Tag: protect-yourself!

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do you know your status?

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Your HIV status, that is. Earlier this week, I wrote about how James and I decided to get tested at this past weekend’s Atlanta Pride festival, because it had been far too long since we had tested. Even though we have always tested negative in the past, we thought it was time that we get tested again; just to verify that things were still okay (and they are, we are both negative). We are in a strictly monogamous relationship, however, it still crosses my mind every day that I should KNOW my status, rather than accepting that it is still negative, since that is how I have tested in the past. For one, it is because I work in HIV prevention, but two, it is because I love James, and want us to be healthy and happy in our relationship together. Even though we are monogamous, it is always best to be 100%, rather than 99.9% sure, and he agrees.

I am writing about this today, because today is National HIV Testing day, and I thought it was necessary to challenge each and every one of my readers to go out, get an HIV test, and find out your status, both for you and for your partner(s) sake. You owe it to yourself, and to those that you have sex with, to find out your HIV status, and maintain an active knowledge of that status for both your health, and theirs.

Now, I bet you are thinking, “but duane, I didn’t get tested a pride… where can I go get tested?”. Well, I have great news; there is this great website that let’s you put in your zip code, which generates a list of HIV testing sites that are nearby. It is just that simple: type in your zip code, find where you want to go, and go get tested.

I have said it before, but I will say it again, only you can protect yourself from HIV infection.

But, wait, what if you test negative? Obviously, that is great news for you!! But that doesn’t mean that you can just forget about HIV; you MUST continue using protection, and continue to play it safe. It will literally save your life. CDC estimates that more than 40,000 people in the US alone are infected with HIV. This is just an estimate, because not all of these people are tested each year. If you don’t know your status, chances are, your partner doesn’t know theirs either; don’t let complacency cause you to risk your life.

I hope that everyone out there that sees this post will take the initiative to go out, get tested, and urge others to do the same. The best strategy for combating HIV is prevention. And remember, it isn’t just about knowing your status, it’s what you do with that knowledge; urge others to get tested, protect yourself, and maintain an active knowledge of your status… it could save your, and your partner’s, life.

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another compelling reason to wear condoms

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Remember how angry I have been over the misuse of information regarding circumcision as a viable option for prevention? Well, now I have an even more compelling reason why condoms always make more sense than misrepresented rhetoric; gonorrhea is now among the drug resistant superbugs, which are diseases that have no, or severely diminished options for treatment. Say what? I’ve known about the very real potential for antimicrobial resistance, but it is happening quicker than expected, as evidenced by this recent finding.

This is pretty scary, because gonorrhea, which is bad enough as it is, is now becoming steadily untreatable. For many, this is obviously not good news, especially because gonorrhea is actually kind of common among sexually active people (straight and gay), and worst of all, having it contributes to your chances of getting HIV. Not only that, it has permanent health problems associated with it, especially since it is becoming more likely to go untreated.

The point here is this; wear a fucking condom. Do it every time. If you don’t, you can end up with all kinds of nasty things, one more of which is becoming almost totally untreatable. Be sure that you know your partner’s status (STDs too!) if you want to go without a safety net, because it is getting serious here folks. Here’s the CDC’s description of complications related to gonorrhea:

Untreated gonorrhea can cause serious and permanent health problems in both women and men.

In women, gonorrhea is a common cause of pelvic inflammatory disease (PID). About one million women each year in the United States develop PID. Women with PID do not necessarily have symptoms. When symptoms are present, they can be very severe and can include abdominal pain and fever. PID can lead to internal abscesses (pus-filled “pockets” that are hard to cure) and long-lasting, chronic pelvic pain. PID can damage the fallopian tubes enough to cause infertility or increase the risk of ectopic pregnancy. Ectopic pregnancy is a life-threatening condition in which a fertilized egg grows outside the uterus, usually in a fallopian tube.

In men, gonorrhea can cause epididymitis, a painful condition of the testicles that can lead to infertility if left untreated.

Gonorrhea can spread to the blood or joints. This condition can be life threatening. In addition, people with gonorrhea can more easily contract HIV, the virus that causes AIDS. HIV-infected people with gonorrhea are more likely to transmit HIV to someone else.

We can argue semantics about “more protective” until the cows come home, but this is a solid, and compelling argument for my take on the whole thing; which is WEAR CONDOMS. Protect yourself. Now, if you are sexually active, you have one more thing to think about catching, and you have the ability to be responsible about it. If you are mature enough to have sex, you should be mature enough to protect yourself. Don’t let yourself get caught up in the “maybe it won’t happen to me because of xyz” crap. Just do the responsible thing already! Wear condoms, okay!?

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one step forward, two huge steps back

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Remember when I freaked out because someone thought that spreading the good news about circumcision in Africa was a good idea? Yeah, well, apparently, my fears were correctly placed, as New York City has decided to go forward with suggesting circumcision to reduce the spread of AIDS.

Now, I know that this isn’t as bad as saying, “hey! Have as much unprotected sex as you want now! You’re cut and therefore less likely to get AIDS!”, but it might as well be; because it is crystal clear, that there are so many men out there that already think with their dicks, and any excuse to take accountability out of the picture is an excuse they are willing to accept. I for one am seriously upset with the people that decided a research study conducted half a world away where the HIV incidence is extremely high, and where condoms are not readily available, and where this is used as a “last ditch” alternative, should be used and applied to the HIV situation in NYC. Additionally, something not widely talked about, is that the strain of HIV in Africa is different; meaning this may have NO effect in preventing transmission here. This is EXACTLY why I was so pissed at the article that was written, and this is a sad and extreme example of the right people taking the wrong information out of context and disseminating it as a viable alternative to prevention.

This really bugs me, because I was so happy to see NYC take such a grand step forward with the NYC condom campaign, and show how a city can be truly accountable for public health, and offer true prevention; but now, I am horrified to see these gigantic leaps backward. Can anyone tell me why people are so willing to bury their heads in the sand on issues like this? Seriously, HIV is a terminal illness, and isn’t something to fuck around with; especially when you are fucking around with other people’s lives.

If HIV incidence is affected by this in any way, it will surely increase the prevalence of unsafe behaviors, and therefore put more people at risk for HIV infection. People are already tired of having to worry about protecting themselves in the “heat of the moment”, and now that there are officials telling them that having a cut cock is protective against the virus, they are going to capitalize on that thought and throw caution to the wind. I for one hope that this gets buried quickly, and I hope that someone who has a truly holistic and factual understanding of the study they are pulling this information from puts a stop to the whole thing. This is just as bad as saying there is a cure that might work about 40% of the time, because people are always willing to believe they are part of the cured; even though the odds are largely stacked against them.

This just makes me hang my head in sadness. Why oh why, in this day and age, can’t people be more responsible, especially when it will affect so many? Sigh. I can’t fucking believe this.

If you are sexually active man, especially in NYC with this nonsense spreading, listen up:

MEN, if you have a cut cock, or if you have an un-cut cock, PUT A FUCKING CONDOM ON YOUR DICK BEFORE YOU HAVE SEX!!! If you are a bottom, MAKE SURE HE WEARS A RUBBER! Don’t trust everything you hear, because it is YOUR LIFE at risk. Don’t bury your head in their sand, because AIDS is real, and you will greatly increase your chance of getting it by following this HORRIBLE advice. Please, PROTECT YOURSELVES! YOU are the only one that can protect yourself from infection; take action!