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Sex without a condom can be "safe sex",

Sex without a condom can be "safe sex," if the viral load is undetectable, says the researcher of "opposites attract"

A BETA Is attending and reporting to the 2017 International AIDS Society conference on HIV Science this week in Paris, France, from 23 to 26 in July - bringing the latest news, updates and research on HIV treatment and prevention.

safe sexThe results of the study Opposites AttractWhich in free translation to say opposites attract, presented this week at the conference IAS 2017, increase the growing evidence that people living with HIV, who suppressed their viral load to undetectable levels, do not transmit HIV to sexual partners. In a study of homosexual men in serodiscordant relationships, there was no HIV transmission when the HIV-positive partner was undetectable. I, the one who edits this site just wants to draw everyone's attention that women continue to be disregarded in studies. This is study after study and you can not talk about safe sex without the global reach of the thing !.

The findings of the complementary study Results of similar studies with heterosexual people , Reinforce the momentum generated by (L = L) undetectable campaign = non-transferable , And demonstrate that HIV treatment prevents transmission of HIV, even in the presence of sexually transmitted infections.

Which is Treatment as prevention ?

The study "Opposites Attract" was an observational cohort study that followed 343 pairs of serodiscordant homosexual men (different serological statuses for HIV) in Australia, Thailand and Brazil. The partners were followed for a mean time of 18 months and contributed a volume of information regarding 591 years of life on how they were having sex (including cases of anal sex without a condom), their viral loads of HIV and Other HIV prevention strategies used.

There were no HIV transmissions between partners in the study when the HIV-positive partner had an undetectable viral load. About 17 thousand anal sex acts without a condom were reported in the study, over 12,500 that were protected only with undetectable viral load. There were three HIV infections during the study, which phylogenetic analyzes revealed to have occurred because of extra marital sexual partnerships (an eternal problem).

Andrew Grulich, MBBS, PhD, University of New South Wales, Australia

"The important finding is that there were no zero-linked HIV transmissions within these couples. We find that these findings strongly support the hypothesis that sex without a condom, when viral load is undetectable, is a form of safe sex "(SIC), said Andrew Grulich, MBBS, PhD, University of New South Wales at Australia at a press conference.

This is not the first study to show that people living with HIV who have undetectable viral loads do not transmit HIV to partners, although there have been fewer specific studies for men who have sex with men. A similar study, PARTNERS , Who reported on the effectiveness of treatment as prevention among men who have sex with men in locations in 14 European countries in 2016. (Partner is ongoing until 2018.)

In addition to analyzing instances of unsafe sex when the partners had undetectable viral loads, the Opposites Attract Also analyzed cases in which the HIV-positive partner had a viral load higher than 200 copies / mL. In this scenario, there were a relatively small number of unrelated anal sex acts reported.

There were a total of 290 sex acts, with a statistical segment of more than 5,2 years per person where the partner living with HIV had detectable viral load and the HIV negative partner was not in PrEP. There were no HIV transmissions between these couples, which Grulich explained, may be partly due to the HIV-positive. The HIV-negative partners in these cases were much more likely to be the insertive partner rather than the receptive partner (which is a strategy for reducing HIV risk) (A rule that can not be followed by everyone, as not everyone has this inclination ).

Although rates of sexually transmitted infections (STIs) were high in the study, there was no evidence that STIs increased the risk of HIV transmission when HIV-positive partners were undetectable. Nearly one-third of men living with HIV and a quarter of HIV-negative men were diagnosed with an STI during the study (this result, in per se It is already an excellent time to reflect on sex without a condom when there is a more than emerging outbreak of gonorrhea, the etiologic agent of which is resistant to virtually 96% of antibiotics.

"Our results suggest that, in the presence of undetectable viral load, [rectal] STIs are no longer risk factors for transmission," Grulich said. However, he added: "These biomedical responses do not protect against STIs. In many settings, gay men will want to use condoms to protect themselves because safe sex is the best option. That is: Sex with a condom ".

Editor's note: "And this is my great hope. "

Condoms can help protect against STIs, in addition to HIV. 

Bruce Richman, founder of the access prevention campaign

Bruce Richman, the founder of the undetectable = non-transmissible (U = U) campaign, was pleased to hear the results of the study "Opposites attract each other".

"We are thrilled to hear the Opposites Attract study add even more data to the overwhelming body of clinical and empirical evidence to support U = U," Richman told BETA. Richman launched the campaign Undetectable = Untransmittable *** undetectable = untransferable *** about a year ago to raise awareness about treatment as prevention and reduce HIV-related stigma.

Translated by Cláudio de Macedo from the original In Condomless sex can be "safe sex," if viral load is undetectable, says Opposites Attract researchers, published in 26 of July of 2017, by Emily Newman for the BetaBlog

Reviewed by Mara T of Macedo at 08 / 2017

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