My fiance has just recently been diagnosed with HIV, he also has meningitis. We have been together for 18 months and before recently have had unprotected sex. I have had one test and it was negative they have me coming back in six weeks. My concern is if it wasn't detected in him a year ago why now? And whose to say that it won't show up in me later. I am so depressed all the time and haven't slept in weeks. I know that we are going to stay together but how do I cope?

Mark H. Katz, M.D.
Regional HIV/AIDS Physician Coordinator
Kaiser Permanente of Southern California
You bring up a host of important issues:
First of all, if your fiance has meningitis, there is a good chance he has been HIV-positive for some years, as the meningitis (if it is the AIDS-associated cryptococcal) usually reflects a low number of T-cells. You imply that he was tested 18 months ago and that it was negative. I would suggest you clarify this.
Secondly, if you tested negative even several weeks after your last unprotected encounter, there is a good chance you are negative. But the next test will be the definitive one--and if negative, this is absolutely conclusive, as long as you do not engage in high-risk behaviors.
Being depressed, anxious, upset is a normal reaction to learning one, or a loved one, is HIV-positive. I can assure you that with proper medical care, and use of medications, that people with HIV, and even with full-blown AIDS, are living longer and more productively than ever. It is an honorable thing, indeed, to stand by him, and go through this phase of life as partners. I would guess your support is invaluable to him--and as for you getting support--call your local AIDS service organization. There is a good chance that they have a support group for partners of persons who are positive.
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