Is there any reason for a total top to use PREP?

Shouldn't you add, asking for a friend --dear uncle bottom

Yes.

A total top should be on PrEP if they want to lower their chances of contracting HIV.

Maybe not, although there COULD be a reason for a bottom to be using PrEPeration H . . .

Tops don’t get HIV, only bottoms. Very rare.

OP take you chances, because nobody cares.

Thread closed.

R4 I can't believe people most things like this

R4 that should read I can't believe people post things like this

R7 A doctor told me

A doctor would not encourage a patient to have unprotected anal, or that a top can't catch HIV

I’m sorry, but it’s true that it’s rare for a top to get infected with HIV if he never bottoms. The guy who read me my test results told me this. I had been so scared and then was so relieved. I told him that I had a lot of unprotected anal sex, and he said “But as a top.” He thought it was funny/cute how nervous/relieved I was.

The reasons are drugs and alcohol, which can make a "total top" not a "total top."

Just like straight guys don’t get HIV

R10: that doctor is sounding more like a lab worker or an office worker than a physician. No physician would tell you that. If you ended up HIV positive following that advice, you'd have a lawsuit.

I know tops who bareback all the time. Still neg. There!

Why don't you fuckin' use a condom? Not only is it just as good but it protects from a lot of other STIs too.

R14: I know tops who bareback all the time too! One is dying of AIDS complications. No clue how many he infected. There!

[quote]Tops don’t get HIV, only bottoms. Very rare.

I knew two "total tops" who died of AIDS. And a third who's positive.

They couldn’t be total tops r17 r16

Hence the quotation marks, r18.

Then why straight guys don’t get HIV ?

Ok total tops don’t get HIV

[quote]Then why straight guys don’t get HIV?

Because they don't fuck/get fucked by HIV positive gay men?

[quote]Ok total tops don’t get HIV

I can't explain it to you, r21. Go ahead. Take your chances. Let us know.

R22 Female hookers with HIV ?

Is the number of straight men going to HIV+ hookers statistically significant?

Here's a compelling reason: if you catch HIV (and it *is* possible, albeit ~1/20th the risk), *nobody* -- not even your best friend -- will believe you when you say you're a 'total top'.

Seriously, though... an uncut top has approximately the same risk of catching HIV as a bottom who doesn't take the top's load (half the risk of a thirsty whore raw bottom, but approximately 5-10x the risk of a circumcised top).

Why the higher risk? Nobody knows for sure, but having a warm, moist environment (inside the foreskin) for the HIV-containing anal juice to marinate in, coupled with an active mucuous membrane (the inside of the foreskin) for it to pass through (vs keratinized skin if circumcised) is the most likely route.

There's no reason to NOT do PrEP... Gilead will reimburse your co-payment, so it's practically free, Truvada has basically no real side effects I've ever noticed, and taking it as a top will literally reduce your risk of infection to "almost none".

R26 It’s almost none with bottoms on PrEP

PrEP will kill you faster than AIDS. Guaranteed

R28, do go on.

Do your own research is all I'll say on the matter R29. The truth is out there, most people are too afraid to face it

Oh, just fuck off, then.

Will PREP work forever. I thought we're starting to see a few notches in the fortress.

Truvada is your back up plan because condoms aren’t 100%. Truvada is just damn good sense like HPV vaccine for all 11 year olds. Fucking idiots who whine about “but it has risks!”. So do polio, mumps, pertussis vaccines. We also know the consequences of the disease.

Shut up with your idiotic “but I did my RESEARCH (meaning: I read some crap on a fake web site, no scientific training or education but I TOTALLY BELIEVE IT).

R27, true... but a bottom on PreP who takes raw loads without regard to the top being on antivirals is still ~20x as likely to become infected as a barebacking circumcised top.

A bottom, in addition to being on PrEP, should still make at least a token effort to avoid guys who are neither on PrEP nor likely to be poz-but-undetectable... ESPECIALLY "straight guys" who swear "they're negative" (but will nevertheless fuck random strangers raw in public toilets, and are statistically more likely than anyone besides heroin addicts who are sex workers in central Africa to have a raging, uncontrolled HIV infection with viral load in the millions).

Worst-case, an unprotected bottom has about a 0.5% risk (per raw load) of catching HIV. Alleged protection ("he said he's on PrEP") reduces the risk by an order of magnitude (ie, new risk = 10% of original risk").

Known protection (bottom is personally on PrEP) reduces it by two orders of magaitude. Condoms reduce by 2 orders when used properly without breakage... one, if they break (the protection is statistical... if someone uses a condom & it breaks while full of cum, the protection at that moment is basically none... but the fact a condom was used at all suggests the top has generally been safe in the past, too... hence, the residual order of magnitude).

Thus, a circumcised total top on PrEP who insists on using condoms & only fucks bottoms likely to be on PrEP or undetectable is more likely to die from a meteorite randomly falling from the sky than to actually catch HIV... even if he fucks 2 guys per day, every day, for 100 years. ;-)

Meteroites. Bitches. The fraus of space. You know they’re always trying to get between us and some hot bottom. It’s worse than a gay bar. They’re COCK BLOCKING ME.

People use PrEP so that they can ditch the condom. Fact. Not as a back up.

Uncircumcised men have a higher chance of getting HIV topping

Straight men don’t get HIV as often from women because vaginal tissue does hold HIV the same way that anal tissue does

The last publicized guy that got HIV despite being on PrEP got it as a top

Nobody gets HIV taking PrEP, don’t let people tell you otherwise.

Why don’t you take Prep and use the condom as well? Or even better, just use condoms.

Condom is obsolete with PrEP

R42 Prep protects you from HIV but not the other STDs so...

[r 42] PrEP magically protects you from Herpes, chladmydia, syphillis and gonorrhea? Wow!

NO ONE wants to wear a condom if they’re already on PrEP. If you’re worried about other STIs, just wear a fucking condom and skip PrEP—especially if you believe PrEP will do damage over the long term.

I know anecdotal evidence means less than nothing, but I’m a circumcised near-total top, had unprotected anal sex as a top 95% of the time, with probably 100 men (I have no clue as to the actual number) over the course of almost a decade in filthy New York City, and I’m HIV-negative. Negative for all other STIs, too, although that second point might simply be a miracle. I did have a couple UTIs that weren’t gonnorhea or chlamydia or anything else—I think I just didn’t pee after fucking someone raw, and got an infection in my urethra. But I had the itch that turned into a painful discharge... it went away on its own both times.

I’m glad I’m monogamous now.

Just get tested for STDs regularly

Yes, that is also a good idea, R46.

R47 STD problem solved

R44, nobody can precisely quantify the degree of protection, but there *is* fairly widespread evidence that NRTIs *do* provide some real degree of added protection against HSV-1 and/or HSV-2 via some as-yet poorly-understood mechanism.

I can't find the pubmed citation right now, but it was a meta-analysis that noticed that guys who were HSV-negative at the time of HIV diagnosis and became & remained undetectable were *significantly* less likely to be newly-diagnosed with HSV over the next 5-10 years than both HIV-negative controls AND HIV+ patients who didn't become & remain undetectable.

For what it's worth, there's also weak evidence that Truvada *specifically* might provide some benefit regarding the prevention of Alzheimers and/or slowing its progression (based on recent theories that herpesviruses might have a role in Alzheimer's).