BB now ok on forum

[TruthBTold]

I somewhat agree with that. There is a great deal of fear around STIs and that's mostly do to equating every STI with the deadliness of HIV. Still, there's another level of moral hypocrisy at work. I've only met a very few people screaming about STIs who use condoms for oral, gloves for hand jobs, and dental-dams for kissing or licking ass. It just strikes me it's about feeling superior, not actively promoting risk reduction.

 

As you no doubt discern from my replies in this thread, I agree that we must balance for ourselves the risks presented by having unprotected sex. This includes having unprotected sex while on PrEP. These risks include the possibilities of contacting HIV (much reduced as far as studies have shown so far) by PrEP and the always existent possibilities of contacting various STIs. Scientific studies have also more recently discussed the fact that there are fewer and fewer antibiotics that will be able to be used to treat various bacterial infections. That of course has to be added to the mix.

[Vistas]

As you no doubt discern from my replies in this thread, I agree that we must balance for ourselves the risks presented by having unprotected sex. This includes having unprotected sex while on PrEP. These risks include the possibilities of contacting HIV (much reduced as far as studies have shown so far) by PrEP and the always existent possibilities of contacting various STIs. Scientific studies have also more recently discussed the fact that there are fewer and fewer antibiotics that will be able to be used to treat various bacterial infections. That of course has to be added to the mix.

 

I'd have to note that PrEP works better than condoms do for preventing HIV infection and the STI testing regime is the best thing going right now for identifying infections, no matter how they were picked up.

 

I'm a strong advocate for the medicalization of STIs, not the moralization. I'd love to see the majority of sexually active MSM in any community regularly tested for STIs. That would be the single best thing for reducing to near eliminating the amount of infectious bacteria circulating in any community. It's also the way of tracking and curtailing the progress of even difficult to cure versions of gonorrhea in the wild.

 

In much the same that I find society backasswards when it comes to escorts and escorting, the same holds for the education and treatment of STIs of any stripe.

[pubic_assistance]

Denial seems to be the favorite cure on this thread. A fine example of why so many gay men are prone to substance abuse. Run away and don't face facts. Deny their existence and go have fun...(until you're laying in a hospital bed riddled with disease and addicted to meth.)

[Rudynate]

Denial seems to be the favorite cure on this thread. A fine example of why so many gay men are prone to substance abuse. Run away and don't face facts. Deny their existence and go have fun...(until you're laying in a hospital bed riddled with disease and addicted to meth.)

 

Some internalized homophobia talking?

[+ José Soplanucas]

Some internalized homophobia talking?

 

Some? It is almost the sermon preached in many churches.

[pubic_assistance]

Fascinating. Thank you guys for proving my point. Another dish of denial...pulling the "homophohia" card . Priceless.

[Rudynate]

Fascinating. Thank you guys for proving my point. Another dish of denial...pulling the "homophohia" card . Priceless.

 

 

Ahhh, but broad categorical statements about "gay men" and their shortcomings, coming from a gay man, are a red flag for internalized homophobia.

[+ ArVaGuy]

Denial seems to be the favorite cure on this thread. A fine example of why so many gay men are prone to substance abuse. Run away and don't face facts. Deny their existence and go have fun...(until you're laying in a hospital bed riddled with disease and addicted to meth.)

 

Fascinating. Thank you guys for proving my point. Another dish of denial...pulling the "homophohia" card . Priceless.

 

SANCTIMONIOUS BULLSHIT!!!

[muscmtl]

to get back to original thread

 

i check a lot of escorts' vidz on RM and have yet to see an anal one with a condom.. just saying

 

I'd be curious to know the % of bb proposals escorts get in 2018 compared to 5yrs ago

[+ OliverSaks]

to get back to original thread

 

i check a lot of escorts' vidz on RM and have yet to see an anal one with a condom.. just saying

 

I'd be curious to know the % of bb proposals escorts get in 2018 compared to 5yrs ago

A whole fucking lot more, sorry I can’t get more specific with numbers...

[LookingAround]

Where is Killian James when you need him lol

[TruthBTold]

A whole fucking lot more, sorry I can’t get more specific with numbers...

 

I'm sure. But I have a feeling everyone gets a lot more BB proposals than 5 years ago.

[Vistas]

Denial seems to be the favorite cure on this thread. A fine example of why so many gay men are prone to substance abuse. Run away and don't face facts. Deny their existence and go have fun...(until you're laying in a hospital bed riddled with disease and addicted to meth.)

 

The only denial on display here is yours.

[pubic_assistance]

Denial of what specifically ? I am working with facts....you all have your head in the sand trying to defend your desire to have bareback sex with a lot of strangers.

[pubic_assistance]

Ahhh, but broad categorical statements about "gay men" and their shortcomings, coming from a gay man, are a red flag for internalized homophobia.

I am not a "gay man"...so perhaps you want to check some facts before you comment.

[+ José Soplanucas]

[Rudynate]

I am not a "gay man"...so perhaps you want to check some facts before you comment.

 

You are a MSM though. Since you don't feel any sense of community with MSMs who identify as gay, it is probably a lot easier for you to speak about gay men in broad generalities that lack validity.

[pubic_assistance]

It is easier for me as an MSM to stand back and evaluate without playing into the denial.

[Vistas]

Denial of what specifically ? I am working with facts....you all have your head in the sand trying to defend your desire to have bareback sex with a lot of strangers.

 

You are citing one study. I'm citing the literature. It's inconclusive if PrEP drives up STI rates. Modeling over the long term shows that even with RC -- risk compensation -- greater PrEP use and STI / Testing and treatment will reduce not only STIs in PrEP users but in the larger community as a whole. You have no fucking clue what you are talking about.

 

Incidence of Gonorrhea and Chlamydia Following Human Immunodeficiency Virus Preexposure Prophylaxis Among Men Who Have Sex With Men: A Modeling Study.

 

Abstract

BACKGROUND:

Preexposure prophylaxis (PrEP) is highly effective for preventing human immunodeficiency virus (HIV) infection, but risk compensation (RC) in men who have sex with men (MSM) raises concerns about increased sexually transmitted infections (STIs). The Center for Disease Control and Prevention's (CDC's) PrEP guidelines recommend biannual STI screening, which may reduce incidence by treating STIs that would otherwise remain undiagnosed. We investigated these two counteracting phenomena.

 

METHODS:

With a network-based mathematical model of HIV, Neisseria gonorrhoeae (NG), and Chlamydia trachomatis (CT) transmission dynamics among MSM in the United States, we simulated PrEP uptake following the prescription indications and HIV/STI screening recommendations in the CDC guidelines. Scenarios varied PrEP coverage (the proportion of MSM indicated for PrEP who received it), RC (a reduction in the per-act probability of condom use), and the STI screening interval.

 

RESULTS:

In our reference scenario (40% coverage, 40% RC), 42% of NG and 40% of CT infections would be averted over the next decade. A doubling of RC would still result in net STI prevention relative to no PrEP. STIs declined because PrEP-related STI screening resulted in a 17% and 16% absolute increase in the treatment of asymptomatic and rectal STIs, respectively. Screening and timely treatment at quarterly vs biannual intervals would reduce STI incidence an additional 50%.

 

CONCLUSIONS:

Implementation of the CDC PrEP guidelines while scaling up PrEP coverage could result in a significant decline in STI incidence among MSM. Our study highlights the design of PrEP not only as antiretroviral medication but as combination HIV/STI prevention incorporating STI screening.

 

https://www.ncbi.nlm.nih.gov/pubmed/28505240