CONSIDERATIONS

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Can you get HIV from oral sex? Americans really want to know their HIV risk during fellatio—even more so than during anal sex. Sure, you can Google the subject, but the results may further confuse and scare you. Numbers seem less abstract, more specific. But do they give us a better understanding of HIV risk and sexual health? Probabilities of HIV transmission per exposure to the virus are usually expressed in percentages or as odds see chart at the end of this article. For example, the average risk of contracting HIV through sharing a needle one time with an HIV-positive drug user is 0. The risk from giving a blowjob to an HIV-positive man not on treatment is at most 1 in 2, or 0.

Global information and education on HIV and AIDS

That word isn’t even in my dictionary. Researchers use “serodiscordant” to describe couples where one individual is HIV-positive and the other is HIV-negative. So what happens when HIV opposites attract? Most couples of mixed HIV status face similar issues regardless of sexual orientation. Straight or gay, mixed couples usually live with fears about HIV transmission to the negative partner and concerns about maintaining a safe but satisfying sex life.

EDITOR’S NOTE: Although the underlying ideas and messages in this article remain relevant, much HIV prevention research has been published since , notably about there being effectively no risk of transmitting the virus if you are HIV positive and undetectable (a.k.a. treatment as prevention, or TasP), as well as the effectiveness of pre-exposure prophylaxis (PrEP).

Of people who were sexually active during their attacks: One study found that men who averaged having 4. This is in comparison to men who reported ejaculating 2. For men, sex may even affect your mortality. One study that had a 10 year follow-up reported that men who had frequent orgasms defined as two or more a week had a 50 percent lower mortality risk than those who had sex less often.

Although results are conflicting, the quality and health of your sperm may increase with increased sexual activity, as some research suggests. In women Having an orgasm increases blood flow and releases natural pain-relieving chemicals. Sexual activity in women can: A strengthened pelvic floor can also offer benefits like less pain during sex and reduced chance of a vaginal prolapse.

Do condoms work?

It’s a destructive and paralyzing emotion that serves no purpose with HIV. Speaking out is one of the best antidotes to shame. When people speak openly and unashamedly about their HIV status, we can find authenticity and empowerment, and we can help foster a stronger and healthier community. To come out about one’s HIV status can be a risky prospect.

A sexually transmitted disease (STD) is an infection that’s spread during sexual contact with another person. This includes touching, since some STDs can be spread from skin-to-skin contact.

Takeaway Overview Sex is a mental and physical pursuit that sometimes feels like it should come with an instruction guide. As with anything else, what one man likes could be quite different from what another likes. It can be a challenge to find the right ingredients to a connected and orgasmic sex life. Reducing stress, eating right, exercising, and avoiding bad habits like smoking and drinking alcohol in excess can keep you in prime shape.

When you have the mental side of your sex game in gear, you can focus on the physical side. Here are some tips to help you take sex to the next level. For example, if you ask your partner if he wants to have sex and he quickly says no, you could be asking the right question with the wrong words or body language. Foreplay is all about the emotion and wanting. Some couples even try masturbating in front of each other. Other misconceptions that exist about masturbation include that it weakens an erection or that too much can harm your penis.

The only key difference here is to ask if masturbation gets in the way of daily activities or living your life. If the answer is yes, there could be a deeper connection between masturbation for you that you should talk to your doctor about.

STD Prevention

The degree of protection they offer against HIV and STIs is significantly better than any other single prevention method, taken in isolation, other than sexual abstinence or complete mutual monogamy between two people who have tested negative for HIV. Despite this, the use and promotion of condoms continue to be targets for controversy and criticism, and sexual abstinence and monogamy are often promoted as superior alternatives. While condoms offer useful and vital protection, they have also become associated with promiscuity and infidelity.

SERODISCORDANT COUPLES. Couples with one person who is HIV-positive and one who is HIV-negative are sometimes called “serodiscordant” or “mixed serostatus”.

I recently received an e-mail containing the following question paraphrased: I live in a small town in the U. I don’t have sores, but I’m really curious as to whether or not I have herpes, since I know that you can be infected without anything showing. It’s unfortunate that doctors still aren’t aware of the range of STD testing options available, because it is possible to screen people’s blood for herpes antibodies — even if the tests aren’t perfect.

Although the gold standard for herpes diagnosis is to do a viral culture or nucleic acid amplification test NAT from a visible sore , it is possible to screen for asymptomatic herpes infections using a blood test. There are a number of herpes blood tests out there and, although some doctors may be reluctant to use them , blood-based screening for herpes can be useful in a number of circumstances. Monitoring the serostatus of a person whose sexual partner is infected with herpes i.

There is, therefore, a relatively low risk of false positives , which can be a serious concern with a disease as highly stigmatized as genital herpes. In contrast, herpes blood tests look for antibodies to the herpes virus , and there is some possibility that these tests may detect antibodies to similar viruses that are cross-reacting to the tests — thus leading to a person believing they have an asymptomatic herpes infection when they do not. The risk of getting such a false positive is related to the specificity of the particular herpes blood test being used and also to the prevalence of herpes in the population getting tested.

There are basically two sorts of blood tests for herpes — type-specific tests and general herpes blood tests.

STD Prevention

This includes touching, since some STDs can be spread from skin-to-skin contact. In general, STDs are highly preventable. However, a large number of those infections could be avoided if people made different decisions about their sexual health.

Jul 21,  · Sexual activity, with a partner or through masturbation, can provide important psychological and emotional benefits. Like exercise, sex can .

HIV testing PrEP pre-exposure prophylaxis and PEP post-exposure prophylaxis in combination with behavioral interventions that support engagement in care and adherence to treatment TasP treatment as prevention in HIV-positive individuals. Cases of acute renal impairment and Fanconi syndrome have been reported with the use of tenofovir disoproxil fumarate DF. In all patients, assess estimated creatinine clearance CrCl prior to initiating and during therapy. In patients at risk for renal dysfunction, additionally monitor serum phosphorus, urine glucose, and urine protein.

Avoid concurrent or recent use with a nephrotoxic agent. Cases of acute renal failure have been reported after initiation of high dose or multiple NSAIDs in patients at risk for renal dysfunction; consider alternatives to NSAIDs in these patients. Discontinue TRUVADA for PrEP if clinical or laboratory findings suggestive of lactic acidosis or pronounced hepatotoxicity develop, including hepatomegaly and steatosis in the absence of marked transaminase elevations.

Do not coadminister with products containing emtricitabine, tenofovir alafenamide, tenofovir DF, lamivudine, or adefovir dipivoxil. Decreases in bone mineral density BMD and mineralization defects, including osteomalacia associated with proximal renal tubulopathy, have been reported with the use of tenofovir DF. Consider monitoring BMD in patients with a history of pathologic fracture or risk factors for bone loss. If appropriate, initiation of anti-hepatitis B therapy may be warranted.

Therefore, use only as part of a comprehensive prevention strategy that includes safer sex practices, regular testing for HIV-1 and other sexually transmitted infections, and counseling on reducing sexual risk behaviors.

STD Prevention

This is difficult for me to write and maybe for you to read. I’ll start with a story. I came out 23 years ago.

SERODISCORDANT COUPLES. Couples with one person who is HIV-positive and one who is HIV-negative are sometimes called “serodiscordant” or “mixed serostatus”.

Try to have open discussions about your desires, your fears, and your limits. Agree on ways of sexual expression that fit with the level of risk you are comfortable with. Talking to a sexual or relationship counselor can help. Fact Sheet has more information on ART. The good news about taking ART is how well it works. If you maintain an undetectable viral load see Fact Sheet , chances are good that you won’t pass your HIV infection to your partner. However, there are several important things to remember: You have to take ART very regularly for it to work.

Fact Sheet has more information on adherence to treatment.

CONSIDERATIONS

HIV testing PrEP pre-exposure prophylaxis and PEP post-exposure prophylaxis in combination with behavioral interventions that support engagement in care and adherence to treatment TasP treatment as prevention in HIV-positive individuals. If recent exposures are suspected or symptoms of acute HIV infection are present e. Counsel individuals to strictly adhere to their dosing schedule, as efficacy is strongly correlated with adherence. Cases of acute renal impairment and Fanconi syndrome have been reported with the use of tenofovir disoproxil fumarate TDF.

HIV positive adolescents in Uganda prefer to date HIV negative people, according to a study by the Pediatric Infectious Disease Clinic in Mulago. The youths sited fear of re-infection, especially when trying to have babies, as a major reason.

Try to have open discussions about your desires, your fears, and your limits. Agree on ways of sexual expression that fit with the level of risk you are comfortable with. Talking to a sexual or relationship counselor can help. Fact sheet has more information on ART. The good news about taking ART is how well it works. However, there are several important things to remember: You have to take ART very regularly for it to work. Fact sheet has more information on adherence to treatment.

It means there is not enough HIV in your blood sample to show up on the test.

Do condoms work?

Evidence has now shown that individuals on effective antiretroviral treatment ART with an undetectable viral load cannot transmit HIV to others. Treatment as prevention TasP will only be effective alongside the scale up of testing programmes and ART adherence support. Explore this page to find out more about how HIV treatment is being used as prevention, test and treat strategies , limitations of treatment as prevention and the future of treatment as prevention.

Viral suppression can only be confirmed if a person is accessing regular treatment support, monitoring and viral load testing from a healthcare professional. The effectiveness of ART as a prevention tool is now undisputed — and it is now being used as a public health intervention, as well as a patient-specific strategy. Starting in , the landmark study, HPTN , revealed the personal and public health benefits of early treatment.

Finding out the degree to which condoms protect against HIV is important both for HIV-negative people who want to protect themselves against HIV, and HIV-positive people who want to avoid transmitting it.

For most HIV-positive people, disclosing their status in a new relationship is met with anxiety and panic: Are they going to stop loving me? On the same note, those who are HIV-negative can practice safer sex with condoms while also practicing PrEP a daily pill strategy that when taken properly makes it virtually impossible to contract the virus.

The same goes for any condition you or your partner may have, be it diabetes, cancer, or resting bitch face. The conundrum is that not everyone is up to speed on proper education not even some doctors. I am HIV-negative and have dated folks who are poz. Quite often we fought about it and were hung up about what our friends might be saying about us, yet through it all we used these challenges as opportunities to educate them — and ourselves.

At the end of the day, we realized much of the dark cloud we held over the relationship had nothing to do with us, or HIV. It was the stigma both he and I still carried about it.

Is There a Herpes Blood Test?

However, scientific advances, such as the development of antiretroviral drugs, have enabled people with access to treatment to live long and healthy lives with HIV. Here, we go through the key historical moments that have defined the HIV epidemic over the past 30 years. You can also explore our interactive timeline which features video, photos, data, audio and more.

HIV was unknown and transmission was not accompanied by noticeable signs or symptoms.

Treatment as prevention (TasP) refers to HIV prevention methods and programmes that use antiretroviral treatment (ART) to decrease the risk of HIV transmission.

Although the underlying ideas and messages in this article remain relevant, much HIV prevention research has been published since , notably about there being effectively no risk of transmitting the virus if you are HIV positive and undetectable a. Can you get HIV from oral sex? Americans really want to know their HIV risk during fellatio—even more so than during anal sex. Sure, you can Google the subject, but the results may further confuse and scare you.

Numbers seem less abstract, more specific. But do they give us a better understanding of HIV risk and sexual health? Probabilities of HIV transmission per exposure to the virus are usually expressed in percentages or as odds see chart at the end of this article. For example, the average risk of contracting HIV through sharing a needle one time with an HIV-positive drug user is 0. The risk from giving a blowjob to an HIV-positive man not on treatment is at most 1 in 2, or 0. The risk of contracting HIV during vaginal penetration, for a woman in the United States, is 1 per 1, exposures or 0.

As for anal sex, the most risky sex act in terms of HIV transmission, if an HIV-negative top—the insertive partner—and an HIV-positive bottom have unprotected sex, the chances of the top contracting the virus from a single encounter are 1 in or 0. Specifically, it is 1. If the guy pulls out before ejaculation, then the odds are 1 out of

How do couples manage when one is HIV positive and the other isn’t? – Truthloader LIVE debate


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