fskn
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Everything posted by fskn
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Yes, I should have said observed risk reduction rather than efficacy. From Page 1 of your article: "Most importantly, as with iPrEX, drug level results were highly correlated with incidence of HIV during follow up, with risk reductions (95%CI) of 44% (-31 to 77%), 84% (21 to 99%) and 100% (86-100%) for the <2, 2-3 and >4 doses/week groups. And yes, I understand confidence intervals and the influence of study length and size. Taken with the sexual-behavior-adjusted risk reduction figure of 95% from the original iPrEx study, iPrEX OLE demonstrates a risk that is very close to zero. Nothing is certain in life. Why is it that, as soon as we have systemic evidence of the effectiveness of a new prevention strategy, we forget that no prior strategy (other than abstinence) ever provided ironclad guarantees, either. 95% risk reduction for the iPrEx participants who adhered, and 100% for the iPrEx participants who adhered even 4 of 7 days, is good enough for me. If we consider treatment status of Poz partners as well, the results from the first two years of the PARTNER study suggest that people having sex with Poz partners known to be undetectable don't need PrEP or condoms. PARTNER involves a large, diverse group of serodiscordant couples. Finally, the writer of the article seems to have an axe to grind. If it was intended as an unbiased commentary, why would he add the epithet: "it might be an important caution before suggesting that alternate dosing is as acceptable"? No one has suggested alternate-day dosing on any basis, let alone on the basis of the iPrEX OLE results. I heard Dr. Robert Grant speak a few weeks ago, and he himself recommends daily dosing. Let us note that Simon Collins is not a doctor or a researcher, but a community advocate, and that his articles are not peer-reviewed.
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An effective but expensive (for private insurers and government health programs) drug to cure Hepatitis C recently became available. Sovaldi is made by Gilead, the same company that makes Truvada.
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The evidence from the iPrEx-OLE study is 100% effectiveness at 4 or more doses per week, so if you adhere perfectly, your becoming Poz would be an aberration. Have you had all available vaccinations? Are you concerned about the one STD for which there is no vaccine or cure, but only treatment -- herpes? Beyond that, the IPERGAY study in France and Canada is examining intermittent use of Truvada for PrEP. Maybe you should wait for those results, so that if you do stop PrEP but do have risky sex occasionally, you'll know whether episodic use of Truvada will protect you.
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Prep Any Potential Side Effects Similar To Poz Meds
fskn replied to Pitt1988's topic in PrEP Discussion
You can find complete side effect tables, with references to all applicable studies, in the monograph glued to Truvada bottles. (It's the super-thin onionskin paper sheet that unfolds to the size of a newspaper page.) Remember that side effects occur in a minority of patients. It is assumed that the effects of being HIV-positive, the combined effects of the 3-or-more drug regimen needed to treat HIV (as you say, Truvada contains only 2 drugs), and the impact of other HIV medications previously used, yield different results when a positive person takes Truvada than when a negative person takes it. -
The link posted had an extra, personal token at the end. This should work:
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Bushy is a visual turn-on, and a physical turn-on if I get to lick and nuzzle. Sweaty is perfect; the sweat works like an aphrodisiac for me.
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Has Anyone Here Converted From An Undetectable Guy?
fskn replied to N_Cordova's topic in HIV Risk & Risk Reduction
N_Cordova, to put your mind at ease, look up the early results of the PARTNER Study. Two years in, no cases of HIV transmission have been found when the positive partner has an undetectable viral load, and this, without regular use of condoms. With the scientific question almost resolved (this study continues two more years), we must turn to interpersonal questions. How can we get to a point where thorough and honest discussion of health status (not simply whether someone is positive or negative) is the norm? -
Stupid ex-boyfriend! Why deny you something that you enjoy, that challenges him to become a better top, and that triggers something in him to make sex between the two of you rougher, harder, and more stimulating? And why reduce love to fucking? I've never understood guys who try to make up some connection between how I feel about them and where else I put my dick.
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Hilarious! I was fucking several of my ex-husband's friends. I also found it helpful to introduce some of my own fuckbuddies to him as friends, so that he wouldn't suspect anything if he saw these guys around me. And yes, even the guys who moralize (whether about open relationships or about cheating) eventually succumb to the reality of a hard dick, a warm, wet mouth, or a tight hole.
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What your boyfriend doesn't know can't hurt him -- truthfully, in this case, thanks to your use of PrEP! ;-) Re: less than a week, after I proposed to my former partner, years ago now, I held out for two or three months. Sex dwindled as he settled in to a contented domestic routine, so I had to make up for it somehow. Most of my adventures were oral. I didn't start fucking other guys, safe or eventually bare, until much later. By that point, my husband wasn't putting out at all, so I didn't have to worry. I hope you will push the envelope and tell us about it. You could make up an excuse for why your hole feels so "wet". After reading the books Sperm Wars and Sex at [the] Dawn [of Human Civilization], which explain the biological and evolutionary advantages of promiscuity, the idea of a guy's coming home already loaded up by a stranger and then getting fucked by his boyfriend/partner/husband turns me on. It's also what I want my BF -- who is a bareback bottom -- to do for me. Not only is the shape of the penis designed to pump out the last man's semen, but it's also been shown that we ejaculate more and more-viable sperm after an absence or when we fear we've been cheated on. Cum is the best lube, too. ;-)
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Think there would be a market for a chartered, bareback-themed gay cruise? ;-) On Atlantis, is the Dick Deck something official or informal? How does it work?
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Sounds like a hot encounter! Here in the San Francisco Bay Area, the day laborers are mostly Latino. I've always wanted to strike up some conversations and see if there's a guy in need of some relief, possibly living up here away from his wife. I also notice a lot of dried cum on the stall walls at my local Home Depot, and small peep-holes that guys have carved by hand. I bet that there's restroom action, though I don't know the right days and times.
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Wanting To Be Poz For Partner: Worth It?
fskn replied to Seedloverke's topic in HIV/AIDS & Sexual Health Issues
GermanFucker makes a good point: don't become Poz for an external reason such as hoping that it will help your relationship. If it's something you want(ed) for yourself, that is a different story. Instead of saying I'd become Poz "for" my partner(s), I should have said "with" them. I see it as a risk, which I mitigate by taking PrEP and by knowing that my boyfriend has an undetectable viral load. Nevertheless, the thought of becoming Poz does not scare me. I have good medical care, perfect adherence to Truvada, and tools to lead a healthy life. With full respect for the struggles that Poz guys go through, I will be honest and say that I find the thought of being converted by a partner mildly erotic. What about you? On the question of whether your becoming Poz would benefit your relationship, I would say that complete freedom from worry during sex is one benefit, or rather, that your husband and your boyfriend might have a nagging worry about infecting you and that this could color sex within the relationship. -
Wanting To Be Poz For Partner: Worth It?
fskn replied to Seedloverke's topic in HIV/AIDS & Sexual Health Issues
This is a very serious and personal decision, of course. I personally would become Poz for a partner or partners (yay triad!) if it were serious relatiomship. -
If you're fucking a guy, whether with or without a condom, there is always a possibility that some of your cum will end up inside him. To ignore the risk of condom breakage is to deny reality. So, I say that if you are fucking a guy, you have an implicit right to cum in him.
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Im Pretty Sure I Got Infected :(
fskn replied to nacholoko's topic in HIV/AIDS & Sexual Health Issues
PEP is standard in US emergency medicine. There is a CDC guideline for it. Any hospital emergency room in the country should be able to provide it. And by law (the Reagan-era Consolidated Omnibus Budget Reconciliation Act, one of whose more familiar provisions allows people to pay to continue their health insurance when they leave a job), emergency room treatment is provided without regard for ability to pay. Insist! -
Should I Still Have Sex While On Pep
fskn replied to freshxtop5's topic in HIV Risk & Risk Reduction
Piggybacking on Poz1956's comment about different PEP regimens, US CDC guidelines recommend finding out which drugs the Poz partner was using and choosing the PEP regimen accordingly (unlike PrEP, for which only Truvada is approved). If you can find out which meds this guy was on, your doctor might modify your regimen or simply -- since it's Truvada -- keep you on PrEP. -
Even before starting PrEP, I mostly topped bare and swallowed loads, including at bathhouses, so PrEP hasn't changed things except that there's less risk and less worry. My new BF is Poz and we're 100% bare together and with others, which is awesome. Incidentally, sinfuljock, it's hot that you're enjoying sex on the side while protecting your BF by taking PrEP. Does he know you're on it? Was the need to cheat one of your motivations for starting PrEP? Does he ever suspect you're getting bred elsewhere, if he fucks you when you're already loaded up?
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The latest study, iPrEX-OLE (for "open label extension") used sophisticated methods to check for adherence. Researchers found 100% protection at just four doses of Truvada a week. It's wise not to take risks, but there is also no need for 100% or 95% individual adherence, as previously thought. http://mobile.aidsmap.com/Overall-PrEP-effectiveness-in-iPrEx-OLE-study-50-but-100-in-those-taking-four-or-more-doses-a-week/page/2892435
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I agree with all the previous comments. More power to you! Keep getting bred! As a top, I am truly grateful to men like you who love to bottom and take loads. If more people were as self-aware as you are, there would be a lot more sex happening in this world, and consequently, a lot less unhappiness. If you ever do get to a point where you feel that sex is controlling you and not the other way around, here's a thought shared with me many years ago by a friend at Stop AIDS. Paraphrased, Instead of setting absolute, permanent rules and getting upset if you break them, pick a more modest goal. Commit to doing something differently the next time you have the urge to get bred, rather than every time for the rest if your life!
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It doesn't sound weird at all, ultrafuck! I agree with JizzDumpWI. Your flu is palpable and immediate whereas being Poz would a delayed and more diffuse reality. I am just hoping that whatever you want to happen happens, and that you will be in good health either way. If you are chasing, maybe this is the moment you've been waiting for. If not, I hope it's just a regular flu. Your pierced nipple is really sexy, if I may distract you for a moment! :-)
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Likewise, congratulations, Timduncan21! My prediction is that you will never want to use a condom again. Have you considered getting on PrEP, to essentially eliminate your risk of getting HIV? Incidentally, the situation with your wife demonstrates one of the (unexpected) advantages of being in a sexless relationship. ;-)
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Speaking as a top, when I still used condoms I always noticed the extra warmth and wetness if one broke. It would have been hard to miss! I liken it to the change in feeling when I'm getting serviced at a glory hole and the guy on the other side stops sucking my dick and unexpectedly backs his ass up onto it. I'd love to hear whether bottoms notice the change. Re: what to do, sometimes I was good and stopped, sometimes I let the first spurt of my cum go inside, and sometimes I let it all go. Unless two guys are making decisions about getting STD tests and/or starting PEP, there is no point to talking about sexual history when the broken rubber is on the floor and cum is dripping out of the bottom's hole. You've shared something pretty special, so it's better to spend the time kissing, and getting ready for that first totally willful totally bare fuck. ;-)
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Just my usual PSA for others who might find this thread in the future... 1. Ask for PEP in any hospital emergency room, as soon as possible after an unexpected, unwanted HIV exposure. Post-Exposure Prophylaxis -- a one-time, 30-day course of HIV drugs, ideally hand-picked based on your sexual partner's own drug regimen -- is standard in US emergency medicine. 2. Ask for a qualitative PCR RNA HIV viral load test. Conventional HIV tests check for HIV antibodies, which can take time to show up. This test checks for the virus itself, providing an answer just days after exposure. Unlike the quantitative tests used by people who are already Poz, the qualitative version provides a yes/no answer. 3. Otherwise, ask for a fourth-generation HIV antibody test. Although still antibody tests, these yield results weeks after exposure rather than months after. Good luck!
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Post Your Problems With The New Site Here
fskn replied to jackdaw's topic in Tips, Tricks, Rules & Help
Thank you, RawTOP. I appreciate all of the work you do to provide this community forum, and I will be contributing again as soon as I have the resources. One other observation, which another person hinted at -- Dates and times are no longer listed with each post in a thread. Perhaps it's an iOS-only issue.