As efforts to develop even more effective treatments and preventive vaccines continue, it is critical to continue aggressive prevention efforts as a vital component of the battle against HIV. Risk assessments and appropriate counseling should be performed periodically to facilitate not only initiation, but also ongoing maintenance, of risk-reduction behaviors.ĭevelopment of effective antiretroviral therapy (ART) has resulted in optimism for many HIV-infected patients. It is incumbent on health care providers to perform HIV risk assessment as an integral part of the medical history, and to provide HIV prevention counseling as an integral part of patient education and anticipatory guidance. Others may be too embarrassed to open the discussion. For example, some people may not ask about safer sex because they do not perceive themselves to be at risk. Not everyone will open a discussion about safer sex with a health care provider. The goal of teaching safer sex is to provide not only information, but also counseling to help individuals or groups to make the most appropriate choices for risk reduction. In some cases, the goal of safer-sex education may be to help someone minimize risk to him- or herself in others, it may be to help someone minimize risk to others. With this privilege comes the responsibility to be respectful and nonjudgmental.
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As the name implies, these practices are thought to be "safer" than other sexual practices in that they help reduce (but do not necessarily eliminate) the risk of transmitting HIV from one sexual partner to another.Ĭlinicians and health educators often have the unique opportunity to discuss topics of an intimate nature in a professional setting.
Given the importance of sexual transmission in the HIV epidemic, many HIV prevention strategies have focused on identifying and promoting safer-sex practices. Centers for Disease Control and Prevention (CDC) were sexually transmitted (35% by male homosexual contact, 11% by heterosexual contact in females, 5% by heterosexual contact in males).(1) Worldwide, heterosexual transmission is the most common route of HIV infection. By December 2001, 51% of all HIV infections among adolescents and adults reported to the U.S. Sexual contact is the most common route of HIV transmission.
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In addition, remember, "lubrication is your friend." Check out "The Joy of Gay Sex" or any "how to" gay sex guides, books or manuals for additional pointers on more comfortably tolerating "pointers." The bottom line on keeping your bottom safe from HIV is to use latex or polyurethane condoms!Īs for keeping your bottom comfortable during backdoor action, you'll need to learn techniques for relaxing the anal sphincters. I'll print some information from the archives below. I also suggest you review the information in the archives of this forum and its related links pertaining to safer sex techniques. I would recommend you get HIV tested three months or more after your last potential exposure. HIV transmission can occur via pre-cum (prior to ejaculation).
As a gay male having anal sex, it appears you still have much to learn and I sincerely hope you learn it quickly! Most importantly, unprotected anal sex places you at great risk for STDs, including HIV.