Biomarkers

HIV-1 & HIV-2 Antibodies

Takes weeks to appear after exposure. With this marker, timing matters as much as the test.

HIV-1 & HIV-2 Antibodies

Antibodies your immune system makes in response to HIV.

HIV-1 and HIV-2 antibodies are proteins your immune system produces after exposure to the human immunodeficiency virus. A self-test doesn’t look for the virus itself. It looks for your body’s response to it, and because that response takes time to build, knowing when to test is part of testing well.

What they are

HIV-1 causes the large majority of infections worldwide. HIV-2 is less common and found mostly in West Africa. After infection, the immune system produces antibodies against either type, and a single drop of fingerstick blood can show whether they’re present.

Why timing matters

Most people develop detectable antibodies within a few weeks to three months after exposure. This stretch is called the window period. A test taken inside it can read negative even when infection has happened, so a negative result only reliably covers exposures from more than three months ago.

What a result can tell you

A negative result more than three months after your last possible exposure is dependable. A positive result means antibodies were detected and needs confirmation by a healthcare provider with lab testing, because a self-test result is not a diagnosis. HIV today is a manageable condition. People who start treatment early live long, healthy lives, and treatment that keeps the virus undetectable prevents sexual transmission.

What it can’t tell you

The test can’t detect very recent infection, and it isn’t reliable for people already on antiretroviral therapy. Rarely, other conditions can cause a false positive, which is one more reason positives are always confirmed. It doesn’t test for other STIs. If a possible exposure happened in the last 72 hours, don’t wait to test. Contact a provider or urgent care about PEP, a preventive treatment that works best when started quickly.

References

  1. Centers for Disease Control and Prevention. HIV Testing. cdc.gov
  2. World Health Organization. Guidelines on HIV Self-Testing and Partner Notification. 2016.
  3. Centers for Disease Control and Prevention. HIV Treatment as Prevention. cdc.gov