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Author Topic: Sex with people on the same treatment regimen. Does it matter?  (Read 1780 times)

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Offline thelovedones

  • Member
  • Posts: 58
Does having sex with someone on the same treatment regimen minimize the risk of contracting a strain of HIV that is resistant to one's current treatment? For instance, if you're poz and taking Atripla and you have sex with someone who can't take Atripla because of some mutation, can that person "re-infect" you with a strain that would be resistant to Atripla?

I'm not speaking from experience but it is something that crossed my mind.

2/26/11 Diagnosis at State Dept of Health (anonymous testing center)
2/28/11 Oral Swab Positive diagnosis and confirmatory blood test taken
3/4/11 Confirmed HIV Positive diagnosis; blood drawn for T-cell count, VL, and medical profile
3/11/11 VL: 192765, T-cell: 195
3/16/11 Prescribed Atripla and took Pill 1
4/29/11 - VL: 413, T-cell: 311
6/28/11 - VL: UNDETECTABLE, T-Cell: 437


"I've seen this happen in other people's lives and now it's happening in mine"

Online leatherman

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  • Posts: 6,189
  • Google and HIV meds are Your Friends
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #1 on: July 16, 2011, 10:35:30 PM »
if both partners are undetectable, there is no such thing as re-infection or super-infection. At undetectable not only is there nearly 0 chance of spreading the infection, but the medications work as both PEP and PrEP.
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline Matty the Damned

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  • Posts: 12,228
  • Ninja Please
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #2 on: July 17, 2011, 02:53:08 AM »
Does having sex with someone on the same treatment regimen minimize the risk of contracting a strain of HIV that is resistant to one's current treatment? For instance, if you're poz and taking Atripla and you have sex with someone who can't take Atripla because of some mutation, can that person "re-infect" you with a strain that would be resistant to Atripla?

I'm not speaking from experience but it is something that crossed my mind.



Superinfection is a very rare bird. There are only a couple of dozen documented cases and if it does happen, it's most likely to occur early in the course of the disease.

Rather than worrying about reinfection, pozzies who are considering some hot pink-on-pink action should be more concerned with other STDs like Hepatitis B, gonorrhoea and syphilis.

Particularly syphilis. Do a forums search for "syphilis" -- it's worth the effort.

MtD

Offline thelovedones

  • Member
  • Posts: 58
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #3 on: July 17, 2011, 05:00:28 PM »
thanks, gents
2/26/11 Diagnosis at State Dept of Health (anonymous testing center)
2/28/11 Oral Swab Positive diagnosis and confirmatory blood test taken
3/4/11 Confirmed HIV Positive diagnosis; blood drawn for T-cell count, VL, and medical profile
3/11/11 VL: 192765, T-cell: 195
3/16/11 Prescribed Atripla and took Pill 1
4/29/11 - VL: 413, T-cell: 311
6/28/11 - VL: UNDETECTABLE, T-Cell: 437


"I've seen this happen in other people's lives and now it's happening in mine"

Offline Matty the Damned

  • Member
  • Posts: 12,228
  • Ninja Please
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #4 on: July 17, 2011, 05:02:07 PM »
thanks, gents

I forgot to mention that Hepatitis B (and A for that matter) is vaccine preventable. If you've not been vaccinated you should speak to your doctor about determining if you need to be.

An easy way to make sure you don't get a really horrible disease.

MtD

Offline metekrop

  • Member
  • Posts: 354
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #5 on: July 18, 2011, 04:18:36 PM »
if both partners are undetectable, there is no such thing as re-infection or super-infection. At undetectable not only is there nearly 0 chance of spreading the infection, but the medications work as both PEP and PrEP.

I support this.  Just only check if she/he is Undetactable and free of any other STDs.
Diag on Dec 8, 2000, CD 440 VL 44K, No Meds
Dec/08 - Feb/09 CD< 50 & VL >500k hosp'z.
St. Atripla - July/09 CD 179, VL 197k
Oct/09 CD 300 VL UD Chol 267
Mar/10 CD 468 UD, Ch 220
Aug/10 CD 460 UD, Ch 195
Dec/10 CD 492 UD, Ch 172
Mar/11 CD 636 UD, Ch 201
Aug/11 CD 530 UD, Ch 98
Jan/12 cd 616 UD, ch 189
Jul/12 CD 640 UD, Ch ?
Dec/12 CD 669 Ud, Ch 125
May/7 CD711 Ud, Ch?
Nov/ 22 663 UD, Ch,
April 17 CD 797, UD

Offline newt

  • Member
  • Posts: 3,885
  • the one and original newt
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #6 on: July 18, 2011, 04:38:36 PM »
If both partners are undetectable, on the same treatment and have the same sub-type of HIV, the chances of reinfection are 0. As these conditions diverge, the chance increases. When it becomes a real risk, rather than theoretical, is a good guess. Two sets of undetectable viral load, 1 per partner, and nod STIs etc, prob means 0 chance.

- matt
"The object is to be a well patient, not a good patient"

Offline le_liseur

  • Member
  • Posts: 133
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #7 on: July 19, 2011, 01:59:58 AM »
I forgot to mention that Hepatitis B (and A for that matter) is vaccine preventable. If you've not been vaccinated you should speak to your doctor about determining if you need to be.

An easy way to make sure you don't get a really horrible disease.

MtD

I'd like to add that for some people, in some areas, you might get these vaccines for free. I remember I've been offered the HepA shots because they gave them without any charges to men who have sex with men in Montreal. It might be worth to look with your doctors what's the situation where you are if prices are on your minds. :)

Offline Matty the Damned

  • Member
  • Posts: 12,228
  • Ninja Please
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #8 on: July 19, 2011, 02:10:36 AM »
I'd like to add that for some people, in some areas, you might get these vaccines for free. I remember I've been offered the HepA shots because they gave them without any charges to men who have sex with men in Montreal. It might be worth to look with your doctors what's the situation where you are if prices are on your minds. :)

Good point. For homosexual men Hepatitis A is considered to be a sexually transmitted disease as it's spread via the faecal-oral route.

You boys know what I mean. ;)

Very often Hep A and Hep B vaccines come in a combined shot. If you can get either or both by bludging off the taxpayer, all the better.

MtD

Offline surf18

  • Member
  • Posts: 525
Re: Sex with people on the same treatment regimen. Does it matter?
« Reply #9 on: July 19, 2011, 08:02:09 AM »
i had hep b in 2005 ,cleared in dec of 2005. it sucked shit. get the vaccine guys if you havent already!!!!!!! no drinking terrible! ha
feel like shit during it too.

 


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