Becoming undetectable

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03 Aug 2017

Whilst the choice of whether you commence treatment upon diagnosis or not is ultimately yours, the benefits of doing so cannot be undersold.

The START study confirmed emphatically that the sooner a person with HIV initiates treatment the better it is for their overall, long-term health. In fact, the START findings were so conclusive that the World Health Organisation changed its treatment guidelines shortly after their release.

But it’s not only the health of the person living with HIV that is greatly enhanced by early treatment; you also protect the health of others. How so? The sooner you’re on HIV medication — normally, a once-a-day single pill — the sooner you’ll reach an undetectable viral load (the viral load essentially is the amount of HIV in the body). Most people on treatment usually get to undetectable within three to six months.

(It’s important to note that not all people reach an undetectable status — and that’s nothing to be overly concerned about. It just means you have to be that extra bit vigilant about your health and passing the virus on to others.)

Becoming undetectable doesn’t mean that a person is cured of HIV; it means the treatment is working successfully and that the level of the virus in the blood is so low that it can’t be picked up in tests. Clinically speaking, this is defined as having fewer than 20 copies of the virus in one millilitre of blood (to put that into perspective, a person just diagnosed will commonly have millions of copies per millilitre).

Being undetectable means you're unable to transmit the virus on to sexual partners. Latest findings from an Australian study, for example — Opposites Attract — found that out of 17,000 acts of condomless anal sex between gay couples of mixed HIV status (positive-negative) zero HIV transmissions were recorded.

This knowledge is transforming the way positive people feel about themselves. Becoming undetectable empowers people living with HIV; people say they feel as if they have gained control over the virus by proactively managing their health. They say they feel more relaxed about sex, secure in the knowledge that they are unable to pass the virus on.

Becoming undetectable diminishes the Bogey Man that is HIV. It’s a positive affirmation (pun intended) that all is good and that your treatment is working well.