It is important for all people, regardless of whether or not they are infected with HIV, to visit a medical doctor on a regular basis for a checkup. For HIV-positive women, regular checkups are crucial for two reasons:
HIV infection: The activity of HIV in the body, including its effects on the immune system and other bodily functions, needs to be watched carefully. Generally speaking, HIV-positive women should see their doctors every six months for important blood tests (e.g., T-cell counts and viral load) and a general checkup (e.g., checking blood pressure, listening to the heart and lungs, looking in the eyes, ears, and mouth). Once anti-HIV treatment is started, many doctors recommend blood tests and a quick checkup every three months. If HIV progresses, more frequent checkups may also be necessary.
Gynecologic health: As is discussed later on in this lesson, HIV-positive women are at a greater risk for gynecological problems, such as vaginal yeast infections, pelvic inflammatory disease, and cervical problems. As a result, when a women finds out she is HIV-positive, she should always have a gynecologic exam the first time she goes to the doctor. If everything is normal, it's best to repeat the test six months later. After that, an annual gynecologic exam is sufficient. If, however, a gynecologic exam is not normal or your doctor discovers a problem that requires treatment, more frequent gynecologic exams are usually necessary. Note: If you ever experience abnormal bleeding between your periods or unusual discharge, pain, swelling, or itching in or around your vagina or lower abdomen, you should contact your doctor right away. Even if it is not time for your regular gynecologic exam, these problems need to be checked out if they occur.
This lesson is generously sponsored by Gilead Sciences
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