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This is an excellent idea in theory. Adherence and testing are my only concerns. In the initial PrEP studies, patients who didn't take Truvada daily had much less protection against infection. Truvada has very uncommon but very serious liver, kidney and bone side effects, for which regular tests should be performed. It is also has resistance issues when used alone in treatment of HIV, hence the need for ongoing HIV testing. For all of these reasons, the FDA mandated special prescribing instructions when it approved preventive use of Truvada last year. Some of us read labels, take medicines daily, and ask for tests when we need them; many others benefit from active medical supervision. To pick a different but related example, home-use HIV tests have been available for over a decade, and have gone through three different generations. The first generation required patients to collect several drops of blood and FedEx the test strip to a laboratory for analysis. The second generation required a single drop and provided a result at home, in 20 minutes. The third generation involves scraping the inside of your cheek, and also provides a result at home, in 20 minutes. When instructions are properly followed, all three home tests, and the classic laboratory tests, have comparable rates of accuracy. Why on earth are we still doing most HIV testing in clinics? I guarantee that, at a system level, the $45 to $60 retail price (to say nothing of the lower cost price) of a home testing kit is lower than the unit cost of a test administered by a clinic, when you consider the phlebotomist, the counselor, the receptionist, the building, transportation of the patient to the building and transportation of the specimen to the lab. The recent court-ordered decision to make the "morning after" pill available over the counter at least gives us some hope that the system is beginning to dignify patients and that patients are beginning to take responsibility for their own medical needs. I think Gilead would love nothing better than to see Truvada available over the counter, especially with a (necessary and justifiable) government subsidy. The fact that Gilead pushed for FDA approval of PrEP tells us that the company sees prevention as a viable market.

It's a question of laws and contracts, not imagination. In the US, a drug plan will cover Truvada for PrEP under exactly the same terms as any other FDA-approved prescription drug -- which means you might pay a lot or a little, depending on your deductible, your co-payment, any extra charge for brand-name medications, and any charge for laboratory tests (see below). Only plans with drug formularies and plans that somehow manage to exclude this entire category of care (cf. infertility treatment, sex reassignment, contraception, etc.) can avoid covering PrEP. By way of example, my Kaiser health insurance plan covers PrEP with a $25 monthly co-payment for the drug and a $10 monthly co-payment for the required laboratory tests (see below). Mine is an individual plan, with higher copayments than Kaiser's employer plans. When a patient faces a substantial risk of becoming infected (a question of what the patient actually does, not a question of what any of us might want the patient to do), it is cheaper to optionally underwrite PrEP than to obligatorily underwrite long-term HIV treatment (which involves more drugs, more tests, more visits, and yet more medical risk). Plan designers contemplating excluding PrEP from a drug formulary or placing PrEP in an excluded category of care will ask: How long do people remain in our plan (the number one underwriting consideration for all preventive care in the U.S.), what percentage of our members become infected with HIV, and how old are they at the time of infection? Bearbandit, I appreciate your frank account of the side effects you've suffered from Tenofovir -- and I'm sorry that you're suffering. It's important for people to know how dangerous the side effects of one of two drugs in Truvada can be. Still, I hope that this will not deter people from trying PrEP. Side effects affect a minority of users. Otherwise, a drug is not eligible for initial (or continued) approval. FDA approval of this new, preventive use of Truvada in 2012 depended on special prescribing instructions. Doctors are advised to test PrEP patients regularly for HIV (Truvada alone is not sufficient for HIV treatment), for kidney function, and for liver function, and to monitor patients' bone health. Doctors can of course ignore the published instructions, but that would be unprofessional, and given the risks involved in this case, unethical. Again by way of example, the two main sources of PrEP in my area, Kaiser and a county health clinic, provide only 30 Truvada pills at a time. Neither source will authorize the next month's supply without STD and HIV tests, a liver function test, a kidney function test, and a urinalysis. Kaiser adds a phosphorus test as a basic measure of bone health. The goal is to quickly stop the drug in the minority of patients who are susceptible to serious side-effects (and to prevent resistance in any patients who do become infected, by immediately shifting them from Truvada to a three-drug regimen).

It's not sappy at all! Love is a powerful feeling, and it need not be restricted to one person, in one specific kind of relationship, lasting forever. This isn't a scarcity situation. Even for a quick, anonymous fuck in a bathhouse I want to cuddle, roughhouse, and kiss. If I monitor what's going on in my mind, sometimes I feel genuine love even if not a word has been spoken between me and the man I'm breeding. You are in an enviable position to be able to love your husband, your boyfriend, and multiple fuckbuddies, at the same time. It's emotionally healthy (provided that there is no jealousy between parties), and it probably heightens sexual pleasure, too.

I can empathize. Even as a top I was reluctant to bareback at times in the past. Maybe you should experiment with guys you've formed longer-term connections with, though there will always be some risk, whether from deceit or lack of knowledge. Also read about risk reduction strategies. In the end, I think it's worth living life. Two guys covered in sweat, out of breath, with one's sperm dripping out of the other's hole, is a life-changing experience.

Exactly. This happened when I was fucking a guy recently. I didn't stop.

It is truly more blessed to give than it is to receive! For fucking, I am a top, with exceptions that I can count on the fingers of one hand, but when it comes to oral, I like giving almost as much as receiving. I love the taste and texture of cum. I love feeling a guy's dick pulse in my mouth. Although I don't mind if a guy wants to cum deep down my throat (my personal favorite if I'm getting head), I prefer to ease my mouth off a little bit so that I enjoy the spurting and taste the cum. Kissing/swapping cum afterward drives me wild.

Dropped a load in a muscle bottom with an incredibly tight ass on Friday. He was passive during the fuck, which is hot, except that he kept tightening his ass muscles, which made me go wild! I almost lost my load several times due to that; I had to pace myself so that I could enjoy his hole as long as possible. Afterward -- surprisingfor a BBRTS fuck -- we talked for a while and I gave him a message.

My new BF knows I fuck around; our relationship was open from the start. He doesn't know I fuck bare. By the way, we're both tops, and our sex consists mostly of me sucking him off.

Wrapping up a fairly long chat on Grindr this morning... Him: "Are you clean and neg?" Me: "I'm neg. You?" Him: "Yeah. I play safe only." Me: "OK. I have condoms and lube." Him: "What's your address?" He comes over. He's in his mid-20s. We connect. The boy really knows how to kiss, and he goes wild whenever I lick or bite his ears. I've rimmed and fingered him to get his hole wet. I've had him deep-throat me, not because he gives great head but because I want him to get my dick wet. I'm on top of him, dick only an inch away from his hole, and I'm hoping he'll reach down and guide me in because "safe only" at the end of a chat is usually code for "I really want you to fuck me without a condom." No such luck, this time. I set the bottle of lube, and a condom, on the bed, to put his mind at ease. Still no action on his part. Now, I could have initiated a game of "just the tip", but I am an honest guy, so I put on a condom and started fucking. I noticed, each time that I pulled out, that the condom was bunching up around the head of my dick. I pulled it back down the shaft the first few times, but eventually, I said, "fuck it" and just left it bunched up around the head before pushing back into the boy's hole. I felt the condom pop unexpectedly. My dick felt good. Really good. Skin-on-skin good, the way this fuck should have been from the beginning. Since the broken condom really was an accident, I didn't feel the need to say anything, or stop. Being honest, I did pull out just as I was cumming, and go through the motions of removing an intact condom, as I blasted sperm all over the boy's hole. I hid the broken condom in a tissue. No questions were asked.

I just seeded a beautiful mixed African American guy. He's younger than me, and I'd been quite a gentleman on Grindr until our chats turned sexual. We made out (the guy can kiss!) and sucked each other before he presented his ass to me. After rimming him a little bit, I added some spit (2nd-best lube after cum) and some silicone lube (3rd-best) and started to open him up with my dick. When he looked back, I was afraid he'd ask for a condom (there was a box visible near my bed), but he didn't. I like men who share that understanding: real sex means no barriers. My dick is of average length but it's pretty thick; it took a lot of willpower for me to pause when he asked me to. We soon settled into a nice rhythm, with him spreading his cheeks to give me better access and an incredible view. I only regret that, due to the doggie position and his size (he's a big guy), we couldn't kiss while fucking. His hole was incredibly tight, and my BF doesn't put out, so it wasn't long before I got close. I asked him if he wanted it, which he did (that understanding again!), basically just as I flooded his ass with the first spurt. As I was sucking him a minute later, I saw my cum dripping out. I swallowed his load and we resumed kissing at last. As he was cleaning up, he commented that I'd given him a big load. Surprisingly, in addition to being handsome and a great bottom, he is also a nice guy. We chatted for an hour.

I made a resolution that when I fuck in 2013, I will only fuck bare. I'm starting to communicate my preference for topping bare in online profiles instead of just sounding things out once I meet a guy. It's paying off in that I am meeting more guys and having great encounters. The problem is that I also want to date, and maybe find a new partner. People in the dating pool seem to respond negatively to the idea of a non-monogamous relationship, let alone to the mention of barebacking. I don't agree that the only valid relationship involves I white picket fence. I want to commit to the kind of guy who comes home with another guy's load in his ass and tells me about it as I add my own, and who encourages me in my extra-curricular pursuits. Any advice from people about being a slut and having a relationship at the same time? I know it's possible to open up a relationship after the fact (usually with tears, jealousy and conflict, it seems). I want something that starts out emotionally solid and sexually open. Thanks, and I hope that this isn't a dumb question.

Yeah, this is definitely a hot story, and one that rings true. Has anyone else here ever connected too well for your BF's liking during a threesome, and maybe gone on to see the other guy on the side?

Though I know it's not your intent, the idea of "too many" bare cocks implies that there's something wrong with non-monogamy. How does your boyfriend feel about sex outside the relationship? He probably has strong cravings for other (raw) holes. Discussing it openly might be a good idea. No matter how much fucking around and barebacking we've done, I think we're always still capable of not giving in to the temptation. The question is, when is there a truly good reason to deprive ourselves? For example, does a boyfriend's love depend on monogamy? As a top, and as someone who has done the long-term relationship/domestic partnership/same-sex marriage thing, today I would respect and love a guy even more if he indulged his craving and came home with another guy's load in his ass, ready for me to slide in and add my own. (And if he also understood my desire to seed other men.)

I started seeking opportunities to fuck guys bare after an encounter in a video arcade. Realizing that this was okay, even natural, was a life-changing moment. I wish that there had been more access to bareback porn, as I would have figured it out sooner. My encounter happened in the late 90s, when condom use was assumed, there was not much new bareback porn, and home Internet speeds were too slow for video. I should note that there was a distinction in my mind between sex inside a relationship (which I expected to be bare) and sex outside a relationship (which I expected to be safe). Bareback porn featuring boyfriend scenarios and romantic, one-on-one fucking is sweet, but the real contribution of the genre is to legitimize barebacking with multiple partners in more casual settings.

This is a great question, and a really hot discussion. I don't think it has to be either/or. Anonymity doesn't preclude intimacy. I feel very strong connections with some of the guys I fuck at bath houses and arcades, and I hope that they feel the same way. Even through a glory hole, we can use touch, sound and the rhythm of our fuck to connect. If there is no condom involved, insemination is a very intimate act. Years ago, when I was with my partner, I played with a certain guy at the gym. We played only three times. There was lots of kissing and touch, so I guess that this qualifies as intimate/connected sex. But, we never once spoke, and we only knew each other in one setting, so this was also anonymous sex. Those are the hottest sexual encounters I have ever had (except maybe for the six months I spent dating an older, submissive, bottom ex who happened to be Poz). Maybe it was totally irrational on my part, but I knew that if this guy and I had gone further, I would have left my partner and spent the rest of my life with him. Now that the partner of 9 years is out of the picture, I definitely regret not having allowed myself to take it further.

I've always gotten off on the thought -- or better yet the sight -- of a boyfriend, or even my ex-husband, fucking around with other guys. When I knew my ex-husband was attracted to someone, I would hint that they should fuck. We were officially monogamous. When I cheated, the risk of getting caught and the thought that I was breaking rules made the sex incredibly hot. My cheating was physical; I never crossed an emotional line. My ex, on the other hand, ended up starting a second relationship, and then chose the new guy over me. Rules don't shield couples from the risk that one or both people will be physically or emotionally attracted to others. I don't believe that being straight or gay, male or female makes any difference. We are all capable of multiple attractions, and on an instinctive level, we want to act on those attractions. I don't know how it works for women, but for men, it's hard to refute an erection. I don't understand leaving when someone cheats. It seems silly to let a whole relationship come down to where a guy is allowed to stick his dick. I am going to enjoy my partner, and others. I hope he will enjoy me, and others too.

I've been fucking a Latin guy in San Francisco for the past few weekends. It's hot to see a bottom progress toward barebacking. He made me use a condom for the first fuck. We kept making out afterward, and this led to the second fuck. I was already inside him bare when he asked, "Are you clean?" Later, just as I was about to cum, he said, "Please cum outside", which I did. When we met up a week later, I was inside him bare within five minutes. At the point of no return, I asked him, "Can I cum in you?" I didn't really wait for an answer, and he didn't give one. We both knew what was going to happen. We kissed deeply as I bred him. I hope we're going to have a long, intense, loving -- and most of all, raw -- sexual relationship.

On Friday, I bred a hot Guamanian boy who knows how to kiss and how to ride, and moans passionately while getting fucked. Back at home waiting for his husband, he texted me to say that I'd shot a huge load. That was our second fuck and our first bare fuck. There's no going back, and I hope we become regular bare buds. Two weeks ago, I made love to a beautiful guy visiting from Hong Kong. We both intended to be good. I went in bare for just a moment. The next thing I remember, I was pointing out the condom package right next to us and telling him that I could pull out if he wanted me to. Neither of us wanted that! When we made love the next morning, it was bare, no questions asked. My last load taken was a few months ago, from a young Latin guy whose boyfriend thinks he's faithful. He's the only guy I allow to fuck me, and he tells me I'm the only one he plays with. It's a good fit, as we're both pretty responsible. We do have feelings for each other. I don't mind at all that he has a boyfriend. Actually, it's hot to know that I turn him on ways the boyfriend doesn't. Unfortunately, minutes after we fuck he starts to feel guilty and tells me not to contact him. I reassure him that he can love his boyfriend and fuck me -- or even love me -- at the same time. I texted him on Friday and he texted back late Saturday night, drunk, and with the BF alseep, so I think we're going to play again this week.