6 months in the making
I haven't written on here for a while, though I've often felt I should. I've been dealing with my mental health difficulties for the last few months, and after the responses I got from a couple of articles, I honestly considered not picking up where I left off. I've moved into more of a 'fuck it' stage, so here goes...
Today, I made (to me) a rather fundamental decision whose knock-on effects may well change my life forever. I'm not entirely sure how I feel writing about it in public and I expect that were I not well into a bottle of pinot noir, I wouldn't be doing so at all.
I've written previously about barebacking (I got quite a lot of flak for that post), about how condoms really don't work for me, about the risks that you take when you decide to have sex without barriers and the way people look down on you for making a choice they don't agree with as a consenting adult. You can consider this post as an update of that one with a bit more as an addendum.
For starters, I wish to retract some of what I said. Serosorting is a useful measure, but it's certainly not the be-all and end-all. Statistics have been waved at me that indicate that ~80% of all new HIV infections come from having sex with people who believe themselves to be negative. The best thing you can do in terms of serosorting is to sort for people who are HIV+ with an undetectable viral load. Risk of transmission with such a person is sufficiently low that it's drastically safer than shagging someone who believes themselves to be negative but indulges in bareback sex.
Secondly, I caught chlamydia six months ago, which rather shook me. As someone who doesn't use condoms in the general case, I couldn't shake the feeling that it could have been HIV. I didn't have sex for 3 months because of the anxiety that caused. In fact I haven't had sex for the last 3 months either. It's not even just the risk of HIV, either. While I'm a sex positivist, all of the indoctrination of my childhood about sex being dirty came back to haunt me. I felt dirty because of something that took a week of antibiotics to clear up.
The scenario I've been facing is a choice between risking HIV (a risk that seemed a whole lot more real) and not having sex. Initially it wasn't that big a deal since I was going through a low patch anyway, but abstinence is hard (heh, no pun intended) and as my sex drive has begun to re-exert itself, the choice has effectively been made for me.
If I look back at my sexual history, I've slept with about 30 guys and I can only count three that I've exclusively used condoms with. I've almost certainly unknowingly slept with several HIV+ people. At this point, it looks like a certainly that I'll contract HIV at some point in my life. The question is, how can I take control back over this situation?
One of my friends has been ordering PrEP off the internet for some time to limit his risk. He also serosorts for undetectable guys to further reduce his chances of contracting HIV. He describes the experience as having taken away the inevitability of HIV, as having given him power over it and a reason to attempt to avoid it (so much for that "PrEP will cause people to be more reckless" nonsense that's been floating around).
I have a 3 month supply of PrEP ready to go, but it's not that simple. You need to take regular liver and kidney function tests to ensure that you aren't risking your health. The last time I asked my GP about this, I was told in no uncertain terms that they wouldn't provide them (and use a condom, you filthy hippie!). The only place I'm aware of that I can actually get the bloods done regularly is a clinic for injection drug users in the gay community. Even with that, I'd probably have to give up drinking so as not to stress my liver as much (and to not fuck with the results when I get my bloods done).
I've also adjusted myself to the idea of sleeping with HIV+ people who have undetectable viral loads (even knowing the statistics, it still felt like a big step). I probably won't stop sleeping with people who believe themselves to be negative, however (the pool of people who want to have sex with me is quite small enough without discarding the largest segment of them). Maybe in time, I'll change my mind on that.
Conquering my demons will take more time, but I do at least know what it is that I want to do. I haven't given up on the idea of remaining HIV-, however much sex it means I turn down (you would not believe how many people really don't care about their status and will shag anyone). Hopefully, with the odds a bit more in my favour than they were before, I can stay negative without all that painful abstinence.













