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If you have HIV, find a doctor you can trust who treats HIV-positive women. If you need help finding one, call your state AIDS hotline or the CDC National AIDS hotline at 800-CDC-INFO (232-4636). This hotline will either point you to a specific doctor or to resources in your area where you can get health care, like a clinic. Your doctor will talk to you about your health. You also will get a physical exam. If you found out about your positive result over the phone from a mail-in testing company, follow up with a doctor to talk about your result.
Just because you are HIV-positive doesn't mean that you will need HIV treatment right now. However, new research shows that starting treatment early may lower your chances of passing HIV to your partner. You and your doctor will decide the best time to start treatment. When to start depends on:
Once you start taking anti-HIV drugs, you will need to continue taking them for the rest of your life. Keep in mind: It is important to see your doctor often — even before you start treatment — so you stay as healthy as possible.
At some point, you will need medicine to slow down the disease and help keep you healthy. Many medicines are used to treat HIV/AIDS. They fall into six classes:
Because each HIV drug can't work by itself, patients must take a combination of three or more drugs from different classes. When this combination of drugs is taken, it's called "highly active antiretroviral therapy" or HAART. Sometimes, it is also called a "cocktail." When taken properly, HAART helps people with HIV live longer and have fewer infections. The drugs work by lowering the amount of HIV in the blood. They improve your body's ability to fight infections.
There is no single "best" treatment plan. Your doctor will help you decide which combination of medicines is right for you. The names of HIV drugs can be confusing. Many HIV drugs have both a brand name and a generic name. Some also go by a shortened name. For example, Retrovir is the brand name of the NRTI zidovudine (the generic name). This drug also goes by "AZT" or "ZDV." Talk to your doctor if you are unsure which drugs are part of your treatment. Ask your clinic or doctor's office to give you a written list of your medications. The list should include dosages and times to take the medicines. You should keep this list with you at all times.
Many medications and other things can interact with HIV drugs. These interactions can hurt you or make the HIV medicines weaker. So you should tell your doctor if you are using any other prescribed medications. Also, tell your doctor if you are using any recreational drugs, alcohol, herbal remedies, or over-the-counter medicines. Make sure to tell your doctor if you are taking birth control pills or other birth control that contains hormones, such as Depo-Provera (the birth control shot). Some HIV drugs affect how much of the birth control stays in your system. Also, some birth control can make your HIV medicine not work as well. Tell your doctor if you are pregnant or planning to become pregnant. That will affect what treatment is best for you and your baby.
Regular checkups will help your doctor monitor your health. Your checkups will likely include a physical exam and lab tests. Tests will check your CD4 count, viral load, and may see if your HIV strain is resistant to any HIV drugs. This information will help your doctor recommend a time to start treatment and come up with a plan. While there is ongoing debate and research about the best time to start, generally, you should start treatment if:
Once you start treatment, you may need to continue taking HIV medicines for the rest of your life. So other things you will need to think about before starting treatment include:
There are still a number of things about treatment of HIV that we do not know. This is particularly true for women. Research and clinical trials of what medicines to use and when to start are seeking to answer those questions.
When you begin to discuss treatment options with your doctor, ask about clinical trials. Your doctor can tell you if there are any that would be open to you and how to enroll if you want to participate.
Content last updated: July 01, 2011.
Resources last updated: July 01, 2011.