected with HIV, the infection doesn’t go away. Instead, over the next eight to ten years, the infection silently destroys your immune system. And you progress to the late stages of HIV infection also known as AIDS.

Late stages of HIV infection/AIDS
It often takes eight to ten years after being infected with HIV to develop serious illnesses. This is because by this time, HIV has destroyed your immune system to the point where your body can't fight off other infections.    

Late signs of HIV infection/AIDS:

  • Severe weight loss
  • Loss of appetite
  • Constant diarrhoea
  • Skin cancer
  • Meningitis

The only way to know for sure whether you’ve got an HIV infection is to get tested.

How can you protect yourself from getting HIV?

Since HIV is spread by sex, by sharing needles, and from mother to child, protecting yourself from HIV breaks down into three major categories.

To avoid sexual transmission of HIV

1. Always use condoms.
Male or females condoms can reduce your risk of getting HIV.

2. Be faithful to one partner or have fewer partners.
Having one sexual partner or fewer sexual partners can reduce your risk of being exposed to HIV infection or other STDS, which in turn can reduce your risk of HIV infection.

3. Male circumcision
If you’re a man, consider getting circumcised. Male circumcision in a hospital or clinic setting is shown to reduce the risk of getting HIV from a woman by 50 per cent. In comparison, female circumcision or female genital cutting/mutilation hasn’t been shown to be preventative for HIV infection.

4. If you’ve got an unusual discharge, sores, or pain when you urinate get tested for STDs.
These symptoms are signs that something is wrong. Chlamydia, gonorrhoea, syphilis, genital herpes, trichomoniasis, and bacterial vaginosis have all been shown to increase your risk of getting and spreading HIV. So if you have these symptoms, get them checked out. Also, let your partner know, so he or she can get tested or treated too.

5. Get tested with your partner for HIV.
Whenever you’ve got a new partner, before having unprotected sex, get tested. You or your partner could be infected with HIV and not know it.

Related: What To Expect When Getting Tested For HIV

To avoid blood transmission of HIV

1. Use sterilised needles.
Every time you get a blood transfusion make sure new sterilised needles are used. The same principle applies if you use injection drugs – don’t share needles; use new ones each time you shoot up. The same goes for tattooing, body piercing, and acupuncture.

2. Make sure you’re receiving screened blood for blood transfusions.
HIV, syphilis, and hepatitis B can all be passed on by blood transfusions. So it’s important to make sure the blood you’re receiving is screened, particularly in countries where HIV is common.

To prevent mother to child transmission of HIV

1.Take antiretroviral drugs during your pregnancy and childbirth.
If you’re HIV positive and pregnant, you can take antiretroviral drugs during your pregnancy and childbirth to avoid passing HIV to your baby.

2.Caesarean section.
Consider getting a Caesarean section, if you’re HIV positive and pregnant. It decreases the chance that you’ll pass HIV on to your baby.

3. If possible, avoid breastfeeding.
When possible, the World Health Organization advocates HIV positive mothers to use breast milk replacement.
However, if you’re living in a place where safe drinking water isn’t available, and you’re unable to boil water daily, you may opt not to use breast milk replacement. The risk of catching a life threatening disease from unsafe drinking water may outweigh the risk of getting HIV infection from breast milk. These are things to consider with your health care provider. Consider getting a Caesarean section, if you’re HIV-positive and pregnant. It decreases the chance that you’ll pass HIV on to your baby.

These are things to consider with your health care provider.

How do you get tested for HIV?

In general, health care providers will ask you to wait for three months after you've had unprotected sex, used an unsterilised needle, or received a suspect blood transfusion before you get an HIV test.

If you want to get tested for HIV, your health care provider must provide you with counselling both before and after the test.

Window period
HIV tests measure your body’s immune system’s response to HIV infection. They measure whether or not your body has produced HIV antibodies. If you test as HIV positive, it means there are HIV antibodies in your blood.

It usually takes six to eight weeks to develop HIV antibodies. So to be on the safe side, health care providers ask you to wait for three months before getting tested for HIV – this is known as a window period.

If you get tested earlier, your test could come back as HIV negative when in fact you've got HIV. This is called a false negative.

Related: The 3 stages of HIV

Different types of HIV tests
Depending on where you live, there are a few different types of HIV tests available – blood, urine, or oral tests. Your health care provider may take a blood sample, ask you for a urine sample, or take a sample of your spit by swabbing your gums.

Urine tests are less accurate than blood or oral fluid tests for HIV detection.

When will you get your HIV test result?
The time you have to wait for your HIV test result depends on the type of test. In general, with a standard HIV test, it can take up to two weeks to get the result. However, if you’ve chosen a rapid HIV test, you can get your results within 15 minutes.

How do you get rid of HIV?

HIV is an incurable infection. There is no vaccine against the disease.

Without treatment, an infected person who’s adopted a healthy lifestyle can live an average of 10 years after being infected.

Current HIV medications can prolong the time you’re healthy and free of any symptoms of AIDS. These medications are called antiretrovirals (ARVs). They work by stopping the virus from multiplying in your body.

Riddle ID

Did you learn something new?


Hi Selpher, the tests kits are accurate. It is important that you follow the instructions provided for each kit. If the result is positive, it will be important to seek medical  advice as soon as possible. Have a look at the following article for additional information;- 

Dear Paul, Antiviral drugs are a class of medication used specifically for treating viral infections rather than bacterial ones. On the other hand, Antiretrovirals (ARVs) are medications that treat HIV. The drugs do not kill or cure the virus. However, when taken in combination they can prevent the growth of the virus. When the virus is slowed down, so is HIV disease. ARVs are an example of Antiviral drugs. 

Hey Didi, it is important for the person to seek medical advice from a Specialized HIV clinic. At the clinic they will get more tests done, including information and counselling and further advice on what steps to take. In the meantime however, they call the following number 1190 toll free (if in Kenya) from a Safaricom line between and 8 am and 10 am and there will be someone to listen and advice them. 

Hi Kimeu, there is no research to show this. However, ARVs are drugs that help suppress the virus and they do work. On the other hand, do you want to do something about your marijuana addiction? Check out the following articles for more information;-

Hi Murikoo, yes it is possible. Such partners are known as discordant. The HIV negative remains at a high risk of getting infected because of the repeated exposure through unprotected sex. It is important to continuously protected the HIV negative partner from exposure and possible infection. Partner can use condom which will help keep the HIV negative partner safe. It is important that you discuss further options with your health care provider. Have a look at the following article for additional information;-

Hi Lizzy, an exposure to HIV infected blood is a risk and cal lead to HIV infection. It is important to talk about this with a health care provider to explore the possibility of starting Post Exposure Prophylaxis treatment before 72 hours are over. Have a look at the following article for more information;-

Hello Dan, HIV drugs can be taken to prevent one from getting infected while there are those that are taken after one has been infected to stop HIV from further destroying their immune system. Visit a health care centre, specifically a government run one, for more information based on your needs. The drugs are usually offered free in these facilities.  Have a look at the following article for more information;-

Hi Joro, I believe you mean when one is HIV infected what other options they have other than ARVs... ARVs are currently the only treatment available for HIV. Do note that ARVs are not a cure and that they are not a cure, there is no cure for HIV. 

Hey Rodgers, the amount of time it takes for HIV to become AIDS is different for everyone. Without treatment, one can live with the virus for 10-15 years before getting AIDS. However, since everyone is different if one needs to get tested and get treatment as soon as possible. Remember, treatment is free in government health facilities. 

Thank you for the article but i once went for a hiv test and was affirmed negative but i'm still scared considering all these window period and all. and i dont want to go for the hiv test again

Hi Tega, if you think you were in the window period when you got tested the only way to be certain is to get another test done. The current generation of testing kits are able to provide accurate results as early as fourteen days. Have a look at the following article for more information;-

Hello Lister, yes it is possible for one not to get infected if they had sex with a person on ARV treatment. However, the only way to get to know this is to get an HIV test done since there are many factors that may affect this.

Love Matters
Wed, 12/18/2019 - 03:30 pm

Hello Anon. Thank you for reaching out to us. A low viral load does not mean that a person no longer has HIV. Although the chances of passing on the virus are reduced, they are not eliminated. In this case, precaution should be taken so as not to pass on the virus.

Hello Nick, thank you for reaching out to us. If you have found that you are HIV Positive outside of a health facility, please visit one as soon as you can so that a confirmatory test is carried out. Also, at a health facility you will be advised on what drugs you may need and how to take them.

Sun, 02/09/2020 - 12:54 pm
Please I got tested once and I was told none reactive, later on I started noticing some signs like headache for like a week, though am exposed to lot of stress but I can't figure what's really happening to me, because reading sign and symptoms of hiv got me scared daily, I think a lot. I even regret ever doing the test. And if par-adventure I had it can the drug be gotten in any chemist because I can't do any test again am just 30years of age i won't kill myself with thinking, badly do I have a 30munite of a whole day without having a thought of it

Hello Daniel, thank you for reaching out and we are sorry you are going through a hard time. Pole sana, you must be terrified. Most people who have active sex lives have endured a similar moment of terror. Perhaps you hear that a former lover died of an undetermined illness, or you get a weird rash or you are simply sitting in the VCT waiting for your test to declare that you are HIV-negative. But before you start analysing every mole and mosquito bite on your body as a potential symptom, I suggest you visit the VCT and find out what your status is. It's better to know the truth than to bury yourself in a lifetime of anxiety wouldn't you agree? Visit this link and keep your chin up! It is not the end of the world and all will be well! Have a fantastic week ahead and stay safe!


Asante kwa ushauri wenu, Nlkua discouraged na hzi story za aids ju nlkua naona nko + but I thank God, Sina, En my dear friends,lets pray ili Mungu asaidie tusipatikane, 🙏🙏🙏
i have swollen lymph nodes and many other signs of hiv, i had unprotected sex about 2 months ago. am so scared of contracting hiv but am yet to test caus it takes about 3 month for the antibodies to be detected. am just 27 not married yet does it mean if am positive my future is doomed

Hi Ford, thank you for reaching out to us. Don't panic, wait for the 3 months to pass and visit an LVCT. With modern therapies and medications people live very long and fulfilling lives with HIV. They get married, and even have children. Stay calm, everything will be fine.

i had unprotected sex with a man and am doubting he is HIV negative, i mean positive, am afraid of going for test at the hospital what should i do?
Thu, 05/28/2020 - 03:39 pm
Mie Nlikuw Kw R/shp Last Year.Thn On Augost Nlifanya Nae Sex .Kfka September Nlianxa Kuambiw Kuw Ako HIV+.nlikuw na waswas xna.nkaambiw na marafiki xangu kuw nwait 3months kama ntaona dalili zozote.had sasa sijawah ona dalili mimi pia naweza kuwa affected ama nko tw xaw??
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