HIV & AIDS

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There are still many misconceptions about HIV. Here you can find out what the difference is between HIV and AIDS, how to protect yourself, what treatments are available, and why living with HIV today is very different from what it was just several years ago.

HIV is not the same as AIDS

HIV human immunodeficiency virus is the virus itself and refers to infection with it
AIDS acquired immune deficiency syndrome is the late stage of an untreated HIV infection

Without treatment, after 5–10 years, AIDS can develop. This associated with serious illnesses, such as certain types of pneumonia or cancer. With treatment, this hardly ever happens today.

HIV in brief

  • HIV attacks the immune system.

  • An infection often goes unnoticed for a long time. The first symptoms are sometimes similar to those of the flu.

  • Without treatment, HIV weakens the immune system to such an extent that the body can no longer fight off pathogens and defective cells.

The good news:

  • HIV is not curable, but it is treatable.

  • With therapy that starts early, people with HIV can lead a completely normal life.

  • With effective treatment, HIV-positive individuals are no longer infectious.

  • Testing is crucial for early diagnosis and timely initiation of therapy.

HIV in Germany - numbers

96.700 People infected with HIV in Germany
  • Approximately 96,700 people are living with HIV

  • 99% of all diagnosed patients take HIV medication

  • There were around 2,200 new infections in 2023

Robert Koch-Institut. (2023). HIV/AIDS in Deutschland – Eckdaten der Schätzung (p. 3). https://www.rki.de/DE/Themen/Infektionskrankheiten/Infektionskrankheiten-A-Z/H/HIV-AIDS/Eckdaten/Eckdaten.html

fever

fatigue

sore throat

skin rash

These symptoms usually disappear again. However, the infection remains. Without treatment, serious illnesses can develop years later.

blood

semen

vaginal fluid

breast milk

Main transmission routes

unprotected vaginal or anal sex

sharing needles

transmission during pregnancy, childbirth, or breastfeeding

The following do not pose a risk:

shaking hands

kissing

toilets, door handles

insect bites

HIV is not spread through skin contact, saliva or mosquitos and it doesn't survive long outside of the human body. 

HIV tests – when and how?

When?

Reasons for getting tested:

  • unprotected sex

  • broken condom

  • pregnancy

  • another sexually transmitted infection

  • sharing needles

     

How?

  • Laboratory test: Blood from the arm vein, 6 weeks after high-risk contact/ potential exposure, results after 2–4 days

  • Rapid test: blood from the finger, 12 weeks after high-risk contact/ potential exposure, results after approx. 20 minutes

Immediate measures after potential HIV exposure

Clean the penis with soap and water

Clean the skin with soap and water, disinfect if necessary

If there was ejaculate in the mouth: spit it out, then rinse with water or high-proof alcohol

Not recommended: vaginal or rectal douching (risk of damage to mucous membranes)

Afterwards: PEP (post-exposure prophylaxis) is an emergency treatment that can prevent infection in most cases. It must be started as soon as possible (preferably within 2 hours, at the latest within 48 hours).

Protective measures in everyday life

Think about it

Do you protect yourself?

Have you ever thought about whether you could become infected with HIV?

Have you ever given this any thought during sex?

Do you know whether all of your sexual partners have been tested for HIV?

Condoms

provide reliable protection during all forms of sexual intercourse

Regular testing

especially if you have multiple partners

Proper handling of syringes

never share them

There are also two medication options

PrEP (pre-exposure prophylaxis)

HIV medication is taken preventively. For people at regular risk of HIV. Prescription required, approx. 50 €/month (not always covered by health insurance). Medical supervision required.

PEP (post-exposure prophylaxis)

HIV medication after a high-risk contact/ potential exposure (within 2–48 hours). Duration: 30 days, 3 active ingredients. Costs covered by health insurance. For emergencies, e.g., after unprotected sex.

Treatment

HIV

Antiretroviral therapy (ART) is now standard. It prevents the virus from multiplying and thus protects the immune system.

  • The viral load drops to an undetectable level.

  • HIV is then no longer transmissible.

  • Life expectancy = same as for people without HIV.

  • Medications are well tolerated today, usually only one tablet per day or one injection every 8 weeks.

Even though lifelong therapy is necessary, people with HIV can live active, healthy, and independent lives today.

AIDS

If HIV remains untreated, it can progress to the AIDS stage. The immune system is then severely weakened.

  • Immediate ART

  • Treatment of the symptoms and diseases that develop

  • Even in the advanced stage, health status can improve significantly

Important: The earlier the diagnosis, the better the prognosis.

HIV & cancer

Since HIV weakens the immune system, those affected have an increased risk of certain types of cancer. Regular check-ups are therefore particularly important. With early diagnosis and consistent therapy, the risk can be significantly reduced.

HIV & pregnancy

An HIV diagnosis does not mean that having children is out of the question. With today's medicine, pregnancy and childbirth are indeed possible for people with HIV and their children.     Deutsche Aids-Gesellschaft e.V., & Österreichische AIDS Gesellschaft. (2020). Deutsch-Österreichische Leitlinie zur HIV-Therapie in der Schwangerschaft und bei HIV-exponierten Neugeborenen. AWMF online, 35. AWMF-Register-Nr.: 055 - 002.

More information about what HIV is, how it is transmitted, and how to protect yourself from it can be found in the section on protection.

In Germany, all pregnant women are offered an HIV test. It is voluntary, but recommended; for HIV-positive pregnant women who are not receiving treatment, the risk of transmitting HIV to their child during pregnancy, at birth, or through breast milk is around 24%.    The European Collaborative Study. (1988). Mother-to-child transmission of HIV infection. Lancet (London, England), 2(8619), 1039–1043.

With medical help, the risk can now be reduced to less than 2%  Gingelmaier, A., Hollwitz, B., Casteleyn, S., Faul-Burbes, C., Gröger, S., Beichert, M., Buchholz, B., Weigel, M., Funke, A. M., Grubert, T., & Friese, K. (2005). Schwangerschaftsverlauf und kindliches Outcome bei 599 HIV-exponierten Schwangerschaften an deutschen Schwerpunktzentren 1999 - 2003. Geburtshilfe und Frauenheilkunde, 65(11), 1058–1063. doi.org

Protecting the child

If a test has been carried out, this is noted in the Mutterpass (maternity log). However, the result itself is not recorded there.

If an HIV infection is detected, there are several measures available to protect the child. With the appropriate measures, children can be born healthy:

Please note: Even during pregnancy, a new infection can occur and the virus can then be passed on to the child. Condoms or Femidoms offer reliable protection. Find out more here.

Psychological stress and support

An HIV diagnosis always poses a major challenge – and often during pregnancy, the challenge is even greater. In studies, around 60% of pregnant women with HIV reported suffering from anxiety.     Qin, S., Tan, Y., Lu, B., Cheng, Y., & Nong, Y. (2019). Survey and analysis for impact factors of psychological distress in HIV-infected pregnant women who continue pregnancy. The Journal of Maternal-Fetal & Neonatal Medicine, 32(19), 3160–3167. doi.org.

That is why support is so important

from partners

from doctors and birth assistants

from the wider community

and from specialized counseling centers

Today, HIV is no longer a death sentence. With testing, safer sex practices, and modern medicine, people with HIV can lead healthy, long, and fulfilling lives without fear and without risk of infecting others.

April, 2026

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References

Further topics related to "Sexually Transmitted Infections (STIs)"

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