tallslenderguy

One could argue that being on PreP can reduce the spread of STI's because people of PreP get checked out more frequently. Whether or not the regular check ups for HIV while on PreP include a complete screen for other STI's is questionable, but it is more likely that a caregiver is going to do a complete screen while you are there. PreP therapy provides the opportunity for more frequent STI screening. Ditto viking's response. The current scientific studies on PreP efficacy utilize guys having bareback sex, they don't ensure each partner the study participant is having sex with is clear of all other STI's besides HIV before having sex. You may be referring to the possible synergy between herpes (HSV) and HIV. There is study evidence demonstrating higher shedding in HSV infected upon initiation of ART. "The study, “Increase in herpes simplex virus shedding at initiation of antiretroviral therapy (ART) and decrease in shedding over time on ART in HIV and HSV-2 infected persons,” was published in the journal AIDS" [think before following links] https://www.contagionlive.com/news/antiretroviral-therapy-initiation-leads-to-short-term-spike-in-viral-shedding-among-patients-with-hiv-and-hsv2-coinfection

i too am grateful for the contributors on this site and thread. Some wonderful discussions. i too wonder about monogamy. i fantasize about a variation of it , i guess. Having a relationship with a Top who i cede control of my sex too, a caged penis to make and keep me horny, and Him controlling who breeds me. Even if that means He want's me to be fucked by anyone and everyone, for me psychologically i associate that with Him fucking and breeding me. He has me lie on the bed and pimps my pussy out to whomever He pleases while He watches, and i am watching and listening to His lust the whole time and taking those cocks and loads as His. i know, not traditional at all, but to me it can be enormously intimate with Him, and i have experienced a reciprocal feeling from a Top having that kind of control given to Him. There are so many amazing possibilities with relationship.

i sort of get the thrill of chasing and gifting, depending on your perspective as Top or bottom. Tops need/love/want to be potent, to breed, plant and impregnate bottoms. bottoms need/love/want to be bred, planted and impregnated by a Top, to have a part of Him in them. i feel those things too. Here's my alternative offering. Bacterial and viral diseases are not a part of us, they are invaders that harm both Tops and bottoms and weaken who they are. There are so many ways a Top can impregnate and put and leave a part of HIMSELF in a bottom. A virus or bacteria is not Him, it's just using the Top or bottom to spread. i see it as more potent for a Top to prevent HIV from watering Him down by being on meds if He is poz or PrEP if He is not poz, so what He imparts to a bottom is completely Himself. i see a bottom as more of an open recpeptacle if he doesn't have his spaces invaded by disease and leaves them open for a Top to invade with Himself. I'd rather have everything a Top has to breed my pussy with, be it His cum, piss or even His scat under some circumstances. i want Him. Diseases eventually reduce a Top or bottoms ability to breed... to me that is always a bad thing.

i know, eh? So many want to invalidate our experiences because they don't conform to the heteronormative standards of how things are or should be. i think a lot of ltr's die because of failed and unrealistic expectations. i love the idea of a ltr, i think even a sort of monogamy can have benefits as long as it is happening in natural paremeters and is a result of mutual desire, not a forced conformity to a rule. For instance, a Top who cages His bottom and a bottom who loves Him for that. There are innumerable variations on realational experiences. Being in a ltr provides an opportunity to get to know a person better, to delve deeper than one might in a quickie hook up... though i've had some pretty profound hook ups. i think a lot depends on how well a person knows their self and how practiced they are at being open and vulnerable. i too love human behaviour and how the mind works. To me, collaring/being collared is hot... physically and psychologically collaring and being collared is even hotter from their respective perspectives/natures and connections.

Well, yeah, but they aren't mutually exclusive. They're pretty awesome when they mix or overlap. i'm a bottom who loves a Top who also is into mind fuck. Every now and then our paths will cross in hook up sex and we are both feeling it deeply. He reads me and knows His power over me, and loves the opportunity to exercise Who He is. Breeding me deep, and then knowingly kissing my neck or whispering something that collars me into my ear, my back arches involunarily sending Him deeper into me while i bite my mattress to keep from declaring my love for Him. hehe, it happens, and it's sweet.

Ditto RawCumboy. As a bottom in heat, i'll often be pretty obvious too. if i have even the smallest idea that you are looking, i'm in heat pretty fast and doing things like letting my ass crack show in front of you, maybe walking past you and rubbing up against your cock accidentally. i'm going to be presenting my ass to you though, bending over etc. if i suspect you need some pussy, i'm going to let you know i want you in some pretty obvious ways. If both are looking, cruising is not hard at all, just your cock is.

i'm sure that's true about some Tops, but not universally? There are guys who are Tops on this site who would not only be okay with that, but would pimp you out. i think a cool thing about discussions like this is we start to identify ideas that are traditional in the straight community that we just have assumed as 'normal' or the way it is. Instead, why not 'know thyself' and know how to express that... like you just did. Being a cum dump for anyone isn't something you'll see many in the straight world admitting too, even if they are. There are indeed Tops out there who would be okay with you being such a cum dump for anyone and would love you for it. But there's more to that in a gay relationship, so i think the challenge has a lot more details, but that's a start 😉

i too have camera issues. i often look drunk or half crazed. i look at myself in the mirror and query (cause i'm queer): "Eek, do i really look like that?" i doubt you have face issues, but if you do, your sweet ass makes up for it. 🙂

Anyone else wish there were ways to meet men for actual relationship vs just hooking up for sex? BZ has come closest (for me) as being an online place to meet and have ongoing discussion and relationship, though it isn't really a dating site. i've was on OKCupid for years, but it has turned into a bot paradise and is pretty useless for meeting guys for more than sex. i watch these romantic gay movies where guys meet and fall in love, or they have a group of gay friends and i wonder if there is such a thing and how it happens?

yep, i too experience bots every time i go on A4A. i've never encountered a bot on squirt. grindr is a joke. i have never been remotely tempted to pay for grindr because their free ap is so dismal and restrictive, and has as many bots as A4A. i miss CL though it had more flakes than a snowstorm. i don't think i've ever experienced a bot on bbrt? i encountered the most sophisticated scammer on Recon. He was extremely patient and somewhat engaged and played me for about a month before trying to scam me, but eventually all the usual red flags were there. Oh, Okcupid has been over run by bots too. i even got my account hacked and taken over there, which i think is very weird. A straight guy from Europe? OKC contacted me to let me know and told me they had restored part of my profile. i got messages from women who had apparently been in contact with this guy after it was changed back. my OKCupid profile was very long and extensive because i considered it the only real dating ap i was on (vs hook up). i'm still not convinced i was actually 'hacked' and suspect that someone crossed some wires at OKC, but who knows? After my profile was ruined, i didn't have the heart or confidence to go back on that site and start over, but it had more bots than any i have been on. The site used to be pretty cool, but was messed up when Match bought them out.

Great description. When i got mine in the mail, i opened it and it say on a chair in my bedroom for several days before i cleaned out and put it in. As mentioned above, for me it would ideally be placed by a Top who's desire was to plug a bottom very deeply. The colon is about 3-5 feet long and the small intestine is about 22 feet long, so this thing does fill a lot of the colon. To me, the fact that your Boyfriend wanted you plugged with it the whole evening while you were out is fuckng awesome. i wore mine for about 30 minutes and it was quite a presence for that long, i felt plugged in a way i that is very different than ass plugs, a Top could really use this on His bottom to assert His presence deeply. Be kinda hot while out if He reached over and rubbed your belly now and then.

Leatherpunk, i think you've gotten some thoughtful and valuable input here. i deal with this kind of stuff all the time as a critical care nurse. i got a patient yesterday who came into the ED tweaking. His tox screen tested positive for meth, he denied partying to me. He was all over the map physically, arms flailing, heart racing. Of course, i don't see the guys who PnP and perceive they are having a good time, i see all the issues that arise with PnP, most common are brain damage and heart damage. People destroy their hearts beyond repair and need a transplant, but usually cannot get one because of the cause. my input is similar to many. i think you need closure and i think counseling with a grief counselor is a good idea, as well as joining a group so you won't be alone with this. Thank you for sharing this. i think your sharing this and talking about it on this site is one of the best things you can do to honor Marks memory. There is so much fantasy that happens on this site, guys romanticizing and fetishizing drugs and disease, but rarely with a balanced understanding. Your sharing your and Marks story is a sad and common outcome that our community needs to grasp. i love my gay family and i long for us to be a healthy and thriving community, not one bent on self destruction. i've been around drugs since i was 13, been at more parties than i can count, but have always been the observer, never partook. Now as a healthcare provider, i see all the people who have bad experiences, and the many who progressively kill themselves with reuse. We need to see the sadness and grief that these drugs can cause.

Yeah, in the long run, it's worth it to me. my frustration is usually with guys who don't understand that a bottom has to clean out and what's involved. They're horny, contact me and want it now. i have gotten a bottle of water when out and cleaned out in a public restroom, but going back and forth to the sink to refill can be a process lol. i'm pretty careful and tend to do deep clean outs, but i dream of having a Top who doesn't care and would just breed me whenever He wants or needs. For me, the hardest part is not eating. Once i have prepped, i don't eat until i have been bred, and there's not always a guarantee of that. i went to a gay resort in November and was only able to get to suck up until the last day i was there, they had changed their venue so the way i usually get bred (anonymous walk in from guys outside the resort) wasn't available (outsiders had to pay to get on the premises). So i had to rely on guys staying at the hotel. Didn't eat a lot that week. However, the day before i left, one guy crushed me, i left my door open and He came in and bred me wonderfully, then told others, and they bred me, so it made it all worth it.

Having a permanently changed hole. It's been changed by Tops into primarily a hole for Tops to penetrate, and i can always feel that. Love the connection i feel with a Top who 'gets it' and i can see that look in HIs eyes that He knows i am there for Him and how perfect the mutual need is from opposite directions. To me those Tops who need to put Their Self inside a cumdump vs just jack off and waste Their Self.

It's wonderful. i love a Top with a pierced cock of any sort, but have only had Tops with PA's . For me, just seeing His cock with a PA, etc., it like an extra message He is sending about the importance and status of His cock and what it is for. In my mind, cock piercings are only for Tops and piercings like taint are cool for bottoms. In my experience, the Top usually puts the PA in my pussy first, then His cock follows vs all at once. Once His cock is in, to me the PA is like a part of HIs cock. It's hard to describe for me, i see it the same as Tops who are really into Toys or FIsting, so much so that They become One with what ever They are using or attached to. i particularly love His awareness and intent of how His cock with the addition is effecting His pussy.

i still haven't done it. i've had lots of piss up my ass, and love that, having a Tops cock and contents in my pussy is always my first choice, butt having Him in me is so important that i'll take Him any way He wants or needs. Honestly, not yet having drunk piss i'm still nervous about it, but i love the Top/bottom dynamic of being in the position to take Him and Him 'training' me to take it. For me the bigger part of sex is psychological, Him penetrating and putting a part of Himself in me, so it's mind fuck for me. i suspect i will not enjoy the taste of piss... initially, that it will end up becoming one of those things where i am changed by a Tops need and desire to love it and it will become yet another need for me to have it once He has inseminated me with His piss and impregnated me with Himself. That's how it works with me, it's like a Top turns me into an addict who needs Him after conditioning me.

Ha, interesting, but true. i guess i've just been lucky. i stand corrected, shouldn't just go on my experience. Oral sex is not a common cause of infection with this bacteria. Chlamydia is less likely to be transmitted during oral sex because the bacteria that cause chlamydia prefer to target the genital area rather than the throat. This is why it is unlikely for chlamydia to be transmitted from mouth-to-penis and penis-to-mouth contact, although it is still possible. It is even less likely for transmission to take place from vagina-to-mouth or anus-to-mouth contact. Transmission is not known to occur from mouth-to-vagina and mouth to anus contact [think before following links] [think before following links] http://chlamydiacoalition.org/chlamydia-101/transmission/

Ditto you and pozguyinchi. i have a fantasy of having a Top who is so full of need and desire to breed that He doesn't care if i'm cleaned out or not. i fantasize about His sliding in and breeding me spontaneously, any time the need arises. But that's a fantasy that has never happened. i've talked to a few Tops online who share a similar fantasy, but i have to wonder how it would play out in reality? i kinda doubt i'd be able to get past the smell and mess if it happened. Maybe the embarrassment of it if it was a D/s thing? idk.

"Worthless cumdiump" is a an oxymoron to me, a contradiction of terms. I'm not saying that there are not Tops or bottoms who think there is such a thing, i'm just saying that our actions belie the term? A Top can jack himself off and cum that way, but he prefers (values) a cumdump over his hand. He spends time and effort seeking out this "worthless" person as a place to put His cock and cum. A bottom who really thought he was "worthless" would be spending his time looking for Tops to fuck his bottom friends instead of himself because he just isn't worth it lol. i think it's the other way around for both Tops and bottoms. Fucking and getting fucked, seeding and getting seeded, is a way that we affirm our value to each other and ourselves. The Top affirms the value of the bottom by putting His cock and seed in him and the bottom affirms the Tops value by prepping and showing his craving for the Top. i think it's symbiotic , even though an expression of the opposing forces of yin and yang.

lol, i read this title as someone having a 'bottom free' (i.e., no bottoms) Thursday in Chicago.

Both gonorrhea and clamydia are pretty easy to catch orally. When i get my STD checks always get an oral, anal swab and urinalysis. When i was younger, the only time i seemed to ever get an STD was from getting sucked.

This is an excellent and informative pod cast, but it doesn't answer my question. It addresses the greed of pharmaceutical companies, which i have railed against for years as a healthcare professional. my personal belief is that pharmaceutical research should not be privitized. If we took the scientists who discover meds like Truvada and Descovy, gave them a 10% raise, our cost to develop drugs would still be half by removing the profit element. It would be even less when you remove patents that sustain obscene profiteering. The claim was: "Truvada is superior over Descovy when it comes to PrEP trust me I’ve seen the data " I have not seen research evidence to support this claim. To my way of thinking, Descovy should have he patent removed and made readily available as PreP, because at this point the evidence points to it being as efficacious and having fewer deleterious side effects. Truvada costs about $60 a year to make, i am guessing Descovy is probably about as cheap, yet Gilead wants to charge $20,000.

i'm not a pharmacist, so not able to offer info from that professional perspective. But here's an excerpt from the article i cited earlier that may help? Like TDF, TAF is a, NRTI. It's a pro-drug of tenofovir, specifically designed to circulate systemically and undergo most of its conversion to tenofovir intracellularly. This results in higher active metabolite levels within HIV-infected cells and lower plasma levels. my understanding is the improved renal function is a result of putting more of the efficacious elements intracellular where it inhibits HIV reproduction vs circulating in the blood where it has deleterious effects on the kidneys?

Here's an excerpt from an article in the pharmaceutical publication Pharmacy Times on the two different forms of tenofovir I.e. Tenofovir disoproxil fumarate (TDF) an ingredient in Truvada and tenofovir alafenamide (TAF) an ingredient in Descovy. Issues with TDFDespite TDF’s being the most commonly prescribed ARV and a recommended component of most HIV treatment regimens, TDF presents several safety concerns.1,2 First, all ARVs formulated with TDF have warnings in their prescribing information for new-onset or worsening renal impairment. How this occurs is still debated, but it’s believed to be due to TDF’s toxicity to mitochondria in the proximal tubule, which leads to impaired reabsorption of low-molecular-weight proteins and other solutes.1 Consequently, physicians should assess creatinine clearance in all individuals prior to initiating therapy and assess additional lab parameters in those with previous renal events. TDF isn’t recommended for concurrent or recent use of nephrotoxic drugs (eg, high-dose or multiple NSAIDs, or aminoglycosides). The incidence of renal toxicity with TDF use is relatively low and it’s seen to be comparable with other nucleotide reverse transcriptase inhibitors (NRTI) in clinical trials.3 Despite this, there are many case studies and small case series of renal dysfunction with TDF. A second safety concern with TDF involves its effects on reducing bone mineral density (BMD). The potential mechanism for this effect is unclear; however, it may result from proximal renal tubular dysfunction causing hypophosphatemia. More recently, TDF was reported to alter both osteoblast gene expression and function.4 In clinical trials in HIV-1 infected adults and in a clinical trial of HIV-1 uninfected individuals, TDF was found to be associated with slightly greater decreases in BMD and increases in other biochemical markers of bone metabolism, suggesting increased bone turnover relative to comparator. The long-term effects of TDF on bone health and fracture risk is unknown. According to the prescribing information for TDF products, assessment of BMD should be considered for adult and pediatric patients who have a history of pathologic bone fracture or other risk factors for osteoporosis or bone loss. How TAF WorksLike TDF, TAF is a, NRTI. It's a pro-drug of tenofovir, specifically designed to circulate systemically and undergo most of its conversion to tenofovir intracellularly. This results in higher active metabolite levels within HIV-infected cells and lower plasma levels. Within the cells, it inhibits the activity of HIV reverse transcriptase by competing with natural substrates and causing DNA chain termination after being incorporated into viral DNA.5 The major difference with TDF is that it has much higher plasma tenofovir exposure, which leads to some of the safety concerns. In fact, TAF in Genvoya is formulated as one-tenth the dose of TDF in Stribild, which results in a 90% lower circulating tenofovir plasma concentration. This results in less renal dysfunction and issues with BMD.6 [think before following links] https://www.pharmacytimes.com/contributor/timothy-o-shea/2016/10/what-every-pharmacist-should-know-about-tenofovir-alafenamide

Interesting. Could you cite the data supporting your claims please?