POZ Community Forums

HIV Prevention and Testing => How Can I Prevent HIV? => Topic started by: Tguid13 on February 11, 2022, 05:05:07 pm

Title: Sex Question
Post by: Tguid13 on February 11, 2022, 05:05:07 pm
Hi there!

My partner and I were both diagnosed with HIV at the same time. We are about 3 months post diagnosis and have achieved undetectable VLs. We've been having sex with condoms, but I was curious to know if we still need to use them.

I know this is a question for a medical professional, but my doctor said that we should wait until we are 6 months UD and his doctor said that it should be fine as long as we are monogamous.

Has anyone had any experience with this?
Title: Re: Sex Question
Post by: leatherman on February 11, 2022, 06:51:38 pm
I know this is a question for a medical professional
actually it's not anymore.

Research has shown that someone living with HIV does not transmit HIV after being UD for 6 months. It's known as "undetectable = untransmittable". It's also the principle behind "TasP" - "treatment as prevention". When a person living with HIV who has HIV successfully controlled (UD for 6 months) they can't spread HIV which helps in stopping the spread of HIV (i.e. prevention).
https://www.cdc.gov/hiv/risk/art/index.html
https://www.cdc.gov/globalhivtb/what-we-do/briefingbook/briefbook-hivprevention.html

So in a few more months, y'all can skip the condoms.....
as long as you're cautious about other possible diseases. (ugh. I hate when our HIV doc talks to us about stuff like this; but he knows other couples who aren't monogamous like me and my hubby, so we always get the warning.  :D Of course this would have been a valid warning in my younger days with my previous partners.  8) )
Title: Re: Sex Question
Post by: Tguid13 on February 11, 2022, 06:55:44 pm
Sorry! I don't know if I phrased my question correctly. I know that we aren't considered U=U status as of now, but both of our VLs have been suppressed for 2 months. 2 of our doctors said condomless sex is fine, but a third said to wait.

So my question is: Is there any risk of us having condomless sex considering we have the same strain, we both have suppressed VLs, and we are monogamous?
Title: Re: Sex Question
Post by: zach on February 11, 2022, 07:22:19 pm
Wait

Data says 6 months
Title: Re: Sex Question
Post by: Jim Allen on February 12, 2022, 04:08:00 am
Hiya,

Moved your thread to this section.

Not much to add to what the other gents have mentioned already. Wait until you are UD for 6 months. UD in terms of U=U would be below 200 copies.

If you do engage in condomless intercourse with your partner you should consider testing more regularly for STI's.

Treatment as prevention (TasP) Undetectable = Untransmittable (U=U)
https://forums.poz.com/index.php?topic=71864.0
Title: Re: Sex Question
Post by: Grasshopper on February 13, 2022, 03:08:43 am
I am wondering if the meds they both are currently taking not working/acting as "sort of PreP" ?
Title: Re: Sex Question
Post by: Jim Allen on February 13, 2022, 03:56:26 am
The short answer would be, yes in theory.

6 months not to pass it on, and their meds should offer some prevention in the meantime if both partners have high levels of adherence and don't have or develop resistance to the Biktarvy.


Title: Re: Sex Question
Post by: Grasshopper on February 13, 2022, 04:36:53 am
The Prep components Emtricitabine & Tenofovir, are also part of Biktarvy
Title: Re: Sex Question
Post by: Jim Allen on February 13, 2022, 05:05:27 am
Yup.