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HIV
Jun 21, 2003

HIV If both parties are infected why use condoms.

Response from Dr. Wohl

The idea behind this recommendation is that there is the theoretical possibility that Partner A taking HIV meds can transmit virus that is resistant to his HIV meds to Partner B. This can be bad for Partner B who may need those meds in the future.

Transmission of resistant virus has been best demonstrated in acute HIV infection. Still, the possibilty exists that resistant HIV can be transfered to those already infected.

I tell my patients that safe sex between 2 HIV+ partners also helps prevent transmission of other STDs when the partnership is not strictly monogomous.

Look, few people love using condoms (especially if there is no chocolate syrup or whipped cream in the house) but the benefits versus the downside of their use is clear in prevention of HIV transmission to uninfected persons. Whether to use them in a monogomous relationship in which both partners have low viral loads or are on no HIV medications is more fuzzy. DW



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