The estimated effectiveness of condom use for gay men with HIV-positive partners is 70%-but only for those who report “always” using condoms. Condom effectiveness for men who say they “always” use condoms It’s important to note that this research is not without limitations-for instance, the data collected relied upon participants’ self-reporting of frequency, consistency and proper use of condoms. Both of these studies included HIV-negative men who reported having sex with an HIV-positive partner. These studies were conducted in the late 90s/early 2000s (i.e., before PrEP). In their sample, they included data from two big studies: VAX 004 (4,492 men) and EXPLORE (3,233 men). In 2015, Dawn Smith, MD, MS, MPH and colleagues at the Centers for Disease Control published an article in JAIDS analyzing condom effectiveness data for men who have sex with men.
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Here’s what the research tells us.įirst-a quick note about where the data in this article are coming from. Since we are human and tend to not have laboratory-style sex, how well do they actually work in reality to prevent HIV for gay men? It’s a question I get from time to time at the clinic-and I can tell you, the effectiveness is different for gay men than it is for people having penis/vagina sex. In laboratory testing, condoms used perfectly according to directions should be 99.5% effective against HIV with only mechanical failure (i.e. I’m here to offer a gentle reminder: Let’s not throw condoms out with the bath water! They still have a role to play in protecting the sexual health of gay men-since they can protect against STIs in addition to HIV. It is not only the right thing to do for your partner it's the right thing to do for yourself.With all the news and research related to PrEP these days, it’s almost easy for gay men to forget about condoms for HIV prevention. You have multiple reasons to insist on safer sex/condom use. Barebacking, even as a top, places you at risk for acquiring additional, potentially more aggressive, strains of HIV (superinfection, reinfection) and also other STDs, which could significantly worsen your HIV disease. Finally, regarding your personal worries about barebacking, this should indeed be a concern for you. If you haven't started yet, what are you waiting for? Your CD4 count is falling into a dangerous range where you are becoming more susceptible to opportunistic infections, such as PCP (Pneumocystis carinii pneumonia). I strongly agree! Hopefully you've started already, since you were diagnosed in January and it's already May. Next, you report your CD4 count is 210 and your doctors have advised you to start medication.
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Since you obviously have more common sense than your bottom boy, if he refuses to allow you to use a condom, you should refuse to have sex with him. Consequently, every time your buddy wants to play Brokeback Mountain Bareback Sex, he's essentially playing sexual Russian roulette. HIV can be transmitted via pre-cum (pre-ejaculatory fluid). "Withdrawal" (ejaculating outside the anal canal) does decrease the risk of HIV transmission somewhat, but certainly does not eliminate it. Your sex partner who "wanted to feel the skin" is placing himself in grave danger of contracting many STDs, including HIV. Now my question is that - were he was infected with HIV since I didn't cum inside his anal? What would be the percentage of infection when ejaculation made outside the anal? Will there be anything wrong with me when I am having unprotected sex with a negative partner without use of condom? Answer Each time after the sex he seems happy and not to worry much however that bothers me so much and I am more worried than him for both of us.
#Gay men cum outside their partner skin#
We had sex numerous times thereafter and each time I request to use condom he refuse, all he ask me is to fuck him without condom to have the skin to skin feelings and he also remind me to ejaculate the cum outside his anal. We had sex and during the point of ejaculation I cum on top of his anal and not inside. Being top I told him he could be infected, and he say when I am close to ejaculating take it out from his anal which we agreed. 2 months ago I met a guy and we decided to have sex, I told him I'm positive, and he requested not to use condom (he wanted to feel the skin). Realizing I'm positive, I refused to play bareback now.
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I'm gay and I had numerous sexual relations with other gays, most of the time I had bareback sex with cum shoot inside anal. Hi doc, I was diagnosed positive in Jan 2008, with CD4 210, doctors have advised me to go for medication.