Main Forums > I Just Tested Poz

HIV positiv since 21 days.

<< < (5/6) > >>

testii28:
Thanks for all the nice answers. I appreciate it.  It is time to get back control and to forget about HIV. From time to time I will have a look in the forum.

@Jim, My medical record has been updated today with a new position.

HIV PCR    /  Negativ HIV -   / copies/ml    0 - 0,1 (Reference Value)

Any idea what that means regarding the VL? The doc. just said "good" which i cannot classify.

Thanks.

Jim Allen:
Hiya,

I would read it as the PCR test could not detect any copies above its minimum threshold. That threshold is commonly 20, 50 or 200 copies.

But next time you are in the clinic ask them again and for a better answer than "good"

https://www.poz.com/basics/hiv-basics/understanding-lab-work-blood-tests
https://www.aidsmap.com/about-hiv/what-are-logs-viral-load-results

It also means in six months' time, and if you keep taking your meds, you will be unable to pass on HIV sexually. https://forums.poz.com/index.php?topic=71864.0

testii28:
Thanks Jim.

testii28:
Hello,

after some struggle I managed to find a clinic. I am happy that this issue has been solved.

Blood results was actually fine. CD 894 /41,5%  VL undetectable.

One thing concerns me is that the Doc wanted a resistance test but couldn't do it because undetectable VL. I can have resistance with an undetectable VL? Is the possible?

Thanks

Jim Allen:

--- Quote ---after some struggle I managed to find a clinic. I am happy that this issue has been solved.

Blood results was actually fine. CD 894 /41,5%  VL undetectable
--- End quote ---

Glad to hear it and with the viral load suppressed it means the meds are working  :)


--- Quote ---One thing concerns me is that the Doc wanted a resistance test but couldn't do it because undetectable VL. I can have resistance with an undetectable VL? Is the possible?
--- End quote ---

So standard genotypic resistance testing requires that there is a viral load present. They missed the boat on that one.

I would not be overly concerned, it is possible to have some resistance, but so far the drugs are doing their job and suppressing the virus indicating no major resistance.

https://clinicalinfo.hiv.gov/en/guidelines/hiv-clinical-guidelines-adult-and-adolescent-arv/drug-resistance-testing

A few years ago, there was a paper on using proviral DNA to test for drug resistance testing when the viral load is suppressed, but I doubt it will ever be the standard or something most clinics could even order.  I would have to look later to find the paper, but for now, the answer is you need a detectable viral load for standard resistance testing.

Update:
Found the link I was thinking about: https://www.aidsmap.com/news/jan-2020/proviral-dna-resistance-testing-allows-treatment-switches-without-viral-rebound

Navigation

[0] Message Index

[#] Next page

[*] Previous page

Go to full version