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safer sex?
#101526 - 07/15/04 06:20 PM
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To whom it may concern,
I recently became HIV positive and since have discovered a few facts that could be of benefit to the wider community.
I came out in my late 20s. When I did, I wasn’t upset at being a late starter because HIV had come out before I did. I thought this gave me the opportunity to stay HIV negative. I spent the next 8 years mostly having relationships and had a total of 16 sexual partners. When my last relationship ended I decided to explore my sexuality and I had the confidence to do so. (This came from self-growth over the years)
In the last two and a half years I practised casual sex. In that time I’ve had around 25-30 partners. Most of these were through internet meetings. My point being that the partners were not completely anonymous and the place of meeting was in a bedroom where conditions were lit and unhurried.
This journey was amazing and enlightening. I learnt a great deal about myself, relating to men sexually and how casual sex operates. I also had some great sex. It was cathartic to be able to express myself without guilt and fear from community homophobia.
I have always been a sensible person, I used to educate and counsel at a volunteer gay service. I don’t get drunk or take drugs. And of course safe sex has always been of paramount importance. So I’m having a very difficult time understanding why and how I have become infected.
The risk activities include: oral sex (but no one has cum in my mouth), rimming, and deep kissing. All anal sex (this occurred with about 60% of partners) was with condoms. I never detected a condom break. Of those that penetrated me, many actually withdrew and ejaculated outside of me.
On three occasions, guys rubbed their penis around my anus (‘nudging’) before putting condoms on (but not in a vigorous manner). I was concerned about one of these events as his penis entered about 1 cm. I contacted this partner who confirmed his negative status and was happy to back this up with his doctor. Of the other two only one falls within the 2- 10 week sero conversion period. In this case that behaviour was brief as I asked for a condom to be used.
I can guarantee that all anal sex I participated in was with condoms, so it seems to me that my infection was through a low risk activity.
Therefore I feel it of vital importance that this information is publicised.
Recently I have been doing my own research and I have found two separate surveys (one from the University of New South Wales, the other by the University of San Francisco) that report oral sex to be the cause of transmission in 8-12% of cases. I wish I knew of this finding beforehand.
From the safe sex message being perpetrated by the relevant organizations I was informed that oral sex was very low risk and from some professionals in the field the implication was almost no risk i.e.: “there has only been one reported case and they had gum disease”. I was told this in the past and again in 2003 after I was diagnosed.
I have also found out about Palatine Torus. This is a condition with the roof of the mouth where the bone is slightly lumpy causing the gum to be a bit thinner. It’s a common occurrence. If a person has one it can cause undetectable ulcers just from eating. A dentist said this is a possible cause for transmission. Why am I finding out this information now.
Another area of concern for me is the journey after being diagnosed. Of all the professionals that I have seen, doctors, HIV experts and counsellors, only one has shown any understanding of what a shock this has been for me. That one person was my GP who knew me well and with whom I had discussed all my sexual practises before diagnosis. This doctor was also shocked that I had contracted the virus.
Everyone else seems to have forgotten what a new diagnosis means. They are all in the “dealing with your new life now” mode. I understand that this will be a larger part of my new journey. Even though finding out is a short stage, it is a very intense one. For me that intensity was reflected in suicidal thoughts.
I still feel that there was no real support for this stage and a lack of understanding shown by the majority of the professionals treating me.
One of the more disturbing reactions was from the Health department. The person I spoke to was not interested in the fact that my cause of transmission is unknown and that I had practised ‘safer sex’. Her response was “sometimes you forget things” and she gave me a personal example: “I can tell you that I eat porridge every day but there may actually be a day when I didn’t”. I am a responsible person and I treat sex with a great deal more gravity than eating breakfast cereal. (I also drive everyday but I do not forget to put a seat belt on). This is an outrageous attitude from a government department that is designed to watch out for any new areas of concern for public health. If it turns out that there is a higher risk than previously thought in ‘low risk’ activities then the Health Department has a responsibility to investigate situations like mine.
Recently there has been press about the recent rise in HIV infections. These articles site unprotected intercourse as the main cause for this rise. I find this dumbfounding as no authority has interviewed me about my infection. (my doctor put the word ‘unknown’ on the report to the health department). I am offended that it is assumed I practise unsafe behaviour. I wonder how these claims can be made when, through my experience, there is no formal method of finding out this information. I have also come into contact with many others who have unknown causes of transmission. This is of grave concern mostly for the members of the community that are following the safer sex education that is currently available. It’s also as an indication of the inadequate state of the HIV service sector.
I hope this information is of some value to your organization and to the members of the public that come into contact with you.
Sincerely Mike Hogarth GPO Box 390 Glebe NSW 2037
Email: yourpositivestory@hotmail.com
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Hi Mike -
sorry to hear of your recent seroconversion.
i think safer sex is just that. some activites are much safer relatively but nothing in medicine is absolute and any activity where semen/blood somes into contact with mucous membranes carries the possibility of transmission.
i think those studies are interesting. i think one of their points is that as the ratio of safer:unsafe sexual practices increases there is a relatively greater chance of transmission occuring through 'safer' practices. i think that UNSW study suggested that oral piercings that disrupt integrity of mucous membranes may faciliatate transmission.
having said all i think 'nudging' is probably an unsafe sexual practice. its a bit abstract now but it sounds like you had a safer sex policy and stuck to it so dont blame yourself - its shitty but its happened and life on a day to day basis prob change too much in the short term
if you want to chat email me: mattyhm@yahoo.com
matt
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Hello Mike, I echo Matts response of being sorry for your seroconversion. That being said I thought your story was fasinating. I am going to be co-facilitating an HIV/AIDS support group and will definitely share this with them. Have you sent a copy of your story to the CDC in the U.S. ? I for one think they would be interested in hearing this. Their website address is http://www.cdc.gov I was diagnosed 8 years ago purely by accident. Like yourself I thought I was safe. But here I am. I am fortunate that I have never been dignosed as having AIDS, or had an OI. My lover infected me. He had been playing around on me. I am an advocate of safer sex only even in a monogomous relationship. People cheat and that is something we need to include in educating people about protection from HIV/AIDS. Hope you are being treated better than you described, it's sad when you have to be treated poorly on top of eveything else. I live in the U.S. and have experienced some really cruel people through the system here. I once went to an AIDS Service Organization pleading for help obtaining my meds. I was told "go put it on your credit card". Another time I was really in need of support so I went to a group. They said I could stay that evening but not to come back there was no room for me. Don't get that one at all. You have to be your own advocate to get what you need. I have found comfort in going to church. Not pushing anything just sharing. Never hurts to try. I will pray for you Mike.
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Interesting post. I like yourself was not a high risk person, pertaing to unsafe sex. My partner of 13, who passed on last august was Poz for 20+ years. I was negative when we met, and became Poz after, 7 years. We always used protection, but we did kiss very intensely, and I am condfident that I became infected this way..
Must we wear a face rubber?....
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