Could I transmit ??

[Smiley22]

  Hello I have been on meds since November of 2018 my first VL results were 81,100
Then I believe the next results were 270 I can remember the date when I got those results but I believe in March of 2019 I became undetectable. A few days ago I had intercourse and it was unprotected and now I’m just worried if there is any way that I could transmit the virus or is there any chance since I’ve been undetectable for about 5-6 months . My last VL results were on August 12,2019 and it was <20. 

[Jim Allen]

Hiya,

So a few weeks short of 6 months and you are stressing about the recommended at least two undetectable results in a row, over a six-month period in regards to transmission?

Firstly even-though you tested UD in March more than likely you were UD before that, so do keep that in mind by now it's more than 6 months. I know there have been transmission cases between people with less than 6 months on treatment although if I recall the cases correctly they all still had detectable VL's.

The 6 months in part stems from historical study results in regards to genital fluids taking longer to reach UD than blood results and people playing it safe. All in all I don't think you anything to worry about as you are at 5-5'5 months UD whilst using more modern treatment. If you want you can of course ask your doctors opinion as reassurance. 

Best, Jim

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Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs, use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. to reduce your risks.

[Smiley22]

Yes I am overthinkingggg sooo much about the recommended two undetectable test I will try to get ahold of all my labs to have a double check my viral loads. Because I just can’t hurt someone the same way I was hurt since I found out I was positive I always told myself I wouldn’t be that person to put someone in my situation. But being young and telling someone you have hiv is VERY HARD and I just feel so bad .
And I’m trying my best not to worry so much..

[Jim Allen]

Look it takes two to tango and, stop overthinking this encounter.