How does an HIV diagnosis affect my health in the long term?

Question

Hello doctor,

I am 33 years old and was recently diagnosed as HIV-positive (human immunodeficiency virus). My CD4 (cluster of differentiation 4) count is 380, and my viral load is approximately 60,000. I have just started ART (antiretroviral therapy) with Tenofovir, Lamivudine, and Dolutegravir, and I am feeling scared about how this diagnosis may affect long-term health.

Will it be possible to feel normal again?
How long does it usually take for the viral load to become undetectable?
I am trying to stay strong, but I feel overwhelmed by everything that is happening.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

You have recently been diagnosed with HIV (human immunodeficiency virus) infection, with a CD4 (cluster of differentiation 4) count of 380 and a viral load of approximately 60,000. You have currently been started on the TLD regimen (Tenofovir, Lamivudine, and Dolutegravir).

I understand how difficult and frightening this situation can be. Being diagnosed with HIV can feel overwhelming. However, it is important to know that with the current TLD regimen, strict adherence to treatment and regular follow-up with the physician who is evaluating you in person make it possible to lead a normal and healthy life. The efficacy of the current treatment regimen is very good.

I would suggest the following preventive measures:

Protected sexual intercourse is advised to prevent transmission to the partner.
Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) should be considered for the partner in case of unprotected sexual intercourse, as advised by a healthcare professional.

It is essential to take the medication daily and avoid missing any doses.

Once treatment is initiated, the viral load usually starts to decrease within weeks to months and can become undetectable, along with improvement and normalization of the CD4 count. During the initial phase of treatment, some individuals may experience side effects related to antiretroviral therapy, but the medication should not be stopped without consulting the treating physician.

With daily medication, regular follow-up, an undetectable viral load, and a stable CD4 count, a normal and healthy life is achievable. There is no need to panic. Staying calm and consistent with treatment is important.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.