HIV & AIDS Information :: HIV & sex - Relationships with an HIV-negative partner
Often, people living with HIV have partners who are HIV negative. Having HIV is likely to affect the way you and your partner feel about sex. Mixed Status Relationships Being virally-suppressed, or “undetectable” is key to minimizing HIV transmission to the HIV negative partner. If someone's viral load is undetectable, it means the HIV meds are working Why is being “ undetectable” important when dating or hooking up with someone who is HIV positive?. Many sero-different couples (where one is HIV positive and the other guy and in the beginning of every relationship I always ask to be tested.
They must be used correctly, every time you have sex. If you can get used to using condoms, you can relax and enjoy yourselves more during sexual activity.What's a Relationship Like With HIV?
Risk is lower if the infected partner is taking antiretroviral medications ART, see fact sheet If so, take every scheduled dose of medications. Avoid sexual activity during any infection: Avoid sexual activity within a couple of weeks after getting any vaccinations. If a condom breaks, or if you forget to use one, anti-HIV medications might prevent transmission. This has not yet been proven to avoid transmission between sex partners.
That might not be the right treatment.
I am HIV negative, my girlfriend is positive. Can we have a baby? | Q and A | HIV i-Base
Discuss PEP with your doctor in advance so that you know what your options will be in case something happens that exposes the negative partner to HIV. These procedures are effective but very expensive.
It can be very difficult to find a place to have sperm washing done. This allows pregnancy without exposing the man to HIV.
HIV & mixed-status couples fact sheet | AVERT
If a woman with HIV becomes pregnant, she should be very careful to stay healthy during pregnancy. Be sure to discuss pregnancy with your health care provider, preferably before becoming pregnant. Your provider will help you with the treatment you need to reduce the chance your baby will be infected. Also, avoid breastfeeding a newborn. But one way or another, having HIV is likely to affect the way you and your partner feel about sex, and have implications for the type of sex you have.
The presence of any illness in a relationship can affect sex. This is especially the case with HIV because it can be transmitted through sexual contact. It makes sense for you and your partner to talk about this. You may wish to discuss how it may affect your intimacy, desire and sexual performance.
Couples With Mixed HIV Status
And it is important to talk about ways of preventing your partner getting HIV. Doctors now advise that, in the right circumstances, taking HIV treatment is as effective in preventing HIV as properly used condoms.
Read more about HIV treatment as prevention in the next section. Another good way of preventing HIV transmission is to use condoms. Used properly and consistently, they also prevent the transmission of other sexually transmitted infections, and can prevent unplanned pregnancies. Using condoms well is a solution for some couples, but others find it difficult to use condoms all the time or at all, or choose not to.
You might resolve some problems with using condoms by talking to your partner about it. You might also find it helpful to talk to someone at your clinic, such as a health adviser.
There may be practical problems with using condoms that are easy to resolve.