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Do I need an HIV test?   When is an HIV test recommended? An HIV test is recommended for anyone who * had blood transfusions between 1978, the year AIDS began in the U.S., and before March 1985, when HIV testing of the blood supply began, * has not been in a mutually monogamous sexual relationship, * is pregnant, * has shared injection drug needles or had sex with someone who has, * has hemophilia or has had sex with someone who has hemophilia.