Treatment FAQ

how long can youlivewith hiv/aids with or without treatment

by Rodolfo Fahey V Published 2 years ago Updated 2 years ago

The prognosis in patients with untreated HIV infection is poor, with an overall mortality rate of more than 90%. The average time from infection to death is 8-10 years, although individual variability ranges from less than 1 year to long-term nonprogression.

How long can you live with untreated HIV?

Left untreated, HIV is inevitably fatal, with a median survival time from seroconversion of 8 to 10 years [2]. However, the widespread introduction of combination antiretroviral therapy (cART) in many countries in the mid-1990s resulted in a rapid and dramatic reduction in mortality in those living with HIV [3,4].Nov 27, 2013

Can a person live with HIV without medication?

Without treatment, a person may develop stage 3 HIV 2–15 years after contracting the infection. The life expectancy after a stage 3 HIV diagnosis is 3 years. However, with effective medication, many people never develop stage 3 HIV, and the incidence of opportunistic infections is much lower than it was in the past.

Can you live with HIV for 30 years without treatment?

Thirty years ago, being diagnosed with HIV was considered a death sentence. Today, people with HIV can live long and healthy lives. That's why routine HIV screening is vital. Early detection and timely treatment are key to managing the virus, extending life expectancy, and reducing the risk of transmission.

What is HIV treatment?

HIV treatment involves taking medicine that reduces the amount of HIV in your body. HIV medicine is called antiretroviral therapy (ART). There is n...

When should I start treatment?

Start Treatment As Soon As Possible After Diagnosis HIV medicine is recommended for all people with HIV, regardless of how long they’ve had the vir...

What if I delay treatment?

HIV will continue to harm your immune system. This will put you at higher risk for developing AIDS. Learn more about AIDS and opportunistic infecti...

What are the benefits of taking my HIV medicine every day as prescribed?

Treatment Reduces the Amount of HIV in the Blood The amount of HIV in the blood is called viral load. Taking your HIV medicine as prescribed will h...

Does HIV medicine cause side effects?

HIV medicine can cause side effects in some people. However, not everyone experiences side effects. The most common side effects are Nausea and vom...

Will HIV treatment interfere with my hormone therapy?

There are no known drug interactions between HIV medicine and hormone therapy. Talk to your health care provider if you are worried about taking HI...

What if my treatment is not working?

Your health care provider may change your prescription. A change is not unusual because the same treatment does not affect everyone in the same way.

Sticking to my treatment plan is hard. How can I deal with the challenges?

Tell your health care provider right away if you’re having trouble sticking to your plan. Together you can identify the reasons you’re skipping med...

How long can a person live with AIDS?

A person can potentially live for years, even with full-blown AIDS, but just how many years is highly variable from person to person. What we can say is that the vast majority of people infected with HIV will develop AIDS sometime during their life (an average of 10 years or more after infection), and with early intervention and treatment, ...

How long can a person live without HIV?

One recent study used mathematical modeling to predict that some HIV positive people (perhaps 10% or more) may live up to 25 years without getting AIDS. Because HIV has only been studied since the early 1980s, we cannot say at this time how accurate this mathematical model may be.

Is HIV more virulent than other strains?

The virulence of the strain of HIV. Some strains of HIV may be more virulent than others. We have already found cases where a person was infected with a rare genetically defective strain of HIV, and that strain was not causing any significant illness (so far). Drug resistant strains of HIV.

What is the phone number for the Centers for Disease Control?

If you have any further questions, please feel free to call the Centers for Disease Control at 1.800.232.4636 (Nationwide). You should know: The answer above provides general health information that is not intended to replace medical advice or treatment recommendations from a qualified health care professional.

Is HIV still alive?

This is because there are some people who have been infected for many years (since the epidemic was first recognized in the early 1980s), and they are still alive today. Some of these patients have been found to have rare genetically defective strains of HIV that are not causing them any significant illness thus far.

Can HIV be drug resistant?

Drug resistant strains of HIV. People who have drug resistant strains of HIV may not live as long, if the drugs that are available are no longer effective. But if a person is responding well to their medications, they are expected to live longer. The genetic make-up of the person. A few people have genetic mutations in their white blood cells ...

Do people who have other medical problems live longer?

People who have other medical problems, and/or those with a history of substance abuse, may not live as long. How well the person takes care of themselves emotionally.

How long does it take for HIV to progress?

If ART is not given, a chronic HIV infection usually advances to AIDS in 10 years or longer. In some people, however, it may advance faster. If ART is administered, the person may stay in this stage for several decades.

What is the final stage of HIV?

Acquired immune deficiency syndrome ( AIDS) is the final and most severe stage of HIV. In this stage, HIV reduces CD4 cell counts to very low levels (less than 200 units), which severely damages the immune system.

What is a swollen lymph node?

Swollen lymph nodes (glands that protect from infections; they can be felt when swollen in the armpits, groin and neck) In the acute stage, the virus multiplies rapidly and spreads throughout the body. HIV targets and destroys the CD4 cells (the infection-fighting cells of the immune system); in this stage of HIV infection, ...

What is the stage of asymptomatic HIV?

Chronic HIV infection. This is the stage of asymptomatic HIV infection or clinical latency. In this stage, the symptoms of stage one go away but the HIV infection continues to multiply in the body, though at very low levels.

How long does HIV last?

In the case of an untreated HIV infection, the overall mortality rate is more than 90%. The average time from infection to death is eight to ten years. This may; however, vary from person to person. Many factors affect survival:

What is an opportunistic infection?

Opportunistic infections are infections and infection-related cancers that occur more frequently or are more severe in people with weakened immune systems than in people with healthy immune systems. Once a person progresses to AIDS, they have a high viral load and can transmit HIV to others very easily. In the absence of treatment, people ...

What are the symptoms of a moderately symptomatic stage?

Moderately symptomatic stage. In this stage, due to disease progression, certain symptoms appear: Weight loss that is greater than 10% of the person’s total body weight. Prolonged (more than one month) of unexplained diarrhea. Tuberculosis and other severe infections of the lungs, kidney, brain, bones, and joints.

How to determine life expectancy?

When looking at both static and dynamic risk factors, we can begin to identify where an individual can gain or lose life-years without even knowing it. Among them: 1 A person's CD4 count at the start of treatment remains one of the strongest indicators of life expectancy. The life expectancy between those whose CD4 count is less than 200 at the start of treatment is 8 years less than those whose count is over 200 at the same time. 2  2 Smokers with HIV lose more life-years to smoking than to HIV. In fact, the risk of death from smoking is twice as high among smokers with HIV , and can trim as much as 10 years a person's lifespan irrespective of HIV. 6  3 Race and longevity are integrally linked to HIV. According to a 2012 study, the mortality rate among HIV-positive Blacks was 13% higher than the rate for Whites and 47% higher than the rate for Hispanic populations. 7  4 Injecting drug users suffer losses, both in terms of HIV-and non-HIV-related illnesses. The strongest contributing factors were poor adherence and hepatitis C co-infection. All told, mortality rates are nearly twice as high for HIV-positive injecting drug users than HIV-positive non-injecting drug users. 8 

How long does a person with HIV live with a CD4 count of 200?

The life expectancy between those whose CD4 count is less than 200 at the start of treatment is 8 years less than those whose count is over 200 at the same time. 2 . Smokers with HIV lose more life-years to smoking than to HIV. In fact, the risk of death from smoking is twice as high among smokers with HIV , and can trim ...

What are the factors that affect life expectancy?

Gains and Losses in Life Years. Factors that influence life expectancy are either static (fix ed) or dynamic (able to change over time). Static factors, like race or sexual orientation, influence life expectancy because they are ones people are often unable to escape.

Is HIV a long term concern?

Moreover, HIV is really only part of the long-term concern. Even for those able to maintain an undetectable viral load, the risk of non-HIV-associated diseases, like cancer and heart disease, is far greater than in the general population and can occur anywhere from 10 to 15 years earlier. 4 .

Who is James Myhre?

James Myhre is an American journalist and HIV educator. Latesha Elopre, MD, is a board-certified internist specializing in HIV. She is an assistant professor of infectious diseases at the University of Alabama at Birmingham. It is natural to wonder how long you could live if you have HIV.

Can a 20 year old live with HIV?

With advances in antiretroviral therapy, people with HIV can today expect to live longer and healthier than ever If treatment is started early and taken daily as directed. 1 . A 20-year-old started on HIV therapy can expect to live into his ...

Does HIV affect longevity?

From an individual perspective, longevity is subject to numerous factors that can either increase or decrease life expectancy in a person with HIV.

What does it mean when your HIV is suppressed?

Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood. HIV medicine can make the viral load so low that a test can’t detect it (called an undetectable viral load ). If your viral load goes down after starting HIV treatment, that means treatment is working.

What is the amount of HIV in the blood called?

The amount of HIV in the blood is called viral load . Taking your HIV medicine as prescribed will help keep your viral load low and your CD4 cell count high. HIV medicine can make the viral load very low (called viral suppression ). Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood.

What happens if you skip your medication?

If you skip your medications, even now and then, you are giving HIV the chance to multiply rapidly. This could weaken your immune system, and you could become sick. Getting and keeping an undetectable viral load (or staying virally suppressed) is the best way to stay healthy and protect others.

How does treatment help prevent HIV?

Having an undetectable viral load may also help prevent transmission from injection drug use.

How long does it take for a mother to give her baby HIV?

If a mother with HIV takes HIV medicine as prescribed throughout pregnancy, labor, and delivery and gives HIV medicine to her baby for 4 to 6 weeks after birth, the risk of transmitting HIV to her baby can be 1% or less.

Why is it important to take HIV medication?

Taking HIV medication consistently, as prescribed, helps prevent drug resistance. Drug resistance develops when people with HIV are inconsistent with taking their HIV medication as prescribed. The virus can change (mutate) and will no longer respond to certain HIV medication. If you develop drug resistance, it will limit your options ...

How long does it take to get rid of HIV?

There is no effective cure for HIV. But with proper medical care, you can control HIV. Most people can get the virus under control within six months. Taking HIV medicine does not prevent transmission ...

How long can a person with HIV live?

A person with HIV should work closely with their healthcare provider. Life expectancy for people living with HIV has seen great improvement in recent years. In fact, a person who currently has HIV can expect to add many years to their life once they start combination antiretroviral treatment.

What is the purpose of antiretroviral therapy?

These medications help suppress levels of HIV in the blood and slow damage resulting from the infection. This suppression helps prevent progression from HIV to AIDS, or stage 3 HIV. In the 1980s–1990s, antiretroviral therapy began as monotherapy, then it became dual therapy.

How long does HIV last?

Trusted Source. indicates that a person with HIV living in a high-income country would add 43.3 years to their life expectancy if they receive a diagnosis at age 20. Without adequate treatment, however, HIV can quickly start to damage cells in the immune system.

What are the long term side effects of HIV?

Conditions common in long-standing HIV infection include: cardiovascular disease. lung disease. certain cancers.

Why are people with HIV living longer?

Because people with HIV are living much longer, they are starting to face the same health issues as other older adults. In fact, differentiating Alzheimer’s disease from HIV-associated neurocognitive disorders. Trusted Source. is becoming an emerging issue in the population of older adults living with HIV.

Why is it important to stick to a treatment plan for HIV?

It is important for a person living with HIV to stick to their treatment plan to keep the virus suppressed in the blood. It is also essential for the person to work closely with their healthcare providers on a regular basis and maintain all other aspects of their health and well-being.

What is treatment as prevention?

This discovery takes researchers to a notion of “treatment as prevention,” which promotes well-controlled HIV as a way to prevent transmission through sexual contact, needle sharing, and childbirth and breastfeeding.

What the study shows

It included two adults with HIV who began antiretroviral therapy (ART) soon after being infected with the virus. They continued treatment for more than six years and successfully suppressed the virus.

Patient 1

In one patient, viral suppression lasted nearly three and a half years, with occasional rebounds in virus counts. The other patient had nearly completed HIV suppression for close to four years, but then had a big surge when he was infected with a different

What happens if you leave HIV untreated?

In all but a few rare cases, if left untreated, HIV will progress to a stage of infection called AIDS. This is when the immune defenses have been compromised, and the body is less able to defend itself against potentially life-threatening infections. 2:51.

What changes if a person receives no treatment?

A person's genetics or family history. Smoking and other personal lifestyle choices. This is, of course, if the person receives no treatment. The picture changes entirely if he or she does. 1 . Since 1996, the introduction of antiretroviral drugs has dramatically altered the natural progression of HIV infection.

What is genetic HIV?

The genetic strain of HIV a person has been infected with (some of which may be more or less virulent than others) The general health of the individual. The place where the person lives (including healthcare access and the incidence of other diseases or infections) A person's genetics or family history.

How long does a virus last?

This chronic (or latent) stage of infection can last for years and even decades in some individuals until such time as the hidden viruses are reactivated (most often when the immune system is fully compromised and later-stage OI develops).

Can HIV be cured?

While HIV still cannot be cured, people newly diagnosed with HIV who get treated and stay in care can be expected to have near-normal to normal life expectancies. As with other chronic diseases, early detection is key to identifying and treating the infection as soon as possible. 2 .

What The Current Research Says

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At the time of the introduction of highly active antiretroviral therapy (HAART) in 1996, the average life expectancy of a 20-year-old newly infected with HIV was 10 years.2With a new generation of drugs that are not only safer but more effective, those numbers have leaped significantly. According to research from the longsta…
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Factors That Reduce Life Expectancy

  • Despite these advances, there are factors that can increase or decrease the life expectancy of people with HIV. These range from things we can control (such as taking our pills every day) to things we can't (such as race or poverty). These factors not only influence not only how a person responds to treatment but whether they are able to access treatment in the first place.5 Becaus…
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Losses in Life Years

  • There is not always a straight line between how certain risk factors increase or decrease the life expectancy of someone with HIV. This is because people tend to have overlapping risk factors. Take, for example, Black men who have sex with men (MSM). The combination of racism, poverty, homophobia, and stigma—as well as the biological vulnerabilities to HIV—places Black MSM in t…
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Summary

  • Studies show that people living with HIV today can expect to live a near-normal life expectancy if treatment is started early and taken every day as prescribed. Even so, there are things that can undermine a person's ability to do so. This includes factors likes poverty, stigma, racism, and homophobia that can stand in a person's way of accessing consistent care and treatment. Othe…
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A Word from Verywell

  • As encouraging as the statistics are, it doesn't mean you have less to worry about when it comes to HIV. In the end, the choices you make will determine how well you respond to treatment and influence your individual risk of both HIV- and non-HIV-related illnesses. Ultimately, HIV is about more than just pills. You need to also take of your general health by eating a healthy diet, exercis…
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