Condom Monologues

Tag: pregnancy

  • Dear Husband, When Will The Condom Come Off?

    Dear Husband, When Will The Condom Come Off?

    The reality of TasP (treatment as prevention) is having a profound effect of serodiscordant couples today. Scientific evidence shows that under certain conditions, the risk of HIV transmission is so low that doctors now recommend some serodiscordant couple have condomless sex if they want to get pregnant. But for many, updated evidence cannot match the deep-seeded fear of contracting HIV. Armed with sources and facts, this monologue is a personal letter from an HIV positive woman confronting her husband’s apprehensions to start having condomless sex. 

    DearHusbandDear Husband,

    We have been in this relationship for a year and you know how I feel about you. I think you are the most wonderful man in existence, in my unbiased opinion. We share many interests, we have fun together, and in spite of my HIV status, the sex has been great. There have been no major challenges with my status until now.

    As I long for a time when I could have condomless sex and exchange body fluids, an intimate act that feels like none other, condoms are an increasing reminder that we have a barrier between us. Regardless of how much lube one uses there is no condom available that does not feel like a condom. The female condom is okay but as my colleague noted, it is like having sex with a garbage bag inside you, complete with the noise of the crumpling latex.

    I did get pregnant the good old fashioned way with my first child from a previous relationship and she is not HIV positive, nor is her father. I want to have another baby, but somehow that conversation gets diverted each time I initiate it. As you very well know, I do want to get pregnant naturally and our doctor recommended we try the good old fashioned way, like other hetero-couples wanting to have a child. We are in a committed, monogamous, trusting relationship. We know each other’s sexual health and HIV status. Scientific evidence presented at the Conference on Retroviruses and Opportunistic Infections (CROI) and discussion leading up to CROI left me feeling hopeful that soon the condoms would be put to rest.

    Gus Cairns explains the outcomes of the latest PARTNER study which is showing promise while waiting for the final results in 2017. The PARTNER study is an international collaboration taking place in several European countries and is funded by the National Institute for Health Research in England and coordinated by Copenhagen HIV Programme (CHIP), in collaboration with University College London (the sponsor) and The Royal Free Hampstead NHS Trust, London.

    “When asked what the study tells us about the chance of someone with an undetectable viral load transmitting HIV, presenter Alison Rodger said: “Our best estimate is it’s zero” (In Cairns 2014).

    Seeing all of this evidence presented, along with knowing about my HIV negative child, makes me anxious as we wait for the time when we can stop using condoms. I trust you and I know you trust me but your refusal to accept new scientific evidence resulting from research studies, information that is not really new, as I was told years ago that under certain conditions I am not infectious, is making me question many things about this relationship. Mark S. King raises the question of whether people living with HIV will ever be considered safe sex partners. He refers in his writing to the ways in which people living with HIV are viewed as “suicide bombers” (2014). While reading his articles, I realized just how much work is ahead for the HIV community. But does there need to be such effort with us as I wonder if we are continuing to make informed decisions?

    Who would have thought a condom could create so much stress in our relationship. Stress I was not prepared for and did not see coming as I believed you would eventually accept the evidence presented and change practices accordingly. After all, we are not in a one-night-stand as random strangers not knowing each other’s sexual history, where a condom would be used without question. We have evolved in our relationship. Or so I thought. But the continued use of condoms makes me question whether or not you can finally rid yourself of the fear of HIV transmission.

    On a global scale, Bob Leahy (2014), who initially was not sold on the idea of treatment as prevention (TasP), now supports it completely, but he does remind the HIV community of “the huge amount of work that needs to be done, with advocacy at all levels being a sizeable component”, to convince institutions of the need for supporting and implementing TasP. As individuals, you and me are part of the TasP model.

    Sex is not as spontaneous as it could be because we always have to ensure beforehand that condoms are nearby. The act of getting the condom ready and reaching for it is a constant, nagging reminder that screams out – “Watch out for HIV the big boogy man waiting in the corner reminding us to constantly be on guard”. I fantasize about the day when we can simply wake up in the morning and have sex without any reminders, with complete intimacy and trust without anxiety and fear.

    What would I do if I were in your position?

    I cannot say with certainty that I would embrace the idea and abandon the condoms without any lingering fear and doubt. I just do not know. I would like to think I would understand the science of HIV and realize that there is no real risk; that I would abandon my trepidation and in turn abandon condoms eventually. Maybe I would, and maybe I would not, preferring to hang on to the comfort and security of the condom.

    Condoms are for one night stands, random sex, having sex with partners whose status is unknown, for avoiding all other sexually transmitted infections. We have none of those concerns. I have to be honest as I share my thoughts. I have thought on a couple of occasions of pursing sex with someone else who wants to have condomless sex. I need to feel the intimacy and deep connection to a man as we have sex that is uninterrupted with reminders, good old fashioned spontaneous sex. I never thought a small piece of latex could cause so much stress and doubt in a relationship. I want to maintain the status quo but on the other hand I want to have sex without condoms.

    The last thing I want to do is transmit this virus to you. But as Marc-André LeBlanc (2014) so eloquently explained it, you are in fact safer with an HIV positive partner than with one whose status is unknown. I am beginning to give up hope as I try to explain that in fact, you -my partner- are safer with me as an HIV positive woman with stable, well controlled health status. I am getting impatient. There is growing tension in the relationship. If you cannot trust me and scientific evidence then I am going to begin to wonder if you have really addressed your fears, in depth, about HIV.

    The province of British Columbia as an international leader in developing a model of the Test and Treat strategy, recently collaborated with China in offering services for them to implement to reduce HIV transmission through TasP, (Povidence Health Care: 2014), providing further evidence for the need to recognize how treatment does prevent transmission of HIV. I am on and adhere to treatment and am well controlled.

    I understand completely and if the shoe were on the other foot. It may take some convincing on my part to trust and believe what is being presented. I am no different from anyone else and my personal perceptions and ideology take time to adjust to scientific evidence which is presented. My education about HIV came from the old fear based strategically targeted place. It is not easy to let go of those fears. They are embedded in our institutions and in our individual psyche, very deeply, I am finding out.

    Len Tooley who does HIV testing, explains how “sexual health is often framed in the idea of risk instead of rewards. He goes on to explain how “this may present HIV and those living with it as the worst possible outcome imaginable, which is not only stigmatizing but often irrational and false since many people with HIV are, in fact, just fine” (In Straube: 2014).

    So, will you let me know when the condom can come off?

    Sincerely,

    Your partner and lover.

    Monologues are independent stories and the opinions shared are the author’s own.

    References
    Cairns,Gus. 2014. No One With An Undetectable Viral Load Gay Or Heterosexual Transmits HIV in First Two Years of PARTNER Study. March 4

    Leahy, Bob. 2014. The TasP Train Has Left The Station. April 10

    Leblanc, Marc- André. 2014. FUCK POZ GUYS! February 10

    King, Mark. S. 2014. When People with HIV Became Suicide Bombers  April 2

    King, Mark.S. 2014. Will HIV Ever Be Safe Enough For You? March 11

    Providence Health Care. 2014. China joins forces british columbia conquer hiv/aids. November 27

    Straube, Trenton. 2014. Against All Odds. POZ April/May

  • Reacquainting With Condoms After 11 Years on The Pill

    Reacquainting With Condoms After 11 Years on The Pill

    A dramatic contraceptive story that spans over a decade, told in 1000 words.

    “Which ones should we get?” I asked my boyfriend. Well, he’s a man and he’s the one that has to wear them, so naturally I assumed he’d know best. “I dunno,” was the mumbled response. I’d not been “hat” shopping in over a decade. For nearly 11 years I was on the Pill and in three monogamous relationships, for the majority of that time, so ‘safe’ meant not getting pregnant.

    Standing there, facing a wall of johnnies, there were three main changes I noticed: the packaging of condoms 11 years on was nicer, there were brands other than Durex available, and the price was higher. No wonder the supermarket kept them in security boxes. Ten quid ($16) for 10 condoms, so a pound a fuck essentially, and me and my boyfriend fuck a lot. Giving up the Pill was apparently going to cost me in more ways than I expected!

    That said, coming off the pill four months ago was one of the best decisions I’ve made and I’d like to state that this was what was right for me, not what every woman should do, although I do think every woman should take the time to stop and re-evaluate their contraceptive method as their body changes.

    The biggest question I’ve faced since is what contraception should my partner and I use instead?

    Long term, that’s still a frustrating debate I’m having with myself, my partner and sexual health advisers. For now though, my chap and I are only using condoms and that is how I found myself: Standing in Tesco adding ‘condoms’ to our weekly, big shop shopping list.

    Just call me Goldilocks

    After much deliberation we went for the clichéd ribs and dots for her pleasure style. You have to start somewhere. They were good, but not quite right. If we’re being honest (and I think we can be here) too much dotting and ribbing can lead to chaffing.

    Thankfully, there’s more to safe sex-life than that one style and so the hunt began online to try something new. Scouring the sites we found a ridiculous number of options. Without wanting to sound too Disney about it, there was a whole new world opening up before my eyes. Previously my experience of condoms had been whatever was free and easy to grab from the GP or sexual health clinic as they were only ever used briefly when there was a Pill glitch.FlyingCarpetCondomsAnim

    Now though, scouring the various sex e-tailers, there was this whole exotic, rubbery, latex fantasticness that had the potential to be a lot of fun. Maybe shopping for condoms would be a great, new, sexy part to our foreplay?

    We came across an American brand called One and they had an interesting pack called ‘Tantric’ with tattoo style patterns and extra lubrication. Oh, they sound fancy and you can never have too much lube, so we ordered some.

    It wasn’t long before the boyfriend and I found ourselves back online, looking for something different the next time. We “um-ed” and “ah-ed” over the various boxes, brands, descriptions, shapes and textures for nearly as long as we’d spend trying to pick a nice bottle of wine to go with dinner.

    Obviously, sex is a shared experience and if there is the opportunity to choose together, then you should. Like with any aspect of sex you should both get enjoyment out of what you’re using. There aren’t very many things that we put on our bodies that are as intimate as condoms. It’s going on his most sensitive area and in hers, so when it comes to condom shopping it’s important to find some rubbers that you’re both gonna’ love. Generally, that means experimenting.

    Getting comfy with condoms

    Through shopping around, I’ve learnt more about condoms in the last four months than I ever learnt at school, or was bothered to listen to after that, because they just weren’t relevant to my life. It’s a bad attitude to have, I know. It’s shocking how the “fit and forget” or pill-popping culture we have today means it’s easy to overlook the humble condom. Especially when you’re in a relationship that uses one of the aforementioned methods.

    It’s been a re-education: I’m aware now about the importance of fit and how that effects sensation and minimises the risk of breakage, the safest way to take them off to avoid any ‘accidents’ and I’ll admit that I’m still perfecting my roll on method (anything billed as ultra thin is definitely the trickiest).

    The biggest adjustment (and I don’t reckon I’m the only woman who’s come off the Pill to feel this) is becoming confident with the idea that condoms can keep me safe. Not from STDs as that’s not an issue in my relationship, but of pregnancy. A lot of people my age and a bit older seem keen to use Fertility Awareness Methods and the pull-out method, but for many of them pregnancy wouldn’t be so much of a disaster. For me and my boyfriend, it certainly would be.

    Making the move from the pill to condoms is scary. Anything you get fitted, implanted or swallow every morning has a success rate of approximately 99 percent. Sure, there are some side effects, but you’re willing to put up with them because it’s a shared ideology that now we have these methods, why bother with condoms that have a slightly lower success rate at all if your aim is to not get pregnant?

    Living with that mentality for over a decade, then changing what you use and your body changes too, is a lot to get your head around, but it is doable. On the plus side, not only has it led me to take another look at the whole contraceptive menu – not just what the GP would prefer me to use – but it’s made me and my partner look again at correct condom use and I don’t think it’s a bad thing for any couple to do that no matter how long they’ve been together.

    Monologues are independent stories. The opinions shared are the author’s own.