STD Information » AIDS / HIV

Option 1  AIDS / HIV

Quick Snapshot

  • Can it be cured?

    No
    Viruses don't have cures, but symptoms can be controlled with proper treatment

  • Type of Infection

    Viral
    AIDS is caused by HIV (Human Immunodeficiency Virus)

  • How is it treated?

    Antiviral Medication
    HIV/AIDS is treated with a variety of antiviral medications: fusion inhibitors, protease inhibitors and RT inhibitors are the most common

 
  • Recovery Time

    AIDS / HIV is Incurable
    HIV/AIDS is incurable; as such treatment is aimed at slowing progression and treating symptoms

  • Can I have sex?

    Yes
    Partners should be informed of your condition and condoms/dams should be used consistently

  • Can I get re-infected?

    No
    HIV is incurable; once you are infected, you will carry the disease with your for life

 

Overview

AIDS (Acquired Immune Deficiency Syndrome) is the name given to the late stages of the disease caused by HIV (human immunodeficiency virus). This virus attacks the cells of the immune system making it difficult, if not impossible, to fight off illness.

How is AIDS / HIV diagnosed?

There are a few different types of blood tests that can be run to determine whether or not a person is infected with HIV::

  • HIV genetic material screening
    This test is more likely to pick up the disease early
  • Testing for HIV antibodies
       » ELISA (Enzyme-Linked Immunosorbent Assay)
       » Western blot

Tests may need to be repeated later if risk is high and both results are negative as it can take months for antibodies to be high enough to measure

How is AIDS / HIV treated?

Though it wasn't always the case, there are now drugs available to help fight HIV:

  • Fusion Inhibitors
    blocks HIV from entering the body's cells.
  • Protease Inhibitors
    keeps the virus from copying itself at late stages.
  • RT (Reverse Transcriptase) Inhibitors
    prevents the virus from copying itself at early stages.
  • HAART (Highly Active Antiretroviral Therapy)
    Using three or more drugs in combination to treat the symptoms of HIV and AIDS

Drugs are also used to treat the infections that could set in due to the suppression of the immune system:

  • Eye infections
    Foscarnet or Ganciclovir
  • Fungal infections
    Fluconazole
  • Pneumocystis carinii pneumonia
    TMP/SMX or pentamidine

Important note

Be sure to take all the medication your doctor prescribes, even if your symptoms go away!

 

Recovery Time

There is no treatment that will cure HIV or AIDS. Treatment is to prevent the disease from developing and treating the opportunistic infections that will likely arise. As such there is no timeline for recovery.

Partners and Re-infection

It is imperative that your partner(s) be informed of your HIV status (and in some places you have a legal responsibility to do so) so they can be tested. To avoid spreading the virus to others, safe sex must be practiced at all times, for all types of intercourse.

Recurrence

The time between the initial display of acute HIV symptoms to the onset of later symptoms can range from months to more than ten years. At that time, many of the treatments will be much less effective, if they even work at all. Treatment should begin as early as possible to keep the patient's quality of life as high as possible for as long as possible. It has been shown that patients who stop using their antiviral medications can have a recurrence of acute HIV symptoms, but these can be resolved by resuming treatment.

Symptoms

AIDS / HIV Symptom Checker
Symptoms may appear from 1 month to 10 years weeks after infection.

The first symptoms to present themselves are flu-like in nature, generally showing up within a couple months of exposure:

  • Fever
  • Headache
  • Tiredness
  • Enlarged lymph nodes
  • Often mistaken for another virus

There is generally a period of months or even years where symptoms do not present themselves. During this time, the virus is multiplying and attacking the immune system. Symptoms that present themselves after this period can include:

  • Lymph nodes that stay swollen for a long period of time
  • Lethargy
  • Loss of weight
  • Fever and sweating
  • Constant yeast infections (oral or vaginal)
  • Persistent rashes
  • PID that is unresponsive to treatment
  • Loss of short-term memory

Transmission

HIV is most often contracted during sex:

  • Anal Sex
  • Oral Sex
  • Vaginal Sex

Other methods of transmission include:

  • Infected blood
  • Contaminated needles
  • Pregnant mother to unborn child

There is also a correlation between infection with another STD and susceptibility to HIV.

Complications

HIV, especially if left untreated, leaves a person vulnerable to a host of infections:

Bacterial

  • Bacterial pneumonia
  • Mycobacterium aviumcomplex (MAC)
  • Tuberculosis (TB)
  • Salmonellosis
  • Bacillary angiomatosis

Viral

  • Cytomegalovirus (CMV)
  • Viral hepatitis
  • Herpes simplex virus (HSV)
  • Human papillomavirus (HPV)
  • Progressive multifocal leukoencephalopathy (PML)

Fungal

  • Candidiasis
  • Cryptococcal meningitis

Parasitic

  • Pneumocystis carinii pneumonia (PCP)
  • Toxoplasmosis
  • Cryptosporidiosis

Cancer

  • Kaposi's sarcoma
  • Non-Hodgkin's lymphoma

Other complications

  • Wasting syndrome
  • Neurological complications