The Bolton Sexual Health Network The Bolton Sexual Health Network hand in hand
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HIV

Other name:

* human immunodeficiency virus

Where does it come from?

* it is a virus which lives off its host and multiplies within it

* HIV attaches itself to the white blood cells, which normally help us fight off infections

* there are two trains of the virus - HIV1 and HIV2

How is it passed on?

It is passed on by the exchange of blood or other body fluids from one infected person to another person ie:

* unprotected penetrative vaginal or anal sex

* oral sex, if cuts or sores are present

* sharing any equipment used for injecting drugs - needles, syringes, glasses or water ampoules (sealed glass capsules), filters, spoons etc

* blood transfusions or organ transplant - although in the UK and 'western world' they are all tested for HIV before use

* infected breast milk

* from mother to baby in pregnancy, where there is a 12-30% risk of passing HIV to the baby

How long does it take to show?

* from anticipated time of infection, it takes 3-6 months for most people to react enough for the laboratory to detect an 'antibody reaction' to HIV in their blood

What might I notice?

* There are usually not specific signs or symptoms to tell that you have contracted HIV

What tests would I have?

* a specific blood test is necessary at present

* this only tells your 'HIV status' (if you were HIV antibody positive or negative) 3 months ago, not for example yesterday

* you may be asked to wait 3 months to have the test or if you are given the test straight away, advised to have it repeated in 3 months - either have 'no sex' or only 'protected' sex in that time and you will be advised not to put yourself at further risk

What treatment is there, if I have HIV?

* if you know you are 'HIV antibody positive' (have caught the virus) and you get common illnesses - your doctor will probably give you antibiotics or other medicines, to keep you healthy and well

* if they don't know you're HIV positive they might not give you antibodies

* the reason for this is that normally, the 'immune system' fights off infection with only minimal help - but if you are 'HIV antibody positive' they might not give you antibodies

* the reason for this is that normally, the 'immune system' fights off infection with only minimal help - but if you are 'HIV antibody positive', you could have reduced resistance and ability to fight off infection

* the aim is to keep you healthy for longer and delay the onset of AIDS

* at this time, scientists are working hard to find a cure

Where can I go to find out if I have HIV?

Click here for details of sexual health services in Bolton

What about my partner / s?

* you partner should be checked in case they have the infection or to keep safe is they don't

* telling them may be hard for you and is something you may not feel able to discuss immediately

* discuss this with your Health Advisor as they have experience of the dilemma of 'who to tell, when and why'

What about sex?

* the consistent use of condoms is strongly advised

* you may prefer to enjoy other forms of intimacy rather than penetrative sex

What about oral sex, anal sex and condoms?

* it is important to protect yourself and your partner, even if you are both 'HIV antibody positive'

* they may have other germs or a different strain of HIV, which might affect you and make you more ill if you catch them

What complications can come from having it?

* HIV can lead to AIDS

* you could be perfectly healthy for about 10 years without even realising you have been infected

* during this time you could infect other people

In short - HIV is caught - the person may not feel any different for many years - then they may have difficulty fighting off minor illnesses.  This weakens their immune system.  With a little more time, the immune system cannot fight off invading germs and AIDS starts to take over.  AIDS can make you vulnerable to illnesses, which the body can no longer fight off and destroy.

Should I be treated for HIV?

* the choice has to be yours and you should not decide to have the test without realising its implications

* the 'Health Advisors' in GUM Clinics would advise you before you are tested and help you assess your own situation

* you should be open and honest with them though, for it helps them work out your 'risk status'

* there are advantages to having the test - although you may not want to know, or are too scared to know - you could be worrying for no reason and the only easy way to put your mind at ease is to be tested

* the disadvantages are more to do with insurance companies, mortgage requests etc, although their attitude and the associated 'stigma' is changing

* you can discuss it thoroughly with a Health Advisor at the GUM Clinic or through the pride project

* if in doubt about anything - ask questions and keep asking until you have your answers

Will my doctor suggest I have the test?

* generally, it is left up to you to decide about this

* they may ask you to have it if, you are ill and they cannot find out what is wrong with you - otherwise, sometimes people who are 'HIV antibody positive' have a lower resistance to sexually transmitted infection than other people - so, if you keep getting recurrences of infection it may be suggested that you have the test

* they would only ask this of you, after trying the usual treatments without success

How can I avoid getting HIV?

* take time to get to know your partner before having penetrative sex together

* careful and consistent use of condoms is wise, as protection against infection - even with another method of birth control

* don't share needles or injecting equipment of any sort if you use drugs

* you may decide on other forms of intimacy, rather than penetrative sex

* never assume that a 'clean looking person' is clear of infection

* protect yourself - use condoms every time you have sex

There are many leaflets and books written about AIDS and HIV, which explain the infection in greater detail.  E-mail us for more help, advice, information and leaflets

Perhaps, you may like to make a list of questions you want answered before you speak to the 'health professionals' - they won't mind.

 

 

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