The second large study to look at whether people with HIV become non-infectious if they are on antiretroviral therapy (ART) has found no cases where someone with a viral load under 200 copies/ml transmitted HIV, either by anal or vaginal sex.Statistical analysis shows that the maximum likely chance of transmission via anal sex from someone on successful HIV treatment was 1% a year for any anal sex and 4% for anal sex with ejaculation where the HIV-negative partner was receptive; but the true likelihood is probably much nearer to zero than this. When asked what the study tells us about the chance of someone with an undetectable viral load transmitting HIV, presenter Alison Rodger said: “Our best estimate is it’s zero.”
When I’m single, I don’t bareback on purpose usually. I practice safe sex often enough to consider myself “always safe,” even though that’s not quite true. While the overwhelming majority of times that I’ve had casual anal sex, I’ve had the wherewithal and self control to stop and put on the condom I’ve already made sure is within my reach, there have been times when pre-sex teasing has led to penetration. I’ve slipped. There are times when a few condom-free strokes don’t seem like they’d hurt anyone and we were both down soâ¦ I’ve given in to requests of full-on bare sex to orgasm on occasion, depending how hot and convincing the invitation was and how turned on I already was. It’s always the exception, though. “That’s not me,” I tell myself during and especially after.
The best thing Rich Juzwiak has written in a long while, aside from a couple of side-eye worthy phrases… but all in all totally worth a read.