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How Safe Is This?

Feb 28, 2010

I have been in a heterosexual relationship with a woman for about 6 years. Last summer she was diagnosed positive. Prior to diagnosis, we have been having unprotected sex. I have been tested 60 days post exposure (AG/Ab) and Ab test 90 plus days. Test results were negative. Since after my test, we have had protected sex 5 times with full condom use. How safe is this, and how long can we continue having sex this way? Secondly, what is the danger of having protected sex from the rear? Finally, do you reckon my tests above are conclusive? Thanks so much for your insight.

Response from Dr. Frascino


HIV cannot permeate intact latex. No way. No how. Consequently, latex (or polyurethane) condoms are your best bet for preventing HIV transmission during penetrative sex. Condoms, however, are not 100% effective, because they may not be used properly and also occasionally they fail (break). I would suggest you and your gal-pal read through the chapter on magnetic couples in the archives of this forum. There you will find answers to many of the concerns that frequently arise in magnetic relationships. Pay particularly attention to the harm-reduction techniques available to serodiscordant couples. Implementing these measures will further decrease any risk for HIV transmission.

Regarding your testing, the CDC recommends follow-up testing out to six months from the date of last exposure for individuals, like you, who have had significant exposures to someone confirmed to be HIV positive.

Good luck. Be well.

Dr. Bob

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