tips man 2 man
Are you a guy who
has sex with other guys?
For some time
now, more men are contracting HIV and other sexually-transmitted
infections while having sex with other men. Even younger guys! The
risk of contracting HIV is ten times higher during sex between men
than it is in sex between a man and a woman.
shows you how to play safe. No matter what the situation.
Anonymous sex and
instant gratification? Sometimes thereís no need for words. So each
partner has to know how to protect himself. Take responsibility for
Time and again
sex with guys you have known for a long time? Trust can sometimes be
misplaced, and assumptions can be wrong. Even if a past HIV test
turned out to be negative, that doesnít mean it is still true today.
Talk to your partners about how to protect yourselves.
the love of your life? Being in love can make talking about unpleasant
stuff or safer sex a little more difficult. Get some support Ė you
could go to Checkpoint.
a long-term relationship? Happiness and security depend on the
expectations you had and keeping promises you once made. Do they still
hold? Talk about it. And keep talking.
is your best protection!
a condom for fucking
No come in
the mouth when sucking
is true for anonymous sex, for fuck buddies or for sex with your
Pick a condom thatís the right size. That way, it wonít break or
slip off. You can check your size on www.mysize.ch.
Only use water- or silicon-based lube. Donít use oil, Vaseline
etc. as these will damage the condom.
If you do get sperm in your mouth then spit it right out! If possible,
rinse your mouth with a strong liquor like whiskey or cognac or just
plain water and spit that out, too.
You canít get hard or you lose your hard-on when you put on a
Your partner doesnít want to use a condom?
arenít the only one with these problems.
talk about it at Checkpoint or one of the local AIDS-service
can reduce the chances of HIV infection by using emergency treatment
(PEP or post-exposure prophylaxis) within the first 72 hours after a
risky encounter Ė i.e. fucking without a condom or a condom broke
Get advice straightaway from a
Checkpoint or one of the local AIDS-service organizations
The quicker you seek treatment, the
lower the risk of infection.
==> PEP therapy is not
a substitute for safer sex!
You had a risky encounter but didnít follow-up with a PEP
In the weeks after you had flu-like symptoms (fever, headaches,
swollen glands, skin rash, muscle aches, diarrhoea, nausea etc.)?
could be signs of a primo-infection with HIV!
straight to Checkpoint or to a HIV testing facility and get it checked
It settles your fears and uncertainties. You can act better knowing
If you arenít infected then youíre in luck! Next time, play safe
and save yourself all this stress.
If youíve been infected with HIV, then you can promptly start a
course of treatment. Starting earlier minimizes the risk of damage
to the immune system.
If youíre in the early stages of infection, then youíre highly
contagious. Protect your sex partners and make sure you always
practice safer sex.
addition to HIV, there are other viruses, bacteria and fungi that can
be transmitted during sex Ė sometimes even when you practice safer
sex. Some of them are quite nasty and can increase the risk of HIV
most common infections are gonorrhea, syphilis, hepatitis, chlamydia,
herpes and genital warts.
majority of these sexually transmitted infections (STI) are easy to
treat Ė if they are detected early enough.
How to detect uninvited
Discharge from the penis or the anus
Burning sensation when peeing, itchness around the urethra
Dull pain in anus
Pain or swelling in your balls
Lesions, blistering, rashes, redness on the penis, testicles, anus or
in the mouth
What to do with uninvited
==> Get it
checked out at Checkpoint, at your doctorís or at a dermatology
==> If you do
have a sexually transmitted infection, then tell your sexual partners
so that they can get tested and treated, too.
recommend that you:
vaccinated for hepatitis A and B.
==> Get checked
out for sexually transmitted infections at least once every six
==> You can do
this at Checkpoint, or you could find a doctor with whom you can
talk openly about your sex life.
==> If you are
HIV positive, then make sure you get tested for sexually transmitted
infections during your regular check ups!
without condoms is possible with a long-term relationship. This
is how it works:
1. Go to
Checkpoint for a joint test and counselling.
2. For 3
months, have safer sex every time.
3. At the end
of 3 months have another joint test with your partner.
4. If you are
both HIV negative, then make a clear agreement: either we donít
have sex with other men, or we only have safer sex with other men.
5. If one of
you breaks the agreement, then he should tell the other
immediately. Determine in advance how you want to do this. Revert to
having safer sex until you have both been tested to rule out an
How safe is this method?
It is extremely
safe if both parties can uphold the agreement.
==> If you both
decide to only have sex with each other, then it is doubly difficult
to tell your partner that you had unprotected sex with another
person: unfaithful and unsafe!
==> Talk about
the Ďworst-case scenarioí before it happens, and decide how you
will tell each other. This way, should it be necessary, you can tell
each other right away.
Is it possible to
reach such agreements with several partners and have joint tests with
all of them in order to have unprotected sex without worrying about
In theory, yes.
However, many men are infected after having unprotected sex with
casual partners who they knew.
Lots of men try
to avoid HIV while fucking without a condom Ė even if they donít
know their partnerís HIV status.
The most popular
assumptions Ė and whether they work Ė are presented on the
It is important
to talk about HIV with your regular sex partners. However, asking
questions of new or casual sex partners doesnít necessarily get you
the right answers, because:
==> Many men
with HIV donít know that they are infected.
HIV-positive men donít tell their casual sex partners that they are
infected, for obvious reasons. Even if you ask them.
about a sexual partnerís HIV status does not protect you. For
You are HIV
negative and you think: if he were HIV positive, then he would protect
me from infection. But he doesnít Ė so he must be HIV negative
You are HIV
positive and you think: if he were HIV negative, then he would protect
himself from infection. But he doesnít Ė so he must be HIV
positive like me.
Perhaps both of
you are wrong and are therefore taking unnecessary risks!
HIV infection isnít
something visible. You canít tell whether someone is HIV positive or
HIV negative by looking at him.
Youth, good looks
or a muscular build canít tell you anything about someoneís HIV
status or other sexually transmitted infections.
before coming doesnít reduce the risk of infection for the guy whoís
fucking (see opposite page).
==> The risk of
infection for the guy whoís being fucked is lower, but without a
condom, there is still a risk of infection even without ejaculation.
==> Finally, no
one can control coming 100%!
Pulling out is risky for both partners.
doesnít prevent an HIV infection. The top runs the risk of absorbing
HIV and other STI through the tip of his dick. You can still contract
HIV from topping.
people with an effective course of antiretroviral therapy donít
transmit the virus during sex, but only under 3 conditions:
1. The viral
load has been below detectable levels for at least six months.
2. Adherence to
HIV therapy and regular check ups by a doctor.
3. There are no
other sexually transmitted infections in neither partner (e.g.
And to whom does this
==> People in
long-term relationships in which one partner is HIV positive and the
other is HIV negative.
==> Only in a
trusting relationship can a HIV-negative person be certain that the
3 conditions are met.
==> Only then,
you can make a mutual decision on whether or not to use condoms with
the advice of a doctor.
still always be used in new relationships or for casual sex.
Are there any
other ways to reduce the risk of HIV infection without safe sex?
men have a lower risk of getting infected with HIV during sex with
It is doubtful
whether this is also the case for men who have sex with other men. And
if it were true, then it would only be true for cut men who top during
not protect you from HIV infection nor from contracting any other
sexually transmitted infection.
Pills and gels:
There are studies underway that are looking at the use of pills (PrEP)
and gels (microbicides) which when used before sex are meant to reduce
the risk of HIV infection. Currently, there are no products available
that protect against HIV infection.
Do not take HIV
medications if you are not HIV positive! They will not work, and they
could do you a great deal of harm!
Go to www.aids.ch
and find the following under ADDRESSES/LINKS
addresses of the nearest AIDS-service organisations
==> The addresses
of all PEP clinics and testing centers
safer gay sex,
play hard, play safe