The HIV preventions landscape has changed. When condoms and lubricant are used consistently and correctly they are one of the most effective method of HIV prevention, but they are no longer the only option. ‘Safe sex’ for gay men is no longer restricted to condoms only, but now refers to sex with a very low risk of HIV transmission including the use of PrEP and UVL. You can choose the option that works for you and your sexual partner(s).
There are now at least five strategies that are reasonably considered ‘safe sex’, provided that certain parameters are met.
- The use of condoms for casual encounters
- HIV negative men taking pre-exposure prophylaxis (PrEP). As of May 2016, Truvada is licensed for PrEP in Australia by the Therapeutic Goods Administration (TGA). While this is a key development for PrEP access in Australia, PrEP is not yet available at a subsidised price through Australia’s Pharmaceutical Benefits Scheme (PBS). Find out more about accessing PrEP here
- Men living with HIV who have a sustained undetectable viral load (UVL) and no sexually transmissible infections (STIs).
- Use of serosorting between HIV positive men.
- Negotiated safety agreements.
To find out more about risk reduction strategies you can use the risk calculator here.
Click here to download ACON’s position statement on what safe sex is.