Treatment is Prevention
Did you know that effective treatment prevents HIV transmission during sex?
HIV treatments control the reproduction of the virus in the body. When treatment reduces the amount of virus (viral load) in the blood to low levels, HIV can longer be passed on. This is known as viral suppression or undetectable viral load.
Viral suppression, or undetectable viral load, is anything under 200 copies per ml.
A person with HIV who has an undetectable viral load cannot transmit HIV to their sexual partners if:
- they have been on HIV medications for six months
- they have an undetectable viral load for six months
- they take their medication as directed by their doctor
- they have regular viral load tests
This is sometimes called U=U, or Undetectable = Untransmissible.
The word ’undetectable’ can be a bit confusing because the viral load tests nowadays can detect very small amounts of HIV virus. Remember, any viral load under 200 copies per ml is considered undetectable.
Having an undetectable viral load is not the same as a cure because the HIV virus is still present in the body. However, having viral suppression does mean that you can have a normal life expectancy and cannot pass on HIV to your sexual partners. There is no reason why HIV should stop you from living, working, dating or starting a family.
If you are having any problems taking your medication, for any reason, it is important to talk about it as soon as possible with your HIV doctor. You can also talk with one of the Living Positive Victoria peer support workers
U=U is also the name of a community-led movement of HIV advocates, activists, researchers, and over 1,050 Community Partners from 105 countries. You can learn more at preventionaccess.org or Understanding U=U
You can explore the evidence for U=U at
- Opposites Attract study
- PARTNER study
- Fast-Track Cities data
- HIV Prevention Trial Network