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Reducing the Risk |
If you are HIV-positive, you'll want to protect your HIV-negative partners from becoming infected. The easiest and cheapest way to do this is to either refrain from high-risk sex (such as anal or vaginal sex without condoms) or always use a condom. Below are some considerations and tactics that you might think about to reduce the risk of HIV transmission to your partner or partners. PrEP (Pre-Exposure Prophylaxis) GENITAL INFECTIONS UNDETECTABLE VIRAL LOAD FORESKIN VS. NO FORESKIN “SERO-ADAPTIVE” BEHAVIORS Sero-sorting with another HIV-positive person increases the risk for super-infection, or getting another strain of HIV which may make it harder to control. This most often occurs during the first months after infection. However, there are probably fewer serious concerns if both partners are on HIV meds and stay undetectable. Sero-positioning may somewhat reduce the risk for passing HIV, but the HIV-negative top (insertive) can still get HIV through unprotected vaginal and anal sex. This is especially true if breaks in the skin or infections are present, if viral load is detectable, or if the top is uncut. Since these sero-adaptive behaviors imply unprotected sex, you can still get other sexual infections such as chlamydia, herpes and syphilis, as well as diseases that people don’t often think of in terms of sex, like hepatitis C. Recent mini-epidemics of both syphilis and hepatitis C have been seen in HIV-positive gay and bisexual men. Both have a faster progression and are harder to treat in people with HIV. HIV CRIMINALIZATION Contributed in part by Project Inform: www.projectinform.org/HIVhealth/.
Copyright 2018, Positive Health Publications, Inc. This magazine is intended to enhance your relationship with your doctor - not replace it! Medical treatments and products should always be discussed with a licensed physician who has experience treating HIV and AIDS!
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