Figure out when it’s time to start treatment

CD4 cell counts and viral load levels are used together to determine when you may need treatment. You should also consider how you feel, what is going on in your life, and which treatments you will or won’t take or be able to access. The U.S.-based Department of Health and Human Services (DHHS) Guidelines committee makes recommendations on how best to use anti-HIV drugs. The Guidelines state that people with higher viral loads (above 55,000) may be at greater risk for HIV-related complications and should consider starting treatment. Women with HIV may be at risk for developing complications at viral loads slightly lower than 55,000.