Frequently Asked Questions

About HIV and AIDS

What is HIV?

HIV stands for Human Immunodeficiency Virus. Only humans can contract it, and it attacks the immune system. While one’s immune system usually fights off viruses, HIV causes the immune system to not work the way it should. There are three stages of HIV: acute, chronic, then AIDS.

What is AIDS?

As stated before, AIDS is the third and final stage of HIV, and it stands for Acquired Immune Deficiency Syndrome. Once the virus has progressed to this stage, it can do major damage to your immune system. If not medicated, and without a proactive lifestyle change in a previous stage, can include: swollen lymph nodes, a fever that lasts more than ten days, purple spots that don’t go away, and unexplained weight loss.

How does a person get HIV?

HIV can be found in bodily fluids, such as blood, semen, vaginal fluids and breast milk. This means it can be transmitted through penetrative (anal or vaginal) sex, blood transfusion or organ donation (extremely rare due to rigorous screening processes), the sharing of contaminated needles, and between mother and infant during pregnancy, childbirth and breastfeeding.

You cannot transmit or contract HIV through casual contact, like hugging, touching the same surfaces, or contact sports. Stigma around HIV/AIDS often comes from misinformation or misunderstanding.

What are the symptoms of HIV?

Symptoms may vary depending on the individual, their CD4 (or “t-cell”) count, and the stage of HIV progression. To begin with, acute HIV may share symptoms with a lot of common ailments: headache, fatigue, aching muscles, and a sore throat.

Chronic HIV is a bit different. At this point, the almost flu-like symptoms of the acute stage leave, and an asymptomatic stage begins. This stage can last up to ten years, during which HIV can still be transmitted.

If HIV progresses to AIDS, the immune system is severely depleted, and increases the risk of developing illnesses and infections that the body would normally suppress. Symptoms of AIDs can include swollen lymph nodes, a fever that lasts more than ten days, discoloration, and unexplained weight loss.

HIV-related mortality is on the decline and medical treatment of HIV has come a long way, but it is still important to get tested quickly if you may have been exposed and/or experience related symptoms.

How quickly does a person with HIV get AIDS?

This depends on a lot of factors. The length of time can vary widely between different people living with HIV. It can be 10–15 years, sometimes longer or sometimes shorter. Antiretroviral therapy (ART) can prevent progression to AIDS by decreasing viral load in an infected body, to the point of undetectable status.

What does it mean to be undetectable?

That means there is so little of virus in your body, it can’t be detected by a test. It also means you can stay healthy, and the likelihood of spreading the virus to partners decreases. This may be achieved through HIV medical care including antiretroviral therapy (ART). 

How can HIV be prevented?

Thankfully, there are several ways to help prevent the spread of HIV. When it comes to sexual health, prevention often starts with knowing your HIV status and having open conversations with sexual partners. These conversations are unique and personal, but you’re not alone — METRO’s Prevention & Sexual Health specialists can answer your questions, provide free HIV testing, and help you navigate difficult conversations. We also provide support groups for people living with HIV in Tampa Bay and beyond, including specialized programs for those in magnetic (+/-) relationships.

Once you know your status and risk factors, behavioral changes can have a big impact on your risk of HIV transmission. For example: consistent and correct use of external (“male”) or internal/insertive (“female”) condoms, choosing non-penetrative sexual activities, and — if you’re an injecting drug user — always using new or medically sterilized disposable needles and syringes.

There are also medical treatments to prevent HIV. Pre-exposure prophylaxis, or PrEP, is a once-a-day preventative medicine that helps protect from HIV. Read our PrEP FAQs here! If you have a close call or think you may be at risk for HIV, you can also take nPEP. If taken within 72 hours of a high-risk experience, nPEP can significantly reduce your chances of contracting HIV.

What treatments are available? Can HIV be cured?

HIV cannot be cured, but it can be treated and it is absolutely possible to live a long, healthy life with this diagnosis. Medical treatment for HIV is called antiretroviral therapy (ART), and it works to reduce your viral load, or the amount of HIV present in the body. It’s important to start treatment as soon as possible if you test positive for HIV. 

With our partner CAN Community Health, METRO remains the only Tampa Bay organization offering primary care alongside HIV care, treatment, and case management. Medical Case Management includes linkage to necessary services and an emphasis on medical disease management and treatment adherence. The goal is to assist clients in becoming increasingly self-sufficient with an improvement in overall wellbeing.

What is HIV testing like?

Metro Inclusive Health provides 3 types of HIV tests: INSTI, blood-based, and Orasure.

What happens if I test positive for HIV?

First and foremost, it’s important to know that, with treatment, you can live a long and healthy life while living with HIV. For that reason, it’s vital to choose a doctor who is familiar with HIV, and can build the right treatment plan for you.

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