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SERODISCORDANT COUPLES WHAT ARE THE SPECIAL ISSUES FOR MIXED COUPLES? Agree on ways of sexual expression that fit with the level of risk you are comfortable with.

REDUCING THE RISKS USING A CONDOM OTHER WAYS TO REDUCE RISK IF YOU ARE EXPOSED TO HIV HAVING CHILDREN IF THE MAN HAS HIV HAVING CHILDREN IF THE WOMAN HAS HIV Couples with one person who is HIV-positive and one who is HIV-negative are sometimes called “serodiscordant” or “mixed serostatus”. “Serostatus” refers to whether someone has HIV infection or not. Talking to a sexual or relationship counselor can help.

I seroconverted during the time of antiretrovirals and Pr EP.

Months after testing positive I was labeled “undetectable,” meaning that thanks to those antiretrovirals and access to good health care, I can no longer transmit the virus.

Talk to your doctor about PEP, “Post-Exposure Prophylaxis” (See fact sheet 156.) This has not yet been proven to avoid transmission between sex partners.

Do not just take a few doses of your partner’s medication! For PEP to work, it must be started very soon after exposure to HIV.

Try to have open discussions about your desires, your fears, and your limits.

I want to give them the chance to back out — or to be a dick — before I’ve even formed a connection to them. I put my status on all the gay apps, I talk about it openly and I write about it.

If someone is going to say something hurtful, or decide they don’t want to meet me because of my HIV status, I want to know that as soon as possible. I want the world to know this is who I am, and who I am is pretty fucking awesome. If you feel disclosing your status could put you at risk, don’t do it. With so many options out there regarding safe sex — from Pr EP to condoms to Tas P — it can feel overwhelming.

Maybe I will go do a little education just so I know what everything means.


I’m excited to meet you.” Still, it can be hard to let go of that voice in the back of your head telling you you’re sick, broken or tainted somehow.

However, it still makes sense to take extra steps such as using a condom (see fact sheet 153.) Condoms are very effective at preventing the spread of HIV.


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