World AIDS Day isn’t only about the gay community—it concerns everyone who is sexually active. As someone who worked with men living with HIV before effective treatments existed, I’ve seen firsthand how much has changed. Today, if HIV is diagnosed early and treated, it is a chronic, manageable condition and most people can expect a normal lifespan.
Why early testing matters
The crucial phrase is “if caught early.” Late diagnosis is still common and costly. One key measure of immune health is the CD4 count. When it falls below 200 cells/mm³, the risk of AIDS-defining infections rises sharply and responses to treatment are typically poorer. Worryingly, nearly half of heterosexual men are diagnosed with CD4 counts below 200—far later than ideal.
HIV does not respect sexuality
While HIV prevalence remains higher among gay and bisexual men, heterosexual men are not exempt. If you’ve had sex without a condom—even once—you should consider a test. Better yet, make testing routine rather than a one-off.
When should I get tested?
- At least annually if you’re sexually active with new or multiple partners.
- After potential exposure (e.g., condom break, unprotected sex) and again after the window period your clinic recommends.
- Alongside a full STI screen—including tests for infections such as hepatitis B—because co-infections can go unnoticed.
Barriers to testing—and how to beat them
Many men delay testing due to fear, stigma, or worry about the result. If anxiety is keeping you away from clinic doors, structured support like computerised CBT can help you manage avoidance and take that first step. Men also tend to engage more when health campaigns speak directly to them; initiatives like Movember show the power of tailored, male-friendly messaging.
Where to get tested
HIV tests are free and confidential at sexual health clinics, with many offering rapid or same-day results. For clear, trustworthy guidance on testing options and what results mean, see the NHS overview: HIV testing: what to expect.
The bottom line
To benefit fully from modern HIV treatment, you need to start early. Make testing a habit, use condoms consistently, and talk to your clinician about additional prevention options if appropriate. Protect yourself—and your partners—by knowing your status.