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Straight talk about being an Afro-woman and staying safe
Jul 27, 2008

Great work Dr. Bob you are definitely making your peace with God by educating and helping so many people. Here is my question or comment

There is a lot of focus on homosexual relationships and HIV while afro-women are being hit the hardest. I doubt it is a lack of education however a willingness to be accepted and not be alone. So please inform us on the best ways to be safe. Since we insist on placing ourselves in danger please define "safe sex".

1. Sex with a condom. How safe is safe. Could we really eliminate over half of the worlds HIV exposures by just wearing condoms?

2. Oral sex for women. If he is positive and performs unprotected oral are you at risk and if so how great of a risk?

3. Most people are not honest about their status because most afro-men have not been tested (dumb asses). How do we send the message that everyone should be considered positive until proven negative?

Also what in the hell undetectable? And can you go from AIDS to undetectable?

I am sure many afro-women would be excited to get as much information on the questions above because as of now we are just not doing enough to control our encounters. Also I love the no glove no love expression. Keep up the great work. We need more like you.

Response from Dr. Frascino

Hello Afro-Woman,

Whether Afro or Non-Afro; woman, man or tranny; gay or straight; the safer sex guidelines and estimated-risk statistics for various sexual acts remain the same. You and all our readers can review the many aspects of safer sex in the archives of this forum. To briefly respond to your specific questions:

1. HIV cannot permeate intact latex or polyurethane. No way. No how. However, because condoms are sometimes used improperly and also, on occasion, fail (break), the efficacy of condoms in the real world of hot steamy, spur-of-the-moment sex drops to 85% in some epidemiological studies. Could we eliminate over half of the world's HIV exposures just by wearing condoms? Yes, in fact we'd eliminate well, well, well over half of the world's exposures. You can read much more about condom efficacy in the archives. Check it out!

2. Cunnilingus carries only a very remote and theoretical risk for HIV transmission, which would generally involve rare extenuating circumstances. This topic is well covered in the archives. Have a look!

3. Our HIV awareness and prevention messages are no longer effective. They are outdated and are not specifically designed to reach target audiences, such as women of color. Bush, because he's sex- and science-phobic, has cut funds for many domestic HIV-prevention programs. One way to get the message out is to personally start talking about HIV to all our friends, lovers, families and colleagues. Here's a good statistic for you to share: 92% of American women carry lip protection, but only 10% carry HIV protection (condoms)! Another one is that 25% of the over-1,000,000 HIV-positive Americans have absolutely no idea they are infected with the virus.

Perhaps the best way to get the message of HIV awareness and prevention out domestically is to vote for Obama for president and elect as many Democrats as possible to Congress. That will allow us to restore age-appropriate, science-based sex education in our schools and re-fund HIV-prevention and awareness programs domestically.

4. "Undetectable" refers to a specific type of HIV-monitoring blood test: the HIV plasma viral load. It measures viral replication. When an HIV-positive person takes antiretroviral drugs, they, if effective, drive HIV replication down. "Undetectable" means the HIV plasma viral load has been reduced to a level below the detection limit of the test. It does not mean the person does not have HIV/AIDS.

As for the "no glove, no love" slogan, I think we should have it embroidered on our tighty whities and sexy undergarments.

Be safe. Be well. Help spread the facts of HIV/AIDS.

Dr. Bob



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