Condoms are inadeguate (CONDOMS VERSUS PrEP FOR HIV PREVENTION, 2010)
Dec 12, 2010
Condoms are inadeguate and after decades of experience we should know that very well. They aren't the perfect tool of protection. They occasionally slip, broke and even if not important for a purely medical and preventive point of view they steel the total feeling of intimacy between 2 individuals and that the basic reason why the majority of people don't use them. More successful approaches are needed soon. There's an increasing number of researchers and doctors convinced now that PrEP combined with an undetectable viral load of the infected person provide the same protection of effective condom use and people would be more willing to follow this sort of prevention than condom use. Condoms may have slow the rate of new infections but their use is still lacking considerably. Make sex with a condom is like eating tasteless food. I understand that you prefer holding a more conservative approach in prevention since you continue to ignore the swiss statement and the last PrEP approaches but this HAART as prevention is the future HIV prevention. Several studies are leading in this direction. What is your actual point of view of this approaches? Do you still consider condoms the best way to halt the new infections?
Response from Dr. Frascino
Condoms are "inadeguate"? Inadeguate???
You are correct that condoms are not "the perfect tool of protection." However, they are still the very best tool we have to prevent STDs, including HIV. HIV cannot permeate intact latex. No way. No how. However, as you mention, condoms are not always used properly. This decreases their effectiveness in the real world.
Your comments that PrEP combined with an undetectable viral load in the poz partner provides the same level of protection as proper condom use is not accurate. HIV plasma viral loads can change suddenly due to blips, vaccines, intercurrent common infections (colds, flus, sinus infections, etc.), medication non-adherence and the development of drug resistance. Also, the viral load in the ejaculate or rectal fluids may not be the same as that measured in the blood. In addition, PrEP does not protect against all the other STDs. I understand you and many others don't like using condoms. However, I can assure you you'll dislike having HIV/AIDS much, much more. I've recently written a blog that addresses common condom conundrums. It will be posted on the blog page of this site soon. It addresses your concern about decreased sensitivity and intimacy.
My opinions on HIV prevention are far from conservative and I have not ignored the Swiss Study. Rather, my statements are supported by sound scientific facts. You have misinterpreted the results of the Swiss Study. Do I still consider condoms the best way to halt new STDs, including HIV? Absofrickenlutely!
Be safe. Be well.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Blood In Semen After Unprotected Anal Sex Without Ejaculation Does It Mean I Have HIV
- Bloody Pee After Anal With Condom Worried I Have HIV
- Groin Pain After Licking Rectum Worried I Have HIV
- Itchy Testicles After Masturbation Sign Of HIV AIDS
- White Spots After Kissing Cold Sore Worried I Have HIV
- Can I Use Vinegar To Find Out If I Have Std?
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.