There is life with HIV

Vaginal sex and HIV - This is the biggest form of contagion

Vaginal sex AND HIV generally appear within the “safe sex zone” and people thereby make devastating mistakes. This brain was one of the things that led to disaster. Among the causes of my disaster was also a total lack of self-love. And throughout my life, I have found this component in the lives of countless people who have ended up, in one way or another, contracting HIV. Before saying, and even thinking anything more aggressive, analyze yourself honestly and, above all, with loyalty to yourself and see if this was not there, in the basis of your sexual behavior and, perhaps, you will find traces of it in your “today's psyche”!

I say there is life with HIV. But, I reiterate. better live without him

O Vaginal sex is one of the main ways a person can become infected with HIV. Don't get into this “oh, I'm heterosexual, so I don't get HIV”. I'm not sure why people believe this or I know it, and for now, I'm staying in the bush. one thing at a time

 According to the United States Department of Health and Human Services, it is responsible for about 6.300 new infections among women each year in the United States and about 2.800 new infections among heterosexual men.1

Globally, the numbers are even more appalling. 

While sexual transmission of HIV in the United States is highest among gay and bisexual men (representing about 26.000 of all new infections each year), heterosexuals are by far the most affected group in the world.

This is especially true in Africa, where most new infections are among heterosexuals. In these populations, vaginal sex is the predominant route of infection.

Risk from sexual activity

When discussing HIV risk, people often try to determine which “type” of sex is riskier; vaginal, anal or oral.

From a purely statistical point of view, anal sex is considered the highest risk activity, with an almost 18 times greater risk of infection compared to vaginal sex.3

But this assessment is somewhat misleading, at least from an individual point of view. 

Although vaginal sex can represent a “lower” risk, comparatively, the numbers do not take into account the way the disease is distributed among men and women, nor the vulnerabilities that put some individuals at extremely high risk of infection.

Women are three to four times more likely to contract HIV from men than the other way around

A young woman is more likely to contract HIV on your first sexual encounter than your male partner.

There are some men who are much more likely to contract HIV than others.

Circumcision

Studies have shown, for example, that men Uncircumcised men are twice as likely to contract HIV after vaginal sex as uncircumcised men..4

It did me no good!

Vulnerabilities vary from individual to individual. Thus, assessing what the actual risk of vaginal sex is requires a better understanding of the factors that place some women and men at greater risk than others.

Risk factors in women

Well, the risk of HIV from unprotected vaginal sex is higher among women for a number of reasons. 

From a physiological point of view, tissues in the vagina (epithelium) are much more susceptible to HIV than those in the penis.5

HIV is able to pass through these tissues when the immune system recognizes the invading virus and sends defensive cells (called macrophages and dendritic cells) to "grab and drag" them through the lining to be destroyed.

Instead, HIV turns the tables and attacks the cells themselves (called CD4 T cells) designed to help neutralize them. By doing this, the body facilitates the infection itself. And because the surface area of ​​the vaginal epithelium is much larger than that of the male urethra, the chance of infection increases.

Other physiological vulnerabilities include:

  • Cells below the surface of the cervix are especially vulnerable to HIV, particularly during adolescence, the woman's first pregnancy or in the presence of an infection sexually transmitted (STI) such as chlamydia or human papillomavirus (HPV).
  • Women with genital tract infection, whether bacterial, viral or fungal, are at increased risk. 
  • Some studies have suggested that bacterial vaginosis is associated with an eight-fold increase in risk.
  • This translates into a one in 100 chance of contracting HIV during vaginal intercourse.6
  • The duration of exposure and the volume of infected fluid are also key factors in determining whether a person is infected or not. As such, unprotected sex can increase a woman's risk of HIV if the man ejaculates in her vagina.
  • Open sores or STD ulcers like syphilis can increase the risk in men and women.
  • In women, however, wounds tend to be internalized and go unnoticed.
  • Showering practices can also alter the “good” bacterial flora of the vagina, although such facts are still under debate.

PrEP may fail

While daily use of an HIV drug called pre-exposure prophylaxis (PrEP) can dramatically decrease the risk of HIV in an uninfected partner, there is evidence that it does not work well in women. Research published in 2016 suggests that the level of the active drug molecule in the vaginal tissue is not as high as in the rectal tissue.7

None of this, of course, takes into account any of the social vulnerabilities that can put women at greater risk. 

This includes sexual violence in relationships that not only robs a woman of her chance of self-protection, but can result in damage to delicate vaginal tissue.

Poverty, social norms and gender imbalances guarantee even more than any domain that a man may have outside the room to extend to the room as well. All of this contributes to higher rates of HIV in women.[/ Vc_column_text]

Risk factors in men

The fact that men are less susceptible to HIV than women should not underestimate the fact that they also have vulnerabilities that can increase their personal risk of infection.

We know, for example, that an uncircumcised penis can facilitate infection due to the bacteria-rich environment below the foreskin. In response, the body will produce a type of dendritic cell (called Langerhans cells) to help control the bacteria.8

When a man has unprotected sex with an HIV-positive woman, Langerhans cells can "grab and drag" the virus and present it toT CD4, inadvertently facilitating HIV infection. Sexually transmitted infections and infections of the genital tract can further increase the risk of HIV.[/ Vc_column_text]

Mara's Fainting Is Here

From a cultural point of view, society's definition of masculinity often normalizes the adventurous and fearless sex life in men and even encourages it. And there we have it:

Adventurous destiny is to be graffiti on a bathroom door! (Here I am). Seriously, when I worked at le Masque, I also accumulated the functions of “artistic producer” and “head of dancers”, and one of the things that opened up for me was free access to dressing rooms and women's bathrooms. 

I remember a pleasant routine.

At 02:30 there was a girl's Strip Tease, Pity! This Girl even appeared on Bolinha's program, a cat. And she always arrived around one-thirty in the morning, “to prepare. well, her preparation usually started around 01:35, when I got there in the dressing room and she, already naked, standing, leaned against the wall, INVITINGLY!

And, 25 years old, hormones at 120 degrees centigrade, a pervert without limits, I just couldn't resist! Would you, foolish, envious and perplexed reader, resist?

I DOUBT!

This happened and happened every night for almost a year. Yes, I could have contracted HIV there, with that delicious girl and, however, I don't know if it was. In case it was, I took those other two. One of them took her husband.

The other, did programs after 05:00 am - Tell me that you believe that, in that context, she wore a condom!

But…

The fact is that heterosexuality and the design that is made of what it is to be a man, when we are still children, makes this daily life told here the MAXIMUM (from the bullshit), the Guy (sleep) who could, and can, contract HIV, anytime during vaginal sex over and over and over and over again with the same person!

To complicate matters, every night, at 4:00 in the morning, there was an erotic show, explicit sex (has to be crazy) (Or crazy!) between two beautiful women. And the degas here, occasionally, traced the two on the pantomime, less than two meters from the dance floor. think about the possible consequences, as one of them was MARRIED AND HAD TWO DAUGHTERS !!!

Going back to the surveillance routine, andIn one of these “knocks”, I found, graffiti, on the door of one of these bathrooms, something like this:

"So and so, your FDP, you gave me syphilis, I will kill you”…

Going beyond…

This concept creates a double standard that can put a man at greater risk of contracting HIV, associating virility with multiple partners or other high-risk behaviors.

I, for example, the biggest among assholes, considered it cool to be with two women at the same time, one on the second and the other on the third floor of a hotel. Can you think of a condom? 

Yes ...

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Shared vulnerabilities

There are vulnerabilities that increase the likelihood of infection in men and women. Drinking alcohol or using drugs can decrease inhibitions and affect a person's ability to make safe choices, such as using condoms or staying on HIV drug therapy.

Any increase in viral load of the infected partner (the amount of virus in the blood) increases the risk to the uninfected partner. 10

A supportive high viral load during acute infection (the stage immediately after exposure) is associated with an increased risk of HIV.

Possibility and Acceptability

According to a the PARTNER1 and PARTNER2 studies, which lasted from 2010 to 2018, having an undetectable viral load reduces the risk of transmitting HIV to an uninfected partner to zero, whether for anal or vaginal sex.11

Knowing, today, what it is to live with HIV, I would never use this science to have an unprotected relationship with a serodivergent person. Knowing that something is possible, that "it can" be done, does not imply ethical acceptance of the possibility or, ask yourself for a moment, whether or not you may have contracted HIV from someone who relied on this scientific possibility" and that disappeared from your life the same night or months later?

things about living with HIV.

Something else to think about undetectability and sexual and reproductive health.

Exposure Risks

From the standpoint of risk by exposure, the possibility of contracting HIV from a single sexual act, the risk can vary according to sex, the viral load of the HIV-positive partner, and even the part of the world you live.10

These numbers do not take into account other factors that may increase risk, including presence of an STD, injecting drug use, or a co-existing infection, such as hepatitis C.

Accidental risk exposure

If you think you may have been exposed to HIV, whether through an explosion of anal sex condom without a condom, there are drugs that can greatly reduce your risk of infection, called post-exposure prophylaxis (PEP).12 OPEP consists of a 28-day course of antiretroviral drugs, which must be taken in its entirety and without interruption.

To minimize the risk of infection, PEP should be started as soon as possible-preferably within 36 hours of exposure.

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Shall we think a little?

Assessing your personal HIV risk should never be a numbers game. Whether the odds are one in 10 or one in 100.000, it is important to remember that you can get HIV after just one exposure.

In addition to PrEP, you must ensure that your partner is on antiretroviral therapy if he or she has HIV. This can completely eliminate the risk of transmission. And don't forget the tested and proven condom, which is associated with decreased risk if used correctly and consistently.

By formulating a holistic approach to prevention, you can continue to have a healthy sex life while protecting yourself or a loved one from HIV risk.

The loved one… You know, I have here on the blog the testimony of Amarilis, a great friend who died from complications of lymphoma.

Well, she contracted from her husband.

Let's tell the story. I believe that in 2002, maybe 2003, I found another site on HIV, in the domain of Being Positive. This site did not last more than a year. Simple, no money comes in, in my case, for example, it just comes out.

 But I found her testimony, looked for it and asked for permission to republish it. It is a good thing that she authorized it, because the site ceased to exist and her testimony persists today.

Without false modesty, it is not uncommon for websites about HIV / AIDS to appear and disappear. Everyone wants “money”, it didn't work, they disappear. 

I do it for love. I wanted, I wish, I wish that, at least, the costs were alleviated, but ...

Well, she and I became friends and she told me that she spoke to her husband.

Dude, I'm not silly C

Dude (can't say name), I'm not silly and I certainly don't expect this thing called fidelity. But look, man, please use a condom on the streets and don't bring diseases into our family.

Don't bring diseases into our home!

But the damn…

And the damned FDP was not able to respect this request, to see the tolerance and magnanimity of this woman and, The devil, and only the devil, knows when he contracted and, to make matters worse, it is unknown how long the damned bastard took to warn her about what's going on with him.

Amarilis knew the worst way. Because of this, in truth, she never regained her emotional center and in 2004 she left without finding her prince charming, leaving us, her friends, perplexed, scared and emotionally devastated.

This should be used to get your attention. Yes, I inform you daily that there is life with HIV and there is.

But the form, timing and CD4 count at the time of diagnosis is a CAPITAL factor.

If you have a hectic sex life, and you don't need all these old extremes of mine, test yourself every six months to make sure you have a good bad prognosis after a late diagnosis.

If I had done this at least, I would not have entered a hospital between life and death, more to the death, because of viral meningitis and a bone-burning fever.

And it can help you rethink your risks. I'm HIV positive, now what?

Counter scenarios and risks.

So catch or not?

Took? understand better what is CD4.

Enjoy and also know what it is viral load (this opens in another tab)

 

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