rawfuckr
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Everything posted by rawfuckr
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What would be the purpose about lying about one's PrEP status?
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In my case I was pretty slutty before, looking for that raw fuck through serosorting and the like. Sometimes I would just think 'this one time is ok' and I would get cumdumped in some bar or bathhouse. For me it was very irrational, I totally don't want HIV but the feeling of raw sex was so much better. When I went on PrEP my behavior hasn't really changed but I have a lot more peace of mind about it. Actually, I've taking some PrEP vacations because I don't really want to be on it all the time, and if anything, it make is obvious when you are not on it, how naked you are in terms of HIV risk. I don't think I'm willing to BB anymore if I'm not on PrEP. For me to take the pill every day is no problem and much easier than having to do the condom dance in the heat of the moment. I've got fucked in the ass raw around 30 times this last two years, most of them with ejaculation in a mixture of bathhouse, unknown status partners, and still negative. I did get chlamidia in the butt and the mouth last year though. But because you are getting tested frequently they catch it right away.
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POZ bottom, Neg top, Bareback: What's the risk?
rawfuckr replied to a topic in HIV/AIDS & Sexual Health Issues
I know these two guys in a relationship who are in this situation, undetectable poz bottom and neg top. Doctor has said that the top should not bother with PrEP. The chances for him if he is always the top are close to zero. -
My experience here in San Francisco has been the opposite. Doctors are eager to prescribe PrEP as needed and they have zero hangups about it. But of course I guess this place is more the exception than the norm. If you go to a GP in Utah I guess you have to be prepared for some explaining and fighting.
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Sounds good to me. Seems like you are one of these borderline cases. Being a top you definitely have a lot less risk, but it's not anywhere close to zero, specially if you BB frequently, drunk and with multiple partners. Given you have insurance PrEP is a very smart choice. Just make sure you take it everyday and your chances of seroconversion will be very small. Congrats.
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Truvada PrEP has already been approved in Europe for a long time for the treatment of HIV so it's not like it's a brand new drug everywhere. Also I think these days the protocol for putting a drug out in the market are a lot more strict too. Another problem, to figure out efficacy for HIV vaccines and preventive methods one has to have really large trials because of the lower infection rates. This is expensive and laborious and a burden if lots of different countries have to do their own.
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I fully support PrEP right now. My problem with it is that the protocol is too complicated for folks to follow and I can't see how it can make an impact until monthly injectables come around. I'm on it, and for me is the simplest of things. A pill a day with my other pills and that's it. I take around 10 pills a day between vitamins, cholesterol, fish oils, anti acids, and antiinflamatories for my arthritis and then Truvada PrEP. It doesn't really bother me. Takes me seconds to swallow them. But for those who don't recognize their risk and live their live on a parallel universe where STDs are an after though it's hard to see how they would all of the sudden start complying with PrEP which is not just one pill a day, but also regular doctor visits and testing. It takes commitment. So in the bigger scheme of things it sort of feels like TasP would have more of a chance on reducing infections as a whole. If anything the future looks bright in terms of new options for treatment and prevention, and that is great.
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This is so frustrating indeed. We have the tools to make HIV stop being a problem. PrEP is great but for those who can adhere which I'm not sure is everybody. Now, TasP is where the real easy grab is. Seems clear now that poz guys who adhere to their drugs, most of them, will just not transmit the virus. If you were able to get anyone newly infected on meds right away it would make a huge difference. This of course means you need to do a lot more testing, but we have self-test devices now. These ones should be given out everywhere next to condoms with a pamphlet explaining clearly what to do if test was positive. I understand healthcare providers are obsessed about followup to a positive test, but here getting everyone knowing their status as much as possible outwheights the negatives of someone finding they are poz and freaking out. Oraquicks are so easy to use and they are cheap, which I don't understand why this is already not happening.
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You can learn about PROUD here http://www.proud.mrc.ac.uk/ . Enrollment is now closed. There is some chance they may expand the trial to full efficacy for thousands of people but it remains to be seen as more funding is needed. If funding is obtained enrollment would resume in 2015 PrEP is not officially available anywhere in Europe, including the NHS.
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Gilead not being forthcoming could be one of the causes, but I feel it's probably more on the lines of PrEP being related to gay people and not being that important for the politics of the EU in the big scheme of things. Gay people falling through the cracks. It is also true that there just some lag with HIV medications between USA and Europe. Complera just got approved recently in Spain and not too long ago in the UK. It had been available in the USA for a while. But while for Complera things were set in motion since FDA approval I haven't heard a single thing anywhere in the EU of pushing this forward in any way or manner. Sure there are studies here and there, but that's it.
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Would seroconversion start this quickly?
rawfuckr replied to spb050675's topic in HIV/AIDS & Sexual Health Issues
You should really consider PrEP. It will put your mind at ease. -
I live part time in Europe and part time in USA and I'm sort of appalled about the inexistent uptake of PrEP in Europe. At this point it's abundantly clear that PrEP is extremely effective if given to the right people so it's disappointing that the EU countries are not fast tracking this intervention. I mean there doesn't seem to be even any talks of implementing programs to administer it. There is PROUD in the UK, but why wait to see the results of that when you have already a lot of data from other studies elsewhere? Do people here have any thoughts about this?
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Most of the guys that blow me want that load in their mouth. I consider my hookups a pretty good representation of the general population, specially does who don't do anal and just oral. I know many many poz guys, and not a single one claims they got HIV from oral. I have a few that say they got it from a broken condom and I sort of believe it. Oral has to be very very safe (for HIV) no matter what you do. On that note, I think people should be a lot more concerned about other STDs in the mouth that you will likely get at some point if you are sucking dick. Gonhorrea, chlamydia are super easy to catch, so it's best if folks get STD tested with an oral swab in their mouth. It's important to get the oral swab because these infections are site specific. Another one you are almost guaranteed to catch if you suck a dick or two is HPV and this one can cause throat and oral cancer. It's quite rare, but gay men have a much higher risk for it because all of the dick sucking. There is also a vaccine for HPV, gardasil, but it's effectiveness is questionable if you've been playing around for a few years.
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Interesting. So CCR5 delta 32 is essentially a different gene producing a different protein. What is the name of that new fuison inhibitor that acts directly on HIV?
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^^ This. I personally find it amazing that after decades of misery we have given the opportunity to fuck raw and still not get HIV. Would be sad if people still seroconverted just because they didn't take PrEP correctly. Taking a pill a day is very easy, just use a pillbox, do it the same time of day, fuck raw, stay negative.
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Hey Poz1956, enjoying your posts. The way I understood it CCR5 delta 32 knocks the whole CCR5 gene down making it useless. People who are homozygous for it (those who have two copies) have effectively no CCR5 protein on the cell surface and therefore no chance for HIV to bind to it. The amazing part of it is that all the folks with two copies, around 2% of europeans seems to have perfectly normal lives, so you'd think there should be no consequence about blocking it with Maraviroc or other drugs on those people who have normal CCR5. For those folks who are interested 23andme.com will check your CCR5 status. If you have the two copies, luckily for you, you will likely never get HIV.
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I had read somewhere that HIV who is resistant to Truvada is not particularly virulent, so it's unlikely that those resistant strains will be the ones that will initiate the infection. In that context, Truvada would also work even if the individual had some mutation that was resistant to FTC.
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You don't say if you are in the USA, but if you are, sounds like you are making little money so you may qualify for essentially free insurance coverage with either Medicaid or one of the Silver 94% plans with no deductibles and very low copays that are available to those making less than $20K. I'm getting PrEP with Obamacare and I'm paying $55/month for the premium and they've been covering my PrEP 100%. My only costs has been the copays for docs and testing which are $5 each. I have no medical or drug deductibles. Enrollment ends in 5 days so you need to hurry up. What state are you in?
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I'm not sure this is the greatest of ideas. If you seroconvert on 4 pills/week you'll most definitely have suboptimal levels of Tenofovir and Emtricitabine that will at that moment be used to fight the virus. If you go on 4 pills/week for a while while seroconverting seems the chances of developing resistance to Tenofovir could be higher which is something you don't really want. Maybe you could increase your frequency of HIV testing to once a month or 2-4 weeks after sex event with a PCR HIV test to make sure you catch your seroconversion ASAP.
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Getting HIV is really no fun at all, so the only thrill I get is the fear of seroconverting, which in my case has no enjoyable component. With PrEP is nice to know there is an extra level of protection and I make damn sure I take those pills every day.
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I didn't see this argument in this thread, but in the USA the insurance companies springing the $14k/year for PrEP can actually make financial sense. If there is enough good triaging of who is getting PrEP, specially giving it to those who are really at risk, the folks getting fucked raw and taking loads, being on PrEP for those folks and averting infections should beat a lifetime of HIV treatment, whose meds will be more costly, will have to be taken for life and you have to add all the doctor and testing and side health issues that come with being poz. Take into consideration that PrEP doesn't have to be taken forever, and people can take breaks therefore the cost is not strictkly $14K/year. Also with the new PrEP options in the horizon and Truvada PrEP becoming generic in just a few years it does make sense for them to cover it.
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Great to hear you are being so open with your partner. If you adhere to PrEP properly and you are getting tested frequently I think there is very little risk of giving HIV to each other. Tells us how it works for you.
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They should go away in about a week as your body gets used to the drug. Most people don't experience diaherrea but some do. When it's shows up it goes away quickly.
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This doesn't really mean much. Most of the HIV blood test you'll get if you go to a doctor are regular antibody test that have about the same window period than oraquick does. It is true that you can order an RNA HIV test and that one has a two week period, but it's expensive and you have to ask explicitly. Some std clinics are doing RNA HIV tests by default, so he may want to try that.
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Unlike what some people say here doing Oraquick on the spot offers some level of protection because at least you know he was negative 1+ months ago. It is true however that if he seroconverted recently you are going to get a very dangerous load. You can ask him not to come inside if you want to diminish the chances of you seroconverting. And probably the best thing you could do is go on PrEP and adhere to it, that would make it very difficult for you to seroconvert and would be able to fuck raw with protection for HIV. Please ignore the folks in here that are promoting you to go bareback regardless of the risk. Getting HIV is absolutely no fun and a lifelong infection you'll have to deal with every day of your live until you die. Much better if you can do things now to avoid it.