Should I Bareback on PrEP?

  • bkaotic

    Posts: 27

    Oct 30, 2015 11:05 PM GMT
    .. on a more serious note, I wanted to make an episode about something that concerns many. My thoughts ...

    [url][/url]
  • Posted by a hidden member.
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    Oct 31, 2015 1:10 AM GMT
    No.

    /end thread.



    EDIT: Totally forgot about this thread. In case anyone is getting their panties in a bunch, don't take this thread too seriously. OP only wanted people to click on his YouTube video. Gotta get those clicks for cash. icon_lol.gif
  • FitBlackCuddl...

    Posts: 802

    Oct 31, 2015 5:05 PM GMT
    xrichx saidNo.

    /end thread.


    (lol) +10000000
  • Posted by a hidden member.
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    Oct 31, 2015 5:40 PM GMT
    Doesn't work that way, put back the rubber.
  • JackNNJ

    Posts: 1051

    Oct 31, 2015 5:48 PM GMT
    What kind of ridiculous question is that???

    OF COURSE YOU SHOULD.
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    Oct 31, 2015 6:09 PM GMT
    You are offering medical advice. YOU shouldn't.

    Most of it was BS.

    There are 2 'sides'? 92%? No links? No facts?

    This I agree with: 1.The use of Condoms during casual encounters between men of unknown or discordant serostatus.
    Not because you said it, but because it's advice from a leading medical authority.

  • Shinobi1985

    Posts: 3

    Oct 31, 2015 7:19 PM GMT
    In what context are you asking this question?

    Are you in a committed long term relationship with someone you trust deeply and has proven themselves to be trustworthy to you?

    Or are you asking about casual encounters?

    In the first context I'd say if you're thinking about it, you and your long term partner should sit down and talk about the risks and whether or not those risks are acceptable to you.

    If you're in a monogamous relationship, you guys need to think about if there comes a point and one of you realizes you want to sleep with someone else and open up the relationship.

    If you're already in an open relationship, or if you're thinking about opening up you're relationship, you need to talk about how you're going to mitigate the risk to yourselves if you're playing with other men.

    If it's in a casual context, I'd say no, absolutely not. You don't really know the people you're playing with- they could be lying to you about their status or are unaware they've contracted something. If you're going to do this, it should be with someone you know damn well and trust deeply.

    There is one important fact you should keep in mind- PrEP is designed to eliminate the risk of getting HIV. It does not, however, protect you from other STIs like syphilis, gonorrhea and chlamydia- all of which you can get from unprotected anal sex.

    Yes, these STIs can be treated with antibiotics if they're detected early, but I don't think anyone wants to get syph or herpes in their ass. Also, although they are not common place, there are anti-biotic resistant strains of STIs that are spreading and mutating so that their resistance grows stronger. They are not common, but you can catch one.

    If this is something you want to consider for yourself, consider all the risks involved, and please, please, PLEASE go get tested regularly every 3-4 months for STIs and HIV so you can catch stuff early.

    Hope this has been helpful to you.
  • Posted by a hidden member.
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    Oct 31, 2015 8:24 PM GMT
    Shinobi1985 saidIn what context are you asking this question?

    There is one important fact you should keep in mind- PrEP is designed to eliminate the risk of getting HIV. It does not, however, protect you from other STIs like syphilis, gonorrhea and chlamydia- all of which you can get from unprotected anal sex.



    To his credit he did mention that.

    You can also get them from oral sex btw.
  • daveindenver

    Posts: 314

    Oct 31, 2015 8:48 PM GMT
    Sure man. Go for it.
    Esp since you'd trust advice from online instead of from your own doctor.
  • LJay

    Posts: 11612

    Oct 31, 2015 10:12 PM GMT
    No. You should not.

    Next question.
  • Sincityfan

    Posts: 409

    Oct 31, 2015 10:39 PM GMT
    Pfft, people barebacked before truvada and now is no different. Sure people say "safe only" but they don't always use rubbers if at all. If anything, truvada just allows people to be more... "honest" about loving bareback sex- still though, 99% of the guys on this site say "safe only" but they aren't.
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    Nov 01, 2015 3:45 AM GMT




    Hell No use a condom
  • Posted by a hidden member.
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    Nov 01, 2015 1:56 PM GMT
    Of course you should bareback. Duh, that's why you take prep, right? Also, the only dangerous STI is HIV, right? I mean, come on, everyone is doing it.

    My lord, we have created an entire generation of morons.
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    Nov 01, 2015 3:31 PM GMT
    Sure, go for it! And then, hop on the next KLM flight to Amsterdam and donate a pint or two "for the cause." icon_rolleyes.gif
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    Nov 01, 2015 3:33 PM GMT
    smartmoney saidOf course you should bareback. Duh, that's why you take prep, right? Also, the only dangerous STI is HIV, right? I mean, come on, everyone is doing it.

    My lord, we have created an entire generation of morons.


    No, I think it's more accurate to say that permissive politics and irresponsible lifestyles have suffered several generations of morons to thrive. To quote Justice Holmes, "Three generations of imbeciles is enough."
  • NerdLifter

    Posts: 1509

    Nov 01, 2015 3:44 PM GMT
    smartmoney saidOf course you should bareback. Duh, that's why you take prep, right? Also, the only dangerous STI is HIV, right? I mean, come on, everyone is doing it.

    My lord, we have created an entire generation of morons.

    Dear god, I know right? Did we stop teaching basic science and critical thinking in our schools?
  • Posted by a hidden member.
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    Nov 01, 2015 8:27 PM GMT
    Maybe go jump off a bridge the cause in affect
    Are the same not using a condom is like jumping off
    A bridge you will get sick and die but it's long term illness
    Vers jumping off a bridge in a fast impact when you
    Impact just like a climax

    I truly hate stupid people trying to get a reaction
  • NursePractiti...

    Posts: 232

    Nov 01, 2015 8:56 PM GMT

    No, I think it's more accurate to say that permissive politics and irresponsible lifestyles have suffered several generations of morons to thrive. To quote Justice Holmes, "Three generations of imbeciles is enough."[/quote]

    You do know the quote you mentioned came from a known raciest and proponent of eugenics, right????
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    Nov 02, 2015 12:55 AM GMT
    nursemuscle said
    No, I think it's more accurate to say that permissive politics and irresponsible lifestyles have suffered several generations of morons to thrive. To quote Justice Holmes, "Three generations of imbeciles is enough."


    You do know the quote you mentioned came from a known raciest and proponent of eugenics, right????

    What I know is that he was right, just as eugenics was until the Nazis perverted it to their own ends. Thankfully, with the advances in deciphering DNA, it's starting to be treated with the respect it deserves, not the ignorant scorn heaped upon it by people who don't know its history or its advocates, like Margaret Sanger. What I don't know is what a "raciest" is, except that it appears to be the last word in whatever it may be.
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    Nov 05, 2015 2:40 AM GMT
    Why even bother with the PrEP at all? Just bareback. No pills. No pesky side effects. Have fun!
  • Posted by a hidden member.
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    Nov 09, 2015 1:01 AM GMT
    I know I've been out of the loop for a few months, but I'm really surprised by the number of guys that I've met in the last two weeks who, in almost their first sentence, let me know that they're on PrEP. icon_neutral.gif
    Oh, why... thank you for that information...

    I don't think it was even on the local radar this time last year.

    One *ahem* potential hook-up wanted to go into great detail about my HIV testing history, but when I asked him whether he'd been tested for all the other stuff that's going around, he just got this "does not compute" look. icon_confused.gif
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    Nov 10, 2015 1:26 AM GMT
    mindgarden saidI know I've been out of the loop for a few months, but I'm really surprised by the number of guys that I've met in the last two weeks who, in almost their first sentence, let me know that they're on PrEP. icon_neutral.gif
    Oh, why... thank you for that information...

    I don't think it was even on the local radar this time last year.

    One *ahem* potential hook-up wanted to go into great detail about my HIV testing history, but when I asked him whether he'd been tested for all the other stuff that's going around, he just got this "does not compute" look. icon_confused.gif


    It doesn't compute. If he's on PrEP he is getting tested every 3 or 4 months.

    And people on PrEP may be more vocal, as HIV+ and undetectable people are about ART therapy. I think it's GREAT that people are talking about their status openly. Evidently you don't and are uncomfortable talking about it socially.

    You could have discussed condoms, that they are negative and sexually active I'm certain they have used them. And many use both.

    BTW you flunked his audition.
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    Nov 10, 2015 2:19 AM GMT
    Yes, I get that I flunked the audition. For this guy, and apparently a lot of others, its now BB or nothing. (See other thread about syphilis cases spiking in Portland.)

    But for the other guys, yes, I find it odd to bring up PrEP when we're not talking about sex, or about HIV.

    And how do you know that they're really taking it? I did ask one of these guys about his insurance company (I'm shopping) and he deflected the question. Heck, if it's epidemiologically viable, I'm all for spiking the vodka supply. Make it like Vitamin D milk. icon_razz.gif

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    Nov 10, 2015 11:05 PM GMT
    mindgarden saidYes, I get that I flunked the audition. For this guy, and apparently a lot of others, its now BB or nothing. (See other thread about syphilis cases spiking in Portland.)

    But for the other guys, yes, I find it odd to bring up PrEP when we're not talking about sex, or about HIV.

    And how do you know that they're really taking it? I did ask one of these guys about his insurance company (I'm shopping) and he deflected the question. Heck, if it's epidemiologically viable, I'm all for spiking the vodka supply. Make it like Vitamin D milk. icon_razz.gif



    I'm not sure why Portland has gone from 30 cases to 400. But if a person IS on PrEP they are monitored and tested every 3-4 months, well above the once a year recommended.

    If they were or are negative and saying they are on PrEP, but are lying that's another issue. How to tell....? A peak into the medicine cabinet would be good physical evidence. A doctor's letter for another. Bottom line is if you don't know wear a condom. And/or go on PrEP yourself. They YOU will know! You are taking the risk out of the hands of a stranger.


    No, it wouldn't be epidemiological viable to 'spike' ANYTHING. There's no assurance it would be taken daily as required or even 4x a week. If anything it would build up a resistance to the community at large.
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    Nov 10, 2015 11:48 PM GMT
    Oh grow a sense of humor. Anyway, have you actually done the calculations? It might be fun for certain kinds of math nerds. And I don't think we need to worry about gay boys not taking their vodka regularly. Especially before sex.

    Something odd about those syphilis numbers - why does the Portland pattern look more like Canada than like the US? May be something interesting in that.

    Re: Lying about PrEP. Obviously it's safest to assume that everybody is lying about their history. But even as of last year, the number of prescriptions filled was less than 3000. How likely is it that every second person you meet is really on PrEP now? Have the numbers really skyrocketed like that in the last year? Are all 3000 of them in Portland? I don't know, but I find it surprising. Which was why I posted in the first place.