Many people feel they have some idea of whether they have HIV or not. Perhaps you suspect that you could have, based on things you have done in the past. You can never really be sure unless you have an HIV test, and deciding to have a test can be difficult - there is a big difference between thinking you may have a serious medical condition and finding out that you definitely have. Some people choose to delay having an HIV test until the time feels right. Others decide that there are advantages to knowing, such as access to anti-HIV treatments, which make it worthwhile.
If you are thinking about having an HIV test, see the Terrence Higgins Trust's booklet Testing Issues for more information to help you decide.
It can sometimes be tempting to make guesses about sexual partners too: "this person could never have HIV" or "I know this person so well now, I just know they have not got HIV." But there is no easy way to tell if someone has HIV or not, and they may not know themselves. Many people with HIV are healthy and well after several years of living with the virus, so you cannot tell from how someone looks, or how well you know them, whether or not they have HIV.
IF YOU HAVE HIV
Whether you think you have HIV, or know that you do, safer sex and safer drug use will not only prevent you infecting other people. They will also help you stay healthy:
- you will avoid getting infected with other strains of the virus which may be resistant to treatments which could benefit you
- you will avoid getting other infections which could be difficult to treat if your immune system is damaged by HIV (although many of these are more infectious than HIV and may be avoided only with even 'safer' sex than what is described below).
For more information about sex and living with HIV, see the Terrence Higgins Trust's leaflet Sex Positive (for gay men) or Living with HIV & AIDS (available from NAM Publications, 0171-627 3200).
PREVENTING INFECTION The rest of this booklet gives detailed information about the ways in which you can avoid getting HIV from other people or giving it to them. These are:
- safer sex - using condoms or Femidoms if you have penetrative sex, or avoiding penetration
- safer drug use - making sure that you always use new drug injecting equipment if you inject drugs
- reducing the risk of transmission during and after pregnancy.
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