How can a 31-year-old man manage his HIV?

Question

Hello doctor,

I am a 31-year-old man who just found out I am HIV positive. I am devastated. I am pretty sure I got it from a one-night stand three months ago. I have been feeling sick lately, got tested, and boom. I am terrified to tell anyone. Will I die young? Can I ever have kids? What about work and do I have to disclose this? I am so lost and scared.

Are the medications really expensive? Will they make me sick? I am worried about the side effects. Also, how do I date now? When do I tell someone? I am afraid I will be alone forever. Any advice on how to cope with this diagnosis?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

HIV (human immunodeficiency virus) is a manageable condition today. Many people with HIV live long and healthy lives. You must start treatment as soon as possible, stay consistent with it, and keep your viral load low.

When your viral load is undetectable, you cannot transmit the virus to others either, and this is known as Undetectable = Untransmittable (U=U).

Yes, you can absolutely have children.

With proper ART (antiretroviral therapy), people living with HIV can have HIV-negative children.

You are not required to disclose your HIV status to your employer unless you feel comfortable doing so. HIV is considered a protected condition, so you cannot be fired or discriminated against because of it.

However, if you work in certain medical fields, there may be some specific regulations to follow.

There are many programs available to help cover the cost of ART. Many countries offer subsidies.

U=U means you will not transmit the virus if you are on effective treatment, and there are also other protective measures like PrEP (pre-exposure prophylaxis) that your partner can take. When to tell someone about your status is a personal decision, being honest early in a relationship is helpful.

Find a place where you can talk about your feelings. A physical examination by a doctor in a hospital is a must.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.