Testing for HIV
I may have been exposed to
HIV. What
should I do?
Get tested. e only way to
know if you’re infected with the
virus is to get an HIV test.
Soon after infection with
HIV, a person may have u-like
symptoms. But HIV infection
isn’t diagnosed on the basis of
symptoms. Getting tested is
the only way to know if you’re
infected with HIV.
What is the most common HIV
test?
e most common HIV test is the
HIV antibody test
. HIV
antibodies are a type of
protein the body produces in
response to HIV infection. e
HIV antibody test checks for
HIV antibodies in a person’s
blood, urine, or uids from the
mouth.
Generally it takes the body
about 3 months from the time of
infection to produce enough
antibodies to be detected by an
HIV antibody test. (For some
people, it can take up to 6
months.) e time period
between infection and the
appearance of detectable HIV
antibodies is called the
window
period
. Because HIV antibodies are
not detectable yet, the
HIV antibody test isn’t
useful during the window period.
What HIV test is used during
the window
period?
e
plasma HIV RNA test
(also called a
viral load
test) can
detect HIV in a person’s
blood within 9 days of infection,
before
the body develops detectable
HIV antibodies. e
plasma HIV RNA test is
recommended when recent
infection is very likely—for
example, soon after a person has
had
unprotected sex
with a partner infected with
HIV.
Detecting HIV at the earliest
stage of infection lets people
take steps right away to
prevent
transmission of HIV
. (See
the
Preventing Transmission of
HIV
fact sheet.) is is
important because immediately
after infection the amount of
HIV in the body is very high,
increasing the risk of
transmission of HIV. Starting
treatment at this earliest stage
of infection also can be
considered.
What does it mean to test HIV
positive?
A diagnosis of HIV is made on
the basis of positive results
from
two
HIV tests. e
rst test can be either an HIV
antibody test (using blood,
urine, or uids from the mouth)
or a plasma HIV RNA test
(using blood). e second test
(always using blood) is a
dierent type of antibody test called
a
Western blot
test. A positive Western blot
test con
rms
that a person has HIV.
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