1) The document discusses strategies for preventing HIV transmission among serodiscordant couples, including treatment as prevention, PrEP, viral load, relationship agreements, and disclosure. 2) It provides quotes from studies about experiences with unsafe sex, seeking out positive partners, falling in love with a negative partner, and the tension between pleasure and risk of transmission. 3) The document acknowledges contributions from organizations supporting the HIV community and provides contact information for the acting manager of ACON's Gay Men's HIV and Sexual Health Team.

1. Breathing revolutionary life
into traditional responses –
serodisco on the barricades
Dermot Ryan
Acting Manager Gay Men’s HIV and Sexual Health Team
Brent Clifton
HIV Health Promotion Officer

4. Couple Brad McGuire and James Roscoe Believed To Be The First
Gay Barebacking Serodiscordant (HIV+/-) Pornstars.

5. Choose your own adventure

6. T-cells
Treatments starting or not Sid effects
Then & Now
preventing sero-conversion
PEP (post exposure prophylaxis)
STI’s – impact on health Viral load Detectable and
Unsafe sex / Strategies in preventing undetectable
repeat episodes of unsafe practices Managing risk reduction in-side
Death Greif and loss/ Losing him the relationship
Dealing with a partner becoming ill Resilience and how to develop it
His body is changing
Treatment as Prevention
Future Will we be able to do all the
things we planned? Will we be able to Treatments update
grow old together? PrEP and other biomedical
Law – HIV positive /wills/ anti- interventions
discrimination/ immigration Relationship Agreements
Disclosure – boundaries/ who knows/
Disclosure when , How & Who
who should know/
Dealing with family/ His/ yours
Reinvigorating passion
Partner’s denial Love and other catastrophes
Party while you can! Sex outside the relationship,
Playing together, playing alone
Scared of passing it on/ Picking it
up.

7. Quotes
[Interviewer: He doesn’t have any problems with
having oral sex with you?]
Respondent: “He did at the start. Not now. We’re just
very, very careful.
[Interviewer: Do you ever have anal sex with him?]
Respondent: Yes. He makes me wear two [condoms]
They’re uncomfortable but yeah …”
experiences of hiv THE SEROCONVERSION STUDY 2010; Down I et al

8. quotes
“ Risk and safe sex change over time. Safe sex is
when both parties enter into any risk with consent. It's
about being intimate… Its not just about fucking. The
best sex in my opinion is when its more about the love
than lust.
I wouldn’t say safe sex is just about having protection.
I currently have an undetectable viral load. The risk of
passing on HIV is minimal. We've reached a point in
our relationship where we’ve decided not to use
condoms. We’ve discussed the risk and he’s okay with
it” Daniel
SERO DISCO 2, WHY ET HIV GET IN THE WAY OF A
GOOD RELATIONSHIP why let HIV get in the way of a
good relationship Positive Life NSW

9. Of course unprotected sex is so good you forget the risk [I]
always think about HIV but pleasure takes over
Pleasure And Sexual Health Study (PASH) 2009
NCHECR (Kirby) Prestage G et al
“Inever sought out positive before but thereafter yes, I did.
Because, you know, well it would be irresponsible to seek out
negative ones. And kind of the whole point too was because then,
you know, if you’re gonna have sex with them there’s a whole
guilt trip. So, you know, which is not, not a very good thing to
expose yourself to. experiences of hiv THE
SEROCONVERSION STUDY 2010; Kirby Institute. Down I
et al

11. Of course, the problem is if you actually fall in love
with somebody who’s negative. That’s, that’s when it
becomes difficult. So …
[Interviewer: Has that happened?]
Yeah, that happened. [laughs] And it was very difficult
for us both because, so we basically didn’t proceed
any further.
[Interviewer So how did you, how did you meet this
person?]
Through work. But … but we couldn’t go further. It
was a decision where you just can’t go further with a
relationship – positive/negative – because the damage
that can be done to the negative partner and probably
would be done is not a responsibility that I’d like to
carry. I mean a casual partner who’s positive, yeah,
there’s nothing wrong with being positive. If you fall in
love with someone who’s negative, yes, being positive
is a real bitch.
experiences of hiv THE SEROCONVERSION STUDY 2010;
Down I et,al

13. Challenges

14. re:

15. ACKNOWLEDGEMENTS &
Contact Details
Geoff Honor, Steve Moran & Brent Clifton(ACON)
Kathy Triffitt (Positive Life NSW)
The Kirby Institute
Treasure Island Media
Health Initiative for Men
ACON
dryan@acon.org.au
Phone. 02 9206 2050
Email. dryan@acon.org.au
Freecall. 1800 063 060