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Author Topic: Undetectable and newly undetectable  (Read 5585 times)

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Offline Cojo

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Undetectable and newly undetectable
« on: September 08, 2023, 04:04:15 pm »
Hi Folks

I have a question that I canít seem to find an answer for with respect to undetectable and undetectable.
What I mean is I have been undetectable for over a decade now and a new friend of mine just became undetectable after six weeks of treatment. The question is, are we able to now have condomless sex and not be a concern for each others health with respect to reinfection or other possibilities.
I have found documentation with respect to waiting for six months if the newly undetectable person is having condomless sex with someone who is negative which I can understand, but what about if the partner is also undetectable. Your wisdom as appreciated.
May 2011 - Tested Positive
June 2011 - CD4 330   16%   VL182,000 no resistance
Oct 6, 2011 - CD4 300  20%  VL 60,000
Oct 7, 2011 - start Truvada / Isentress
Nov 29, 2011 CD4 280 26% VL 54
Feb 7 2012 CD4 260 25% UD!
Mar 20 2012 CD4 400 28%
June 2012 CD4 330 26% UD
Sept 2012 CD4 450 32% UD
Dec 2012 CD4 310 28% UD
May 2013 CD4 500 32% UD
Oct 2013 CD4 460 33% UD
May 2014 CD4 360 33% UD
Aug 2014 swap out Isentress for Tivicay
Oct 2014 CD4 320 33% UD
Feb 2015 CD4 420 30% UD
Jul 2015 CD4 480 32% VL51 !!
Sep 2015 UD
Feb 2016 CD4 460 35% UD
Aug 2016 CD4 378 33% UD

Offline Jim Allen

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Re: Undetectable and newly undetectable
« Reply #1 on: September 08, 2023, 04:26:09 pm »
Hiya.

You can't pass on HIV to them as your viral load in blood levels has been supressed too long and your genital fluids would therefore also be supressed.

The same can't be said for them as they are new to treatment and therefore in theory the risk is that you could acquire HIV Superinfection (reinfection). However, this would be rare enough, doubted by many for good reason and realistically it's not a real world concern and your meds would work as PrEP. PrEP has shown to have near 99% effectiveness, not to mention you are taking more meds than there are in PrEP.

A more realistic concern would be co-infection with another STI. So do consider condoms to reduce your risks, ask your doctor about getting vaccinated against STIs like HPV & Hepatitis B and test out of routine for STIs yearly.

« Last Edit: September 08, 2023, 04:35:06 pm by Jim Allen »
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Online leatherman

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Re: Undetectable and newly undetectable
« Reply #2 on: September 08, 2023, 04:28:55 pm »
after 6 months of being undetectable a person infected with HIV is no longer be able to transmit HIV.

At this point, your HIV meds work basically as PrEP. You could not be "reinfected" as your ARVs would kill off any new HIV transmitted to you. The only time "reinfection" could happen would be if you both were off meds and both had viral loads. At that point you wouldn't be "reinfected" but you could end up with HIV that is resistant to the meds your partner is resistant to.
leatherman (aka Michael)

We were standing all alone
You were leaning in to speak to me
Acting like a mover shaker
Dancing to Madonna then you kissed me
And I think about it all the time
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Offline Jim Allen

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Re: Undetectable and newly undetectable
« Reply #3 on: September 08, 2023, 04:31:29 pm »
Yup.

@Cojo, hope our comments have helped clarified things.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

My Instagram
Threads

Offline Cojo

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  • Posts: 232
Re: Undetectable and newly undetectable
« Reply #4 on: September 08, 2023, 09:04:44 pm »
You guys are awesome! Thank you for the information in Feedback it is exactly what I was looking for.
May 2011 - Tested Positive
June 2011 - CD4 330   16%   VL182,000 no resistance
Oct 6, 2011 - CD4 300  20%  VL 60,000
Oct 7, 2011 - start Truvada / Isentress
Nov 29, 2011 CD4 280 26% VL 54
Feb 7 2012 CD4 260 25% UD!
Mar 20 2012 CD4 400 28%
June 2012 CD4 330 26% UD
Sept 2012 CD4 450 32% UD
Dec 2012 CD4 310 28% UD
May 2013 CD4 500 32% UD
Oct 2013 CD4 460 33% UD
May 2014 CD4 360 33% UD
Aug 2014 swap out Isentress for Tivicay
Oct 2014 CD4 320 33% UD
Feb 2015 CD4 420 30% UD
Jul 2015 CD4 480 32% VL51 !!
Sep 2015 UD
Feb 2016 CD4 460 35% UD
Aug 2016 CD4 378 33% UD

 


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