A mixed-HIV status relationship is a relationship in which one partner has tested negative for HIV and the other partner has tested positive for HIV. This is also called an HIV discordant relationship.
Mixed-HIV status relationships can be very stressful, and you could be asking yourself a lot of questions on how to navigate such a relationship.
Once you find out your partner has tested positive for HIV, it’s important to also get tested so you can both know your status. Knowing your status and talking to your partner about it can help you both protect each other and reduce the risk of infection. Knowing each other’s status can make it easy to negotiate condom use in a relationship and can help you practice a healthy and safe sex life.
You are probably wondering:
“Will the partner living with HIV live a full life?”
Although there is no cure for HIV, it’s manageable and people living with the virus can live a normal, long life if they take their anti-retroviral treatment (ART) as prescribed and they don’t miss treatment. Taking ART every day, at the same time, as prescribed by a healthcare provider can suppress your viral load, which can keep you healthy and prevent transmission to your partner. You can get more information on viral suppression from your healthcare provider.
“Will we ever have a normal sex life?”
Living with HIV does not have to affect your sex life. You can still have a normal, fulfilling sex life with your partner. All you need to do is ensure that you use a condom correctly every time you have sex to protect both you and your partner.
“Does this mean we will never have children?”
People living with HIV can have HIV-free babies as long as they take their treatment and are virally suppressed. Once you and your partner are ready to have a baby, you can speak to your healthcare provider so they can monitor the process to ensure there is no mother-to-child transmission.
“How can I protect myself or my partner from the risk of infection?”
In a mixed-HIV status relationship, the partner who tested negative for HIV can take PrEP (pre-exposure prophylaxis) to reduce their chance of getting infected. PrEP is a medicine administered to individuals who test negative for HIV but are at risk of exposure to the virus to reduce the chances of infection. For PrEP to be effective, it must be taken every day as prescribed by the healthcare provider. Missing treatment can increase your chances of infection.
Although ART can help you achieve viral suppression and PrEP can reduce chances of infection from HIV, it’s important for you and your partner to have protected sex every time and go for regular testing. HIV is not a death sentence; you and your partner can have a meaningful life together.
Remember, if you or a friend need advice or help, you can contact me here on Ask Choma, send a Facebook message, an Instagram message or a Twitter DM, or a WhatsApp Message (071 172 3657).