There are ways to prep for bottoming that don't require starving yourself in advance or stocking up on anti-diarrhea meds.
In reality, sex-positive education that supports both HIV-positive and HIV-negative people in living their best sex lives can help us stay healthy and joyful.
But it is doing little else to address a growing HIV epidemic.
"We still have people here who think you can get HIV from a toilet seat, and families who make HIV-positive members eat on the porch on Thanksgiving. They've heard that you can't get HIV that way, but for some reason they don't believe it."
In North Carolina, Greater Charlotte is booming, but income disparity, Immigration and Customs Enforcement (ICE) raids on immigrants, and spread-out service providers all create challenges to reversing HIV rates.
Caracole, an HIV/AIDS services provider in Cincinnati, has responded to a spike in HIV there by expanding harm reduction, housing, and pre-exposure prophylaxis.
As a gay man with HIV in South Africa, Wiseman T. Zondi writes, "I realized that to truly be free, I had to come out once again."
Christopher Kennedy tells his story of being diagnosed with HIV, fighting shame in the face of loved ones' confusion, and finding unexpected love.
Charles Sanchez tells his story of coming of age and coming out.