Advice on Having Safer Sex With HIV-Negative Partners
Dating someone negative
Apr 8, 2013
I recently started dating a guy who is HIV negative and I am HIV positive and we are a homosexual couple. His biggest concern is being sexual and I just want to make sure I can answer all of his questions. What are all the risk factors and and safety tips that need to take like including things like oral sex as well. My T-cell count is amazing and my Viral load is undetectable. Anything you could let me know I would greatly appreciate it.
Response from Dr. Wohl
As you have a viral load that is undetectable your chance of passing on HIV to your partner is extremely low. I would still recommend condoms for anal sex. As oral sex carries such a very low risk of transmission in general I would not see a need for condoms when he performs oral sex on you (and certainly not when you go down on him).
You can also consider whether to take a belt and suspenders approach and have your partner take PrEP - that is he take Truvada to prevent infection during an exposure. I'd say that is a it of overkill provided your viral load remains undetectable but some find comfort from the added sense of security.
Of course, there is more than HIV out there and it is a good idea to be checked for other STDS (both of you) and if you are not both monogamous such infections could also enter into the relationship.
"How far that little candle throws its beams! So shines a good deed in a naughty world."
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