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Living with HIV is no longer a life sentence but a part of many people's sexual health journeys. One crucial aspect of this journey is understanding the concept of U=U, or “Undetectable equals Untransmittable”. This empowering message promotes better treatment adherence, reduces HIV-related stigma, and encourages us all to know our options.1 

Understanding U=U:

The term U=U signifies that an HIV-positive person with an undetectable viral load cannot transmit the virus to their partner/s through sex.1 This revolutionary movement has empowered millions living with HIV worldwide as it reinforces the power of personal agency in managing your health and well-being.

The power of being undetectable

Having an undetectable viral load means the level of HIV in your blood is so low that standard tests are unable to detect it.2 This is usually the result of consistent and correct use of the antiretroviral therapy (ART) regime prescribed. Not only does an undetectable viral load mean you can't sexually transmit HIV, but it also leads to improved overall health.3 You're less likely to develop AIDS-related illnesses and other health complications. If you are HIV positive, are regularly taking your ARV medications, and have an undetectable viral load, it’s possible for you to have a healthy pregnancy and for your baby to be born healthy and HIV negative.4 Speak to your healthcare professional should you require more information.

Knowing your U=U status

Determining your U=U status involves regular monitoring of your HIV viral load. This is done through blood tests conducted by your healthcare provider or at-home HIV tests. If you're living with HIV and on ART medication, these tests are typically performed every three to six months. However, being undetectable doesn't mean the virus is gone; it's still in your body but at levels too low to measure. It's crucial to continue taking your ART medication as prescribed, even when your viral load is undetectable. Consistent medication adherence ensures your viral load remains suppressed, keeping you in the U=U zone and protecting your health.5

Why condoms still matter

While U=U is a major step forward in HIV prevention, it doesn't replace the need for safe sex practices. Condoms remain essential in preventing other sexually transmitted infections and unwanted pregnancies. Moreover, U=U applies only when the viral load is consistently undetectable, which requires regular monitoring and medication adherence.5

Understand your status, manage it effectively, and continue practicing safe sex. If you're HIV positive, choosing #ForeverWena is about striving for an undetectable viral load. Remember, an HIV diagnosis isn't the end; it's the beginning of a new journey where you choose your health without fear or judgment. Feel free to speak to your healthcare professional about how you may reach your U=U status. Choose #ForeverWena, because you have the power to put your sexual health back in your own hands.

References: 1. Consensus Statement on U=U in Criminal Law Reform – Prevention Access Campaign [Internet]. Available from: https://www.preventionaccess.org/consensus. 2. HIV programming and best practice [Internet]. Be in the KNOW. Available from: https://www.avert.org/professionals/hiv-programming/treatment/viral-load. 3. Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations [Internet]. 2016. www.who.int. Available from: https://www.who.int/publications/i/item/9789241511124. 4. HIV and pregnancy [Internet]. pregnancybirthbaby. Available from: https://www.pregnancybirthbaby.org.au/hiv-and-pregnancy. 5. CDC. HIV Treatment as Prevention [Internet]. Centers for Disease Control and Prevention. 2019. Available from: https://www.cdc.gov/hiv/risk/art/index.html.