How does a PVL test help my doctor decide when to start HIV medicines?
If you have not started taking medicines for HIV infection, your doctor will probably want to test your PVL several times a year to see if the amount of HIV in your blood is changing. Your doctor might think about starting you on HIV medicines if your PVL is higher than 10,000 to 30,000 copies per mL. This is a complicated decision to make. Your doctor has to think about any other medicines you are taking and the other health problems you may have. The same PVL test result may lead to different decisions for different people. Your doctor may also want to check your CD4 lymphocyte cell count. The CD4 cells are white blood cells that help the body fight infection. They are the cells that HIV attacks. The CD4 cell count helps to show how healthy your immune system is (a high CD4 count means a healthy immune system). When the PVL test score goes down, the CD4 cell count usually goes up, although this might take some time. CD4 cell counts can also help you and your doctor decide when to sta
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