Prevent the transmission of HIV

HIV is relatively common among men who have sex with men. By fucking with condoms, using plenty of lube and not getting sperm in your mouth, you can minimise your chances of getting HIV. Did you not manage to use a condom or did the condom break or slide off? You can try to prevent HIV from establishing itself in your body. In that situation, ask for treatment with PEP – preferably within two hours but in any case within 72 hours of the moment you had the risky sex.

How is HIV transmitted?

HIV gains access to your body through the fragile and absorbent mucous membranes of your glans and urethra, your anus and intestines, and your mouth and throat. HIV is present in:

  • blood
  • sperm
  • precum (preseminal fluid)
  • anal secretions

HIV cannot be transmitted via tears, sweat, spit, urine or shit. If you are HIV positive, you are being successfully treated and you have had an undetectable viral load for more than six months, there is very little chance that you will transmit HIV to your sex partner.

Greater risk in terms of getting HIV

You run a greater risk of getting HIV if:

  • you have many casual sex partners
  • you do not (always) use condoms
  • you use condoms but the condom breaks or slides off
  • you get sperm in your mouth or anus 

Prevent the transmission of HIV

  • Use condoms for anal sex. 
  • Use plenty of lube and put on a new condom after 15 minutes of fucking.
  • Make sure that no one gets precum (preseminal fluid), blood or sperm inside you on his fingers. 
  • Make sure you don't get any sperm in your mouth.
  • Make sure you don't get any sperm or precum (preseminal fluid) in your anus when you get fucked.
  • Never share needles or dildos or other toys with each other since those may contain traces of blood containing HIV.

 

Less risk in terms of HIV?

Some men who do not use condoms apply strategies by which they try to reduce the risk in terms of HIV. Some of those strategies do not actually reduce the risk in any way; others may reduce the risk somewhat. But “reduce” is obviously not the same as “eliminate”. None of the strategies is watertight: You still run a risk of getting HIV. You also run a great risk of getting other STIs. If you choose to apply these strategies, make sure you get tested for HIV and STIs every three months. In the meantime, always be alert to the symptoms of an acute HIV infection.

Preventing HIV through PEP

Do you think you have run a risk of getting HIV, for example because you didn't use a condom? Or because the condom broke or slid off during sex? Getting treated with PEP can reduce the chances of HIV establishing itself inside your body.

  • Ask for treatment with PEP – preferably within two hours but in any case within 72 hours of the moment you had the risky sex.
  • Make sure that you finish the entire 28-day course of treatment with PEP.
  • Once twelve weeks (three months) have passed since the moment you had the risky sex, get tested to see if the PEP treatment prevented an HIV infection from taking place.

Too late for PEP?

Have you run a risk of getting HIV but are not (or no longer) eligible for PEP? Keep these things in mind:

  • Be alert to the flu-like symptoms that go along with an HIV infection and get tested immediately as soon as you notice any of those.
  • Get yourself tested for HIV six weeks after you have run a risk of getting HIV in any case. Most HIV infections will be detectable by then.
  • Just to be sure, get yourself tested for HIV and other STIs once again three months after that. An STI such as syphilis will only be detectable after three months.
  • Keep using condoms. If you have indeed been infected with HIV, you will be extremely contagious – especially in the beginning – for anyone you have sex with.

Who is most likely to transmit HIV?

It is estimated that as many as 90% of new HIV infections are transmitted by men who think they are still HIV negative, but who have in fact become infected with HIV themselves. These men:

In addition, HIV is transmitted by HIV-positive men whose viral load is (still) measurable.

Trusting your sex partner

Also that one special sex partner that you really trust – or that you're in love with – could have HIV without even knowing it. If you don't want to use condoms with him, pay attention to the following: 

Get tested online

Your personalised advice

Preventing Hepatitis B

Laurens (25) did a PEP treatment

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