Condition overview

HIV

HIV (human immunodeficiency virus) affects the immune system. Modern testing and treatment make HIV highly manageable when identified early.

Type
Viral
Typical sample
Blood
Testing methods
RNA (early), 4th-generation antibody/antigen
Curable
No, but highly treatable

This content is for general educational purposes and is not a substitute for diagnosis, treatment, or personalized medical advice from a qualified healthcare professional.

Overview

HIV (human immunodeficiency virus) affects the immune system. Modern testing and treatment make HIV highly manageable when identified early.

Symptoms

  • Often no early symptoms
  • Flu-like symptoms in some people 2–4 weeks after exposure
  • Persistent fatigue, unexplained weight loss (later stages)

Seek immediate medical care for severe symptoms, significant pain, heavy bleeding, difficulty breathing, loss of consciousness, or other urgent concerns.

Transmission

  • Unprotected sexual contact
  • Shared injection equipment
  • Perinatal transmission

Testing options

  • HIV RNA test (earliest detection window)
  • Fourth-generation antigen/antibody test
Testing window: RNA testing can detect HIV as early as ~10 days after exposure; 4th-generation testing is generally reliable by 4–6 weeks. Talk with a clinician about the right test for your timing.

Treatment

HIV is treated with antiretroviral therapy prescribed by a clinician. With consistent treatment, many people reach an undetectable viral load and cannot transmit HIV sexually (U=U).

Possible complications

  • Weakened immune function if untreated

Partner considerations

Recent partners should be informed and offered testing. Post-exposure prophylaxis (PEP) may be appropriate within 72 hours of a possible exposure — talk with a clinician right away.

Prevention

  • PrEP for eligible individuals
  • Consistent barrier use
  • Routine testing

Frequently asked questions