Understanding Lab Tests for HIV Infection

Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025

Human Immunodeficiency Virus (HIV) is a virus that attacks the body's immune system, specifically CD4 cells (T cells). Early detection through accurate lab testing is crucial for timely treatment and preventing progression to AIDS. Modern HIV tests can detect the infection earlier than ever before.

Recommended Test

HIV 1/2 Antigen and Antibodies, Fourth Generation

This fourth-generation test is the gold standard for HIV screening, capable of detecting both HIV antigens (p24 antigen) and antibodies to HIV-1 and HIV-2. It can identify HIV infections earlier than antibody-only tests, typically within 2-4 weeks of exposure. A positive result indicates the presence of HIV antigens or antibodies in the blood, confirming HIV infection and the need for immediate medical care and treatment.

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Diagnosing HIV Infection

HIV testing is the only reliable way to confirm an HIV infection. Since many people with HIV may not show symptoms for years, testing is essential for anyone who may have been exposed or is at risk. Fourth-generation HIV tests are highly accurate and can detect infections sooner than previous testing methods.

Understanding Your Results

A positive HIV test result means that HIV has been detected in your blood and you are infected with the virus. A negative result typically means you are not infected, though there may be a window period immediately after exposure during which the test may not detect the virus. If you have concerns about recent exposure, discuss appropriate testing timelines with a healthcare provider.

Important Considerations

The information here is for educational purposes only and is not a substitute for professional medical advice. HIV testing should be accompanied by appropriate counseling and medical care. Always consult with a healthcare provider for diagnosis, treatment, and ongoing management of HIV.

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