Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
  Breaking News: FDA Approves Triumeq, New Once-Daily Combination Pill
   
Ask the Experts About

Safe Sex and HIV PreventionSafe Sex and HIV Prevention
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Positive couple and safe(r) sex
Aug 10, 2005

Hello Dr. Bob

You and the others at the body have been a great resource for my partner and I who are both positive and have been for over a year. Both our viral loads are currently undetectable. My T-cell count is much lower than his. We are a monogamous couple and have not been practicing safe sex which I know poses a risk, but we have received many conflicting reports and chose to not use condoms.

My partner has been told he can go on a drug holiday. When he is off medication, should we rethink our practices? I would hate to cause him to be super infected because he does not have the protection in his bloodstream of the anti-virals. I know that all and all we are taking a chance anyway, but with him pulling off of all meds, we are looking for advice.

Thank you,

Response from Dr. Frascino

Hi Guys,

You've "received many conflicting reports???" Hmmm . . . not from me. Take a stroll through the archives and you'll find my advice has been remarkably consistent. Drug holiday or no, detectable viral load or no, the risk of HIV superinfection (or reinfection) is real and has been well documented. True, we don't know how often it occurs, but there is no longer any question that the risk is real.

Next, will this very real risk increase if your partner takes a drug holiday? Yes, there is a very real possibility the risk of HIV transmission will increase, including, I must add, your risk! Off meds your partner's viral load may well increase, which could make him more infectious. Your T-cell count is already "much lower" than his. Is this a risk you are still willing to take???? I encourage you both to reconsider. Protect each other. Protect yourselves.

Good luck.

Dr. Bob



Previous
Risk, Anxiety & Relief
Next
Hep B from Oral Sex

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement