Hi Dr. Bob!

I'm new to your site and I Love it! My question is: A guy I'm dating is positive as am I (15 yrs now). He says his doctor told him since his viral load is undetectable and t-cells are in normal range that unprotected sex with someone with the same scenario in a monogamus relationship would be quite a low risk of cross infection. Naturally I thought B.S. (when strains collide and all) but is there something I don't know about this. He's a totally Randy Bottom and can't keep his legs down.Gee some people do have it made hunh. Any feedback would be greatly appreciated. P.S. you and your partner are two Lucky guys (wink).

Hi,

Yep, that's B.S.! Cases of secondary infection with more aggressive viral strains have now been well documented. Yes, a non-detectable viral load decreases the risk of viral transmission somewhat, but certainly not completely. Perhaps "helium heels" misunderstood what his doctor was trying to tell him. I suggest you explain it too him again with his feet planted firmly on the floor.

Stay gloved. Stay safe. Stay well.

Dr. Bob