top of page
Group 238.png

What Are the First Signs of HIV?

Writer: Trusti TeamTrusti Team

HIV, or human immunodeficiency virus, has been a hot topic of discussion for decades, and while treatments have come a long way, early detection remains key. Spotting the first signs of HIV can feel a bit like solving a medical mystery, especially because the symptoms can be subtle or mimic other illnesses.


The Early Stage: Acute HIV Infection

When someone first contracts HIV, their body goes into overdrive trying to fight the virus. This initial phase is called acute HIV infection and typically occurs 2–4 weeks after exposure. During this time, the virus multiplies rapidly, and the body starts to produce antibodies to fight it off. The result? Symptoms that often resemble the flu or just kind of make you feel gross.


Common Early Signs of HIV

Here are the usual suspects when it comes to early HIV symptoms:

  1. Fever

    If you’re running a high temperature without an obvious reason (like binge-watching sad TV shows under 10 blankets), it could be an early sign of HIV. According to the CDC, fever is one of the most common early symptoms.

  2. Fatigue

    Do you feel like you just ran a marathon, but all you’ve done is walk from the couch to the fridge? Extreme fatigue is another hallmark symptom. The immune system is working overtime, leaving you feeling drained.

  3. Sore Throat

    A scratchy or painful throat is often dismissed as a cold or seasonal allergies, but in some cases, it can be part of early HIV symptoms.

  4. Swollen Lymph Nodes

    You know those little lumps under your jaw or in your armpits? Those are lymph nodes, and they tend to swell when your body is fighting off an infection.

  5. Rash

    A rash can show up on the torso of your body and look like small, red spots. It’s easy to chalk this up to a new laundry detergent, but it's always worth keeping an eye on new rashes.

  6. Muscle and Joint Pain

    If you feel like you’ve aged 50 years overnight, with aching muscles and joints, this could be your body’s immune response kicking in.

  7. Headache

    A persistent headache might accompany other symptoms, adding to the overall "ugh" factor.

  8. Night Sweats

    Waking up drenched in sweat isn’t just for stress dreams about forgetting to study for a test you’ll never take. It’s also a possible early symptom of HIV.


The Sneaky Nature of HIV Symptoms

Here’s the tricky part: not everyone experiences noticeable symptoms during the acute phase. Some people breeze through it without realizing they’ve been exposed. Others might chalk up their symptoms to the flu, a bad cold, or just an off day (or week). This is why regular testing is so crucial, especially if you’re sexually active or share needles.

Public Health Ontario emphasizes that HIV can stay in your system without obvious symptoms for years. During this time, the virus quietly damages your immune system, making it harder for your body to fight off infections later on.


HIV in Canada: What the Numbers Say

According to the Public Health Agency of Canada, there were approximately 62,790 people living with HIV in Canada in 2020. Testing is a key part of reducing these numbers and ensuring that people get the care they need. The earlier HIV is detected, the better the outcomes with treatment.

The CDC echoes this, reporting that about 1.2 million people in the U.S. are living with HIV. Early testing and diagnosis make a world of difference, both for individuals and for reducing transmission rates.


So… What Do You Do?

If you’ve been reading this and thinking, “Wait, I’ve had these symptoms before” don’t panic. Here’s what you can do to take charge of your health:

  1. Get Tested

    The only way to know for sure if you have HIV is to get tested. Many clinics, health centers, and even pharmacies offer confidential or anonymous testing. There are also at-home testing kits that allow for safe, private testing. Public Health Ontario and PHAC recommend regular testing for people at higher risk, such as those with multiple partners, men who have sex with men, or people who share needles.

  2. Communicate with Partners

    If you’re worried about a potential exposure, talk to your partner(s). Open, honest communication can help everyone involved make informed decisions.

  3. Seek Medical Attention

    If you test positive, there’s a range of treatments available to manage HIV. Antiretroviral therapy (ART) helps keep the virus in check and allows people to live long, healthy lives.


Protecting Yourself and Others

Prevention is always better than a diagnosis. Here are some ways to reduce your risk of contracting or spreading HIV:

  • Use Protection: Consistently and correctly using condoms can greatly reduce the risk of HIV transmission.

  • Get PrEP: Pre-exposure prophylaxis (PrEP) is a medication that can reduce the risk of getting HIV by up to 99% when taken daily. PHAC and the CDC recommend it for people at higher risk.

  • Don’t Share Needles: Sharing needles or syringes is a common way HIV spreads. Needle exchange programs can help reduce this risk.


HIV is still very serious, but it isn’t the huge threat that it used to be. Medicine has come a long way in fighting this virus. Stay vigilant, and use these tips to make sure that you help keep HIV under control.


The Takeaway

The first signs of HIV can be subtle or dramatic, but either way, they shouldn’t be ignored. If you notice flu-like symptoms after potential exposure, it’s worth getting checked out. Early testing and treatment can make a huge difference in managing HIV and preventing its spread.


Remember, taking care of your health isn’t just about protecting yourself—it’s about making informed, responsible choices for your community too. And if you ever feel unsure, know that there are plenty of resources, from your local clinic to public health agencies, ready to help you out.


Want to do an HIV test from home? Trusti is launching an at-home HIV testing kit in Ontario in April 2025. Skip the walk-in clinic - order a kit to your door, and get access to virtual medical care through our platform.


Subscribe to Trusti’s newsletter get notified when our kits are available for purchase in your location.

bottom of page