The CDC recommends that all adults > 18 years old are tested for HIV at least once in their lifetime. Men who have sex with men, trans people who have sex with men and people who inject drugs should be tested more frequently. In San Francisco, we recommend that folks in these groups get tested for HIV every 3 months. People on PrEP should also get tested for HIV every 3 months.
We recommend that you talk with your healthcare provider about your sexual and drug use practices. This will help your provider determine what tests you need and how often you should be tested. Testing recommendations depend on your situation, for instance if you or your partner use drugs (like methamphetamine or cocaine), if you're experiencing homelessness, have a history of incarceration, have a history of an STI, do sex work, or if you think your partner may be having other partners.