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    San Francisco Bay Area, USA
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    Neg, On PrEP
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    Bare bottom guys who know how to kiss and want to get pregnant

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  1. I've gotten more than one bacterial STI from fucking straight married guys. Some gay men are uninformed about sexual health, don't bother with regular HIV and STI testing, or just lie, but the straight guys I've played with have taken ignorance and lack of concern for others to new heights. They relied on imaginary declarations (they simply declared that they themselves were HIV-negative and had no STIs, and they expected their male sex partners to declare the same thing) rather than on strategies that work, like frequent testing with one's regular doctor (which increases the likelihood that non-normal test results will actually be received, and that treatment will be made available). My impression is that some straight men [who have sex with men] are so starved for sex that they will take tremendous risks, but without the level of health knowledge that gay men typically have.
  2. I parsed this as "it was". Maybe you meant to type "it wasn't".
  3. Although I have compassion for GLBT people who live in rural or backward (not necessarily the same thing) areas, the truth is that people who care about their health factor in their health situation when deciding where to live. My favorite examples are HIV prevention and treatment norms in San Francisco. There is no other place in the world where same-day initiation of antiretroviral therapy is universally available to people who test positive for HIV. All major public, private, and charitable/community-based/non-profit health providers in the City participate in a Getting to Zero consortium that has set this as the standard. The consortium even relies on "detailing", an old-fashioned practice whereby more experienced medical practitioners teach less experienced ones, to reach small medical offices (most of which are affiliated with larger, GTZ-aware networks like Sutter Health anyway). Other jurisdictions are starting local GTZ groups, but none can match the comprehensive reach of San Francisco's. The City's latest annual HIV epidemiological report (also a unique effort, unmatched anywhere in the US for detail and accuracy) reveals that virtually all of the people newly-diagnosed with HIV in San Francisco last year started ART the day they received their positive test results. Faster ART initiation means a smaller viral reservoir, which could benefit patients if HIV "cure research" keeps advancing. For the gay community at large, faster ART initiation means shorter time to viral suppression, which means less HIV transmission. San Francisco's GTZ consortium has also made same-day PrEP initiation standard. Last but not least, anyone who gets a routine HIV test through the San Francisco Department of Public Health gets a pooled qualitative PCR HIV viral load test. This innovative approach, whose only other use in the US is for blood donations, strikes a compromise between speed and cost. Pooling blood from multiple patients makes it affordable to use a viral load test for HIV diagnosis. (Only if the pool tests positive do the individual samples all have to be tested.) This test can detect HIV within days of infection, rather than a week or two, for the newest and best available antibody+antigen test commonly used elsewhere. Faster detection means faster treatment. If you are a gay man, your sexual health outcomes will be better in San Francisco than anywhere else. My favorite counterexample is senior citizens who choose to retire to small towns in the countryside, but soon start complaining because the rural hospital has closed, the doctor has left town, they have to drive or be driven to dialysis or to the pharmacy, etc., etc. Choosing to live in a small town makes no sense if someone has significant medical needs, or is in a group that, statistically speaking, has significant medical needs. (This is not to say that I approve of rural hospital closures, only that it is physically impossible to provide the same standard of medical care in small towns as in large population centers.)
  4. @BlackDude, several of your doctor's actions seem inconsistent with the CDC PrEP guidelines. Whether you receive a 30- or 90-day PrEP prescription is ultimately an insurance matter; it should not be a matter of clinical discretion. Many health plans charge lower unit prices for 90-day prescriptions than for 30-day ones (although PrEP constitutes preventive care, so the medication and all PrEP-related services should be free of charge for the vast majority of insured Americans). Your doctor was right to take a sexual history when you asked for PrEP, although a conscientious general practitioner would already have done so. It should be done as a matter of course for all patients who are at an age where they are likely to be sexually active (jokingly, I'd say, as was said decades ago, for all patients "of marriageable age" 🙂). Whether STI test requests between the 3-month interval specified in the CDC PrEP guidelines should occasion further discussion of sexual habits is debatable. It is reasonable to minimize unnecessary tests. (For example, as a PrEP patient at Kaiser Permanente, I have standing orders and can go in for common STI tests as often as every 3 weeks. I go monthly regardless of my level of sexual activity, but I always decline the rectal swab because I'm a top and never have potential exposure from receptive anal sex.) It is not reasonable to make patients feel ashamed, to waste their time, or to delay access to testing. Your doctor was right to recommend Covid-19 vaccination. Although research hasn't yet established that men who have sex with men (MSM) are at a higher risk of Covid-19 infection, of severe illness if they do become infected, and of death, plenty of research shows that GLBT people have worse health outcomes than the general population. Research does, unfortunately, indicate that African Americans are significantly more likely to become infected, to experience severe illness, and to die from Covid-19, than the average American. I hope you'll follow your doctor's advice to get a Covid-19 vaccination if you have not already done so, and then follow everyone's advice here, and get a new doctor. Good luck! Remember that you are worth it. You have the right to sound medical care, free of stigma. Your life, or at least, your quality of life, depends on it.
  5. @AirmaxAndy, thanks for mentioning the Patroc Web site, too. I had not heard of it. I'm heading to Europe for a month and found useful, recently-updated listings for major cities.
  6. @Barebackwhore, very well explained! I would add, for people who asked about onset of protection, about on-demand/intermittent/"2-1-1" dosing, and about side effects, that it is great to discuss these concerns with peers in an online forum, but that it's even more important to raise them with the medical professional who provides your PrEP care. (If you don't have regular contact with a medical professional, make it happen! PrEP is not intended to be DIY. All conclusions about PrEP's very high efficacy are based on studies of people who were under ongoing medical supervision.) Also, on-demand dosing is discussed in the draft 2021 revision to the CDC PrEP guidelines, and of course in the research literature (Ipergay trial and others since). If you are curious about this option, ask your medical professional to read up if they are not yet familiar. Even relatively conservative, large, longtime PrEP providers like Kaiser Permanente now openly support intermittent dosing (and it has been an option in France for years now). Although on-demand dosing does not necessarily reduce side effects (which are either mild or uncommon, anyway), some PrEP patients prefer it.
  7. @Sfmike64, it's refreshing to see another reminder about the preventive health mandate, which makes PrEP care (visits, tests, prescription) free (no $ copayment or % coinsurance, and not subject to a deductible) for the vast majority of health insurance plans in the US. I wonder why outfits like MISTR that purport to help with paperwork — some now unnecessary, in the case of drug manufacturer patient assistance rebates for PrEP drugs, and some now an illegal insurer requirement, in the case of preapproval forms — continue to advertise, and I wonder why people who are insured, or who are eligible to be, don't exercise their rights. You are completely correct that the system cost of PrEP care is less than the system cost of HIV care for infections not prevented. People need to bear in mind that even though the preventive care designation makes PrEP free, prescribing guidelines do apply. PrEP is and has always been intended for groups who are at a statistically high risk of getting HIV, such as men who have sex with men (MSM), trans people, and especially people of color and young people. There is no intention that the entire US population be on PrEP. (In other countries, high-risk groups are different, of course. In many African countries, HIV is widespread among heterosexuals, which would make PrEP economic for the general population.) I would offer a different explanation for high prescription drug prices in the US, which subsidize patient assistance programs here at home and subsidize low drug prices (or low licensing fees) in the developing world: Americans love the fiction of charity. Our country has always been uncomfortable providing comprehensive health care to people who are not working, are not married, don't earn much money, are not citizens or permanent residents, etc., etc. Patient assistance programs, subsidized by full-price drug buyers such the federal government, the states, and large private insurers, have been more palatable than political change to establish universal health insurance. Voters who consider universal health insurance socialist, unamerican, downright horrible, feel good when they imagine that US drug companies are performing an act of charity by offering rebate coupons. Similarly, we've always been uncomfortable helping foreign countries — especially if the residents look different than us or worship differently. (We're glad to help when we get something in return, like a pool of cheap labor, control over natural resources, or access to land for forward military bases.) Drug price discounts for developing countries have been more palatable than political change to increase foreign aid spending and ease restrictions (see "gag order", for example). The same voters who consider foreign aid abhorrent feel good when they imagine that US drug companies are performing an act of charity by giving away medicine (or the right to make and sell it) to developing countries. I don't think the drug companies have the government in their pocket. I think they're responding naturally and logically to a political quagmire that leaves millions of Americans still uninsured and billions of people in the rest of the world still unable to afford essential medicines. Patchwork "solutions" like patient assistance programs and foreign discounts do just enough that we as Americans don't have to see too many people dying on the street (I mean this in the sense of "without medical care", not in the sense of homelessness, which is a different problem handled in a similar way; my city has yellow parking meters where idiot do-gooders can insert dimes and quarters, ostensibly to "solve" homelessness!). People like me who prefer system solutions like universal health insurance, domestically, and larger aid payments, abroad, are either in the minority, or we don't control enough votes (in institutions like the Senate where, the more populous the state, the less each person's vote matters).
  8. Maybe you could hide the test tubes (or other, smaller cum containers) inside a solid-color (not see-through) Tupperware container in the freezer. If you labeled it with your name, would your flatmates still be likely to open it?
  9. Couldn't have said it better myself! This kind of bottom would be better served by backing up to a glory hole in adult bookstore to take lots of random cocks (a hot scene in its own right), but for one-on-one play, he might have better luck with a dildo than a human.
  10. hey daddiii! 19yo milky white slim smooth boi here looking to chat...cant text here so my skype id is Chris Konnin

  11. I agree with @Filthpig69, @phukhole, and others. The scent of another man's hairy pits arouses me in a way that no drug and no porn movie ever could. It's a shame that people turn to extrinsic sources of sexual stimulation when intrinsic ones like smelly pits have been right there all along for our enjoyment! Visually, I'm also really turned on by guys in sleeveless shirts or tank tops that reveal pit hair. Sometimes, the sleeves of a guy's ordinary T-shirt are cut just short enough, he is just hairy enough, and he moves his arms just high enough, that some pit hair shows. Thanks for the amazing pics, @DarkroomTaker!
  12. The best one I heard recently was that someone looking for  “straight tops only” now I dunno  about all y’all but that’s obviously not a person happy about  their homo habit. Like the tough guy macho masculine demeanor, doesn’t make a mans  homosexual needs less gay. Declaring DL status as if it’s what we’re all supposed to do with ourselves, isn’t desirable either, just a lil extra thought  can work wonders

  13. Don't forget the "discrete" ones! 😂 You know right away that they're intelligent. Yesterday I saw someone who pointed out in his Grindr profile that when he taps, it's meant as a "complement". If only more people knew that these words mean other things!
  14. I would never open with "Pic?", but I wouldn't start a chat with someone whose profile had no pic, and if they started a chat, I'd block or not respond. I perceive it as an information imbalance, because I have public face and body pics in my profile. Whether to post a public pic is very much a personal choice, but not engaging without a pic also seems reasonable (and safe).
  15. Thanks for following me, sexy! 😉

    1. bottompnppig79


      You’re welcome 

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