Wrapped or raw: pos-pos sex
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This presentation was given by Kathy Triffit, Positive Life NSW, at the AFAO HIV Educators Conference, May 2010.
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Editor's Notes
- Sex and sero sorting multi-media workshop Name one or two things important for good sex? Safe sex- what does it mean for you? What are the benefits and disadvantages of pos-pos sex? Is pos-pos sex a choice or a reaction to stigma (discrimination, sexual rejection)? How do you negotiate pos-pos sex? What about sexual decision making and negotiation (verbal and non-verbal) especially in casual or anonymous settings? Does decision making and negotiation change in different contexts? (different environments/locations –SOPV, away from home, behaviours, viral load, STIs) How do you know someone is positive? (assumptions; familiarity and trust ) Think about the last time you had pos-pos sex, how did you manage disclosure? How did you tell him? When? How did you feel? (fear of rejection; gossip) How did he respond? Was there a time you didn’t tell? Why? (bad vibe, spoil the moment) How do you assess risk? (What is risk for you?) What risks are involved in sex realistically/honestly now? How do you manage risk? (e.g. viral load/ strategic positioning etc) What reasons have influenced your decisions around risk taking? If you had a risk event what did you do? What message do you want neg guys to take away from your video?
- Topics covered: Syphilis Hep c HIV re-infection Decisions made about ditching condoms and information so guys make more informed decisions Viral load Assumptions around HIV Disclosure and handling no Communication PEp
- For sexually adventurous men, condom reinforcement messages can be seen as incongruous or contradictory when in the pursuit of pleasure and “sexual freedom”. While some couples in serodiscordant relationships (where one partner is HIV positive and one is HIV negative) are using undetectable viral load without condoms not only to reduce their risk of passing on or getting HIV, but also “for intimacy and connection”.