Safe sex is any sexual contact which avoids semen, blood or vaginal fluid getting into the bloodstream of another person, and therefore includes sex which does not transmit HIV. Although practising safe sex will prevent transmission of HIV, it may not protect you from some STIs[Sexually Transmissible (or Transmitted) Infection] Infections spread by the transfer of organisms from person to person during sexual contact. Also called venereal disease (VD) (an older public health term) or sexually transmitted diseases (STDs). – like gonorrhoea, or Hepatitis A.
Gay men with HIV may also wish to consider sexual activities that decrease the risk of picking up or passing on an STI (Sexually Transmitted Infection) or avoiding the risk of reinfection with a different strain[HIV strain] Any subgroup of the HIV species. Because HIV mutates very easily, there are many different strains (and may be multiple strains within a single person). of the virusA small infective organism which is incapable of reproducing outside a host cell.; men in relationships or other situations where they know the HIV status of their sexual partner may develop strategies that are particular to their situation.
For example: An HIV positive couple may decide to have anal sex without condoms. They may decide this after comparing viral loads and finding they are both at undetectable levels.(See Viral Load page 21) They may also decide this after discussing treatment histories together with their doctors and finding that neither has a resistanceHIV which has mutated and is less susceptible to the effects of one or more anti-HIV drugs is said to be resistant. to any HIV drug. (See Reinfection page 23) And they may further agree to not expose each other to any other STIs by keeping sex within the relationship.
A single positive man who has lived with HIV for some time and has limited treatment options may decide he does not want to risk contracting any STIs. He may choose to engage in only very low risk safe sex practices with casual partners, preferring mutual masturbation over oral sex, for example. (See STIs page 17)
A positive/negative couple may place most importance on not transmitting HIV. They may always use condoms for anal sex and never “cum in mouth” for oral sex. One or both partners may also have sex outside the relationship but keep these contacts safe, and have regular check-ups for STIs.
All these examples are different but they share one important feature. All these people have made informed choices about the sex they have.
HIV+ Gay Sex
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