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Author Topic: Dealing with risk factors!  (Read 2877 times)

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Offline jrbarr

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Dealing with risk factors!
« on: April 03, 2013, 10:17:13 pm »
I'm hiv+ but my boyfriend is not. We're in a monogamous relationship and there are no other std issues between us. He wants to have anal sex without a condom (he's full top and I'm full bottom). So far I have declined due to my obvious concern for him. But what if we decide to do this? Is this a poor decision? What is the risk factor for him? As long as he has no open sores and there are no other disease factors to be considered, is this safe for him? I'm in treatment and my last VL was 1543. Any advice that can be given is much appreciated!
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Offline surf18

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Re: Dealing with risk factors!
« Reply #1 on: April 03, 2013, 10:35:24 pm »
I wouldnt even consider it until you are UD for over six months. Then weigh the risk.
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Offline jkinatl2

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Re: Dealing with risk factors!
« Reply #2 on: April 04, 2013, 12:12:34 am »
Quote from: surf18 on April 03, 2013, 10:35:24 pm
I wouldnt even consider it until you are UD for over six months. Then weigh the risk.

Question for the science folks. Why the six month waiting period? And if there is a viral load spike, even a relatively low one, does that period reset? Why?

While waiting for the answer, I will offer to the OP that the risk is insanely low. Not zero. Not "undetectable" low. But then again, undetectable has, in the last few years, been a moving target.

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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

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Offline tednlou2

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Re: Dealing with risk factors!
« Reply #3 on: April 04, 2013, 12:29:39 am »
Quote from: jkinatl2 on April 04, 2013, 12:12:34 am
Question for the science folks. Why the six month waiting period? And if there is a viral load spike, even a relatively low one, does that period reset? Why?

While waiting for the answer, I will offer to the OP that the risk is insanely low. Not zero. Not "undetectable" low. But then again, undetectable has, in the last few years, been a moving target.

Is the "insanely low" risk due to the low viral load, the fact that tops are at much less risk from a poz bottom, or both?  If it is the vl, at what vl would this change, if at all?  And, would possible bleeding from an existing fissure or new tear make a difference? 

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Offline jkinatl2

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Re: Dealing with risk factors!
« Reply #4 on: April 04, 2013, 12:49:53 am »
Quote from: tednlou2 on April 04, 2013, 12:29:39 am
Is the "insanely low" risk due to the low viral load, the fact that tops are at much less risk from a poz bottom, or both?  If it is the vl, at what vl would this change, if at all?  And, would possible bleeding from an existing fissure or new tear make a difference? 



Insanely low would be the combination of the two, presuming a relatively gentle sexual act. Enough lube, teasing and foreplay, you know, BOYFRIEND sex. I'm sure double-barrel fisting and a dose of blood thinners would change the odds.



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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

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