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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:04,140 --> 00:00:07,520 I've been HIV positive for about ten years, and on meds for seven. 2 00:00:07,720 --> 00:00:11,480 And that's part of my mantra for barebacking, because my risk of 3 00:00:11,480 --> 00:00:14,060 people is very low. Though there is a small risk. 4 00:00:14,880 --> 00:00:19,380 We keep trying again and again, to make it rhyme with heart and pain. 5 00:00:19,700 --> 00:00:24,240 We keep beating ourselves to bits, sucking secondhand fakes and tits. We're 6 00:00:24,240 --> 00:00:25,240 suckers for love. 7 00:00:26,100 --> 00:00:27,440 Suckers for love. 8 00:00:29,500 --> 00:00:30,620 Ready for love. 9 00:00:31,690 --> 00:00:35,390 And all lived up, but nowhere to go. 10 00:00:38,370 --> 00:00:41,890 All fucked up, and ready to fuck. 11 00:00:42,170 --> 00:00:46,430 Ready for love, and all lived up. All fucked up, and ready to fuck. 12 00:00:47,010 --> 00:00:51,370 The bareback cucks in London, there's a lot of barebacking in London. Certainly 13 00:00:51,370 --> 00:00:55,330 in the bars, the saunas, and the sex clubs and so on. Online, there's a 14 00:00:55,330 --> 00:00:57,110 of people seeking out bareback sex. 15 00:00:57,630 --> 00:01:01,330 It's easier to cope with rejection, and I still get rejection now and again, and 16 00:01:01,330 --> 00:01:02,330 I declare my stator. 17 00:01:02,530 --> 00:01:05,730 Wherever you go, I think, the long and the short of it is, wherever you go in 18 00:01:05,730 --> 00:01:08,070 London where sex is being had, you will find barebacking. 19 00:01:08,390 --> 00:01:11,690 OK, there's still plenty of people who are willing to get out condoms, but it's 20 00:01:11,690 --> 00:01:15,690 not unusual to enter into any sexual encounter, wherever it is, on the scene 21 00:01:15,690 --> 00:01:18,890 London, whether it's in somebody's house or a bar or a club, and nobody is going 22 00:01:18,890 --> 00:01:19,950 to produce a condom. 23 00:01:20,330 --> 00:01:25,450 The fact that there's so much bareback sex that goes on in Berlin is something 24 00:01:25,450 --> 00:01:32,260 don't... fully understand i think that it attracts positive men because the 25 00:01:32,260 --> 00:01:36,960 theme is more spoken about i mean there are there are positive parties in berlin 26 00:01:36,960 --> 00:01:40,940 which i think a lot of people don't have at all but i think that you can't 27 00:01:40,940 --> 00:01:46,400 assume that i think there are also and maybe it's a generational thing a lot of 28 00:01:46,400 --> 00:01:50,620 people who bear back because they don't seriously take or they don't take 29 00:01:50,620 --> 00:01:54,420 seriously the risks of contracting hiv anymore even 30 00:01:55,600 --> 00:02:01,720 Healthy people go to those parties and they 31 00:02:01,720 --> 00:02:08,139 know that on this party there's just only barebacking. In terms of bareback 32 00:02:08,139 --> 00:02:14,260 partying in London specifically, I think there has been a rise of people willing 33 00:02:14,260 --> 00:02:18,580 to or wishing to go to parties where they don't have to negotiate, say, sex 34 00:02:18,580 --> 00:02:20,720 because everybody knows the score. 35 00:02:21,080 --> 00:02:22,480 And under this condition... 36 00:02:22,700 --> 00:02:28,160 A practice B with C and C with A and D with A. 37 00:02:28,480 --> 00:02:35,300 They have a pool of infectious diseases in this situation, 38 00:02:35,640 --> 00:02:42,480 let's say between 20 people, that the risk to get something about it is very, 39 00:02:42,540 --> 00:02:46,420 very high. And the result we see in our daily work. 40 00:02:46,700 --> 00:02:48,020 I've got a long -term partner. 41 00:02:48,900 --> 00:02:53,560 And, obviously, me and him always have unprotected sex because it's a long 42 00:02:53,560 --> 00:02:54,560 relationship. 43 00:02:55,300 --> 00:03:02,060 There have been lots of incidents where I've slipped up, where I've gone out and 44 00:03:02,060 --> 00:03:07,440 had casual sex with an anonymous person and I've not used a condom, usually as a 45 00:03:07,440 --> 00:03:11,600 top. And then, obviously, following this, I have to go through this kind of 46 00:03:11,600 --> 00:03:16,380 period of contrition where I have to sit down with my partner, tell him that 47 00:03:16,380 --> 00:03:17,380 I've fucked up. 48 00:03:17,960 --> 00:03:20,220 Tell him that I've got to go for a test. 49 00:03:20,840 --> 00:03:26,060 And I guess I assumed that if I became positive, I'd still continue to have 50 00:03:26,060 --> 00:03:27,900 repetitive sex. 51 00:03:28,620 --> 00:03:34,020 But in actual fact, the reality is that I have quite a lot of bareback sex. 52 00:03:34,460 --> 00:03:38,120 It's usually in the context of a big, heavy, trashy night with booze and drugs 53 00:03:38,120 --> 00:03:40,300 that sometimes you end up slipping up. 54 00:03:40,940 --> 00:03:43,860 Generally, I bareback by default. That's my preference. 55 00:03:44,510 --> 00:03:48,310 And I belong to a couple of pos fights, so my preference is only bareback with 56 00:03:48,310 --> 00:03:52,130 guys who I know who are pos, or rather, who state they are pos. 57 00:03:52,730 --> 00:03:59,330 I do have bareback sex with other positive partners that I mostly meet 58 00:03:59,330 --> 00:04:06,190 and in positive websites, and we discuss things like other diseases and viral 59 00:04:06,190 --> 00:04:12,370 loads and resistance strains, and then make decisions about... 60 00:04:22,000 --> 00:04:25,860 So my preference is bareback, but I always disclose that they know my 61 00:04:26,040 --> 00:04:29,820 and I always ask them, and I include Hep C in those questions as well, and 62 00:04:29,820 --> 00:04:32,180 discover their Hep C status. 63 00:04:43,740 --> 00:04:50,480 I might have multiple partners, anywhere between three and a dozen, 64 00:04:50,560 --> 00:04:51,560 even. 65 00:04:51,980 --> 00:04:52,980 Well, 66 00:04:54,120 --> 00:05:00,580 I probably have sex two or three times a week with my partner, and maybe once a 67 00:05:00,580 --> 00:05:02,460 week with a stranger. 68 00:05:02,920 --> 00:05:07,620 And if they're a bit druggy, the parties, I mean, that could elongate, 69 00:05:07,680 --> 00:05:09,620 into five or six guys in a session. 70 00:05:10,320 --> 00:05:14,280 I kind of think it's a bit of a sideshow to talk about the number of sexual 71 00:05:14,280 --> 00:05:15,280 partners. 72 00:05:15,660 --> 00:05:21,020 I've had rather a lot in the past, and 73 00:05:21,020 --> 00:05:27,600 I've actually maintained close sex since 1982, when my GP at that time said, 74 00:05:27,780 --> 00:05:32,140 when are you gay boys going to start using condoms? And I said, never, having 75 00:05:32,140 --> 00:05:35,040 just caught rectal gonorrhoea, and that's the last STD I had. 76 00:05:35,600 --> 00:05:38,300 It's something which we actually have been kind of... 77 00:05:38,650 --> 00:05:40,390 starting to look at a bit more. 78 00:05:41,010 --> 00:05:45,430 I think there's a couple of points here. I mean, one, it shouldn't be forgotten 79 00:05:45,430 --> 00:05:51,390 that it's estimated that a third of gay men who are infected believe that 80 00:05:51,390 --> 00:05:54,930 they're infected as a result of sex within a relationship. 81 00:05:55,370 --> 00:05:58,830 So it isn't actually just about having lots and lots of sexual partners. 82 00:05:59,050 --> 00:06:01,430 It's actually what you do with the sexual partners that counts. 83 00:06:02,670 --> 00:06:07,550 And I'm not even sure that the more sex you have, the more likely you are to 84 00:06:07,550 --> 00:06:09,610 have unsafe sex at any time in the future. 85 00:06:09,910 --> 00:06:12,590 In fact, actually, it's a bit like anything. 86 00:06:12,830 --> 00:06:14,750 It's like riding a bike. Practice makes perfect. 87 00:06:15,570 --> 00:06:21,530 And I think that one problem with that is recreational drugs. And I think that 88 00:06:21,530 --> 00:06:27,270 you are sometimes put in a situation where you are no longer able to continue 89 00:06:27,270 --> 00:06:30,630 with your personal defences against... 90 00:06:31,180 --> 00:06:32,780 What you do not want to have. 91 00:06:40,880 --> 00:06:44,140 Bareback porn, I went to shoot for my studio myself. 92 00:06:44,600 --> 00:06:48,320 I know that there's a lot of it out there. I'm told, why don't you do 93 00:06:48,400 --> 00:06:51,240 Because it sells better. I don't have that opinion, actually. 94 00:06:52,080 --> 00:06:59,000 I guess I have a mixed attitude to bareback porn. I always enjoyed it, but 95 00:06:59,000 --> 00:07:00,020 retrospect... 96 00:07:00,750 --> 00:07:07,630 I think it's probably how to desensitise me somewhat, or desensitise me to have 97 00:07:07,630 --> 00:07:08,630 protected sex. 98 00:07:09,070 --> 00:07:15,130 Immediately doing bareback, it transpires, it closes doors to me, 99 00:07:15,130 --> 00:07:17,570 certain US studios. 100 00:07:18,090 --> 00:07:21,810 They ask the question, even at the entry page of the website, have you done 101 00:07:21,810 --> 00:07:22,709 bareback before? 102 00:07:22,710 --> 00:07:26,330 Or even if you're known to have done it under a different name, you don't get to 103 00:07:26,330 --> 00:07:28,830 proceed any further, so there's a stigma attached to it. 104 00:07:29,480 --> 00:07:31,660 Porn stars are generally very sexual people. 105 00:07:31,880 --> 00:07:34,960 They do the sex, and then they're going to have more sex, you know, privately. 106 00:07:35,540 --> 00:07:41,660 And I see more sorts of things that are contrary to what they're portraying. 107 00:07:42,500 --> 00:07:47,420 I'm certainly aware of younger guys only watching or using bareback porn, and it 108 00:07:47,420 --> 00:07:49,260 must be having an impact on them. 109 00:07:49,860 --> 00:07:54,160 A lot of younger guys seem to be barebacking who are negative, doing it 110 00:07:54,160 --> 00:07:55,160 choice. 111 00:07:55,380 --> 00:07:58,820 Therefore, the conclusion I draw is that it must be having an impact. 112 00:07:59,320 --> 00:08:00,299 on their behaviour. 113 00:08:00,300 --> 00:08:05,580 I don't think people see a film and jump and go and do feedback straight away. 114 00:08:05,800 --> 00:08:12,260 I think people do what they see and if they see something often enough they'll 115 00:08:12,260 --> 00:08:13,260 start doing it. 116 00:08:13,380 --> 00:08:16,280 I think it's absolutely, clearly dangerous for the performers. 117 00:08:16,680 --> 00:08:23,300 We've seen a recent example in LA in the last month of someone, actually it 118 00:08:23,300 --> 00:08:26,800 turns out they weren't suspected from doing the performance but they were 119 00:08:26,800 --> 00:08:27,800 as partners at risk. 120 00:08:28,030 --> 00:08:30,870 as a result of doing pornographic filming afterwards. 121 00:08:31,270 --> 00:08:35,309 I think it's dangerous for people who view it in terms of it normalises 122 00:08:35,309 --> 00:08:36,309 unprotected sex. 123 00:08:36,450 --> 00:08:38,730 Often it fetishises unprotected sex. 124 00:08:39,110 --> 00:08:43,390 I don't think it has any part of the civilised society, to be honest. I think 125 00:08:43,390 --> 00:08:46,930 it's like watching gladiators kill themselves in ancient Rome. 126 00:08:47,810 --> 00:08:49,630 I'm really, really against it. 127 00:08:50,590 --> 00:08:54,930 Why do I assume that the two guys having their back born, whatever you want to 128 00:08:54,930 --> 00:08:56,690 call it, without anything on them, are... 129 00:08:57,000 --> 00:09:01,240 Either both positive, one negative, one positive, or both negative. 130 00:09:01,600 --> 00:09:05,880 Now, I kind of think that, apropos of the gladiators, I love seeing 131 00:09:05,940 --> 00:09:08,840 you know, killing each other. It's kind of fun. 132 00:09:09,360 --> 00:09:14,060 And actually, I don't immediately want to go out and kill somebody in Britain. 133 00:09:17,420 --> 00:09:20,760 I'm sure it's that civil liberties thing. I mean, if you want to watch it, 134 00:09:20,760 --> 00:09:24,360 it. If you don't, don't. But no, I don't think anybody should be telling you not 135 00:09:24,360 --> 00:09:29,900 to watch it. It just doesn't seem right to me. It doesn't feel right. I think if 136 00:09:29,900 --> 00:09:35,820 you look at when the riots took place in the late 137 00:09:35,820 --> 00:09:42,560 90s, it preceded the widespread access to bare -back 138 00:09:42,560 --> 00:09:43,560 tourism. 139 00:09:44,430 --> 00:09:48,730 You know, the claim that sometimes is made that bareback porn is a major cause 140 00:09:48,730 --> 00:09:55,150 of the amount of unprotected sex and spread of HIV amongst the gay community 141 00:09:55,150 --> 00:09:59,610 an exaggeration. And I think if Prowler and other gay stores took the bareback 142 00:09:59,610 --> 00:10:03,390 videos, DVDs, off the... 143 00:10:13,260 --> 00:10:19,620 I use condoms when I'm with somebody who's negative, 144 00:10:19,980 --> 00:10:26,620 always. But when I'm with other positive men, it might mean that I 145 00:10:26,620 --> 00:10:30,420 only have sex with people that I know and I've had a conversation about other 146 00:10:30,420 --> 00:10:32,520 infections with. I try and avoid 147 00:10:35,700 --> 00:10:38,500 I'll go up to the screen every three months or so, whether I've got symptoms 148 00:10:38,500 --> 00:10:43,320 not. My clinic has a great scheme where if you're positive, you have fast access 149 00:10:43,320 --> 00:10:44,860 to standard STD treatment. 150 00:10:45,240 --> 00:10:49,820 If I have any symptoms, I tell my recent partners, I get treated, and I hope 151 00:10:49,820 --> 00:10:51,480 that my recent partners will do the same. 152 00:10:51,700 --> 00:10:52,700 It's a courtesy thing. 153 00:10:54,880 --> 00:10:59,100 It's part of the responsibility of having lots of casual sex. You need to 154 00:10:59,100 --> 00:11:00,100 protect one another. 155 00:11:00,750 --> 00:11:03,150 And I ended up meeting somebody in the street. 156 00:11:04,170 --> 00:11:10,790 We had a short talk and it was quite obvious that there was a sort of 157 00:11:10,790 --> 00:11:16,190 situation and I told him that I was going home and he invited himself to 158 00:11:16,190 --> 00:11:17,190 with me. 159 00:11:17,270 --> 00:11:22,970 So we ended up at home getting even more intoxicated and having great sex. 160 00:11:24,890 --> 00:11:28,030 And he told me that he wanted me to fuck him. 161 00:11:30,620 --> 00:11:34,880 didn't ask at all about condoms so I stopped him and said well because he was 162 00:11:34,880 --> 00:11:41,460 very young guy and I said listen I'm HIV positive and he said oh that's okay 163 00:11:41,460 --> 00:11:48,020 it doesn't matter and then later on he 164 00:11:48,020 --> 00:11:54,120 asked me the time and said he had to go back to his girlfriend and that really 165 00:11:54,120 --> 00:11:55,120 surprised me 166 00:11:58,240 --> 00:12:02,920 I wonder if that was just a one -off or if that is the attitude of a younger 167 00:12:02,920 --> 00:12:04,480 generation. I guess he was in his twenties. 168 00:12:40,910 --> 00:12:45,690 So I wrote this song called HIV is the New Virginity. The song is supposed to 169 00:12:45,690 --> 00:12:52,350 like kind of an HIV positive empowerment statement, but also kind of like a 170 00:12:52,350 --> 00:12:57,390 queer political manifesto in a way, but acting as a metaphor for a no future 171 00:12:57,390 --> 00:12:58,390 statement. 172 00:13:27,519 --> 00:13:32,800 I know exactly how I became infected. A big sexy skinhead fucked me bareback. I 173 00:13:32,800 --> 00:13:34,420 knew what I was doing. I wasn't drunk. 174 00:13:34,640 --> 00:13:35,640 I wasn't off my face. 175 00:13:35,860 --> 00:13:37,480 It was a conscious decision, a risk. 176 00:13:38,040 --> 00:13:41,440 I took the risk and it didn't pay off. And I'm afraid that's a pretty common 177 00:13:41,440 --> 00:13:45,580 story. The sensible advice is... Particularly if you don't want to become 178 00:13:45,580 --> 00:13:47,040 positive, wear a condom. 179 00:13:47,400 --> 00:13:48,560 Wear one that fits. 180 00:13:48,820 --> 00:13:51,700 Use a water -based lube and you probably won't get infected. 181 00:13:52,160 --> 00:13:55,120 Just don't assume anything about your partner. 182 00:13:55,560 --> 00:14:01,200 And also realise that somebody who knows that they're HIV positive and has a 183 00:14:01,200 --> 00:14:07,760 negative or undetectable or very low viral load is very unlikely to give you 184 00:14:07,760 --> 00:14:08,760 virus. 185 00:14:09,080 --> 00:14:13,900 You're much more at risk from somebody who seems to be healthy and have no idea 186 00:14:13,900 --> 00:14:15,180 that they've just contracted it. 187 00:14:15,380 --> 00:14:19,440 But it's amazing how many people with a drippy dick will go to the sauna and 188 00:14:19,440 --> 00:14:23,160 have sex with 10 people and then come to see me the next day and go, oh, I had a 189 00:14:23,160 --> 00:14:25,700 drippy dick for three days, but I didn't do anything about it. 190 00:14:26,120 --> 00:14:31,640 The second thing is to be aware that actually protective sex works. Wearing a 191 00:14:31,640 --> 00:14:37,120 condom works not only to protect you against HIV, it protects you against 192 00:14:37,120 --> 00:14:37,939 of other things. 193 00:14:37,940 --> 00:14:38,940 I know that... 194 00:14:39,850 --> 00:14:44,310 Just about every time that I've ended up in a backpacking situation, it's always 195 00:14:44,310 --> 00:14:46,890 been in the context of being pretty high. 196 00:14:47,610 --> 00:14:51,730 And when your normal sort of reasoning is slightly gone out the window. 197 00:14:52,070 --> 00:14:58,330 You have to be aware what happens to you when you drink and when you take drugs. 198 00:14:58,990 --> 00:15:05,730 Don't bring yourself too easily in a dangerous situation. 199 00:15:06,490 --> 00:15:08,230 Don't go with cocaine. 200 00:15:27,520 --> 00:15:32,280 So, yeah, I think it's probably a good point of advice for myself, that I think 201 00:15:32,280 --> 00:15:33,280 as you say, well... 202 00:15:35,340 --> 00:15:38,860 It's not a question of, oh, don't get off your face, because if you get high, 203 00:15:38,980 --> 00:15:39,980 you'll not use the condoms. 204 00:15:40,080 --> 00:15:44,360 It's trying to instill in me some sense of responsibility when I'm high. 205 00:15:51,540 --> 00:15:54,900 We have holes in our hearts that our blood runs through. 206 00:15:55,600 --> 00:15:58,320 Holes in our hearts that our blood runs through. 207 00:15:59,000 --> 00:16:01,700 Holes in our hearts that our blood runs through. 208 00:16:02,360 --> 00:16:03,920 Holes in our hearts. 209 00:16:08,520 --> 00:16:13,520 Nowadays, we've slipped back into unsafe sex. 210 00:16:13,820 --> 00:16:18,400 A lot of my younger counterparts are barebacking. 211 00:16:19,060 --> 00:16:25,220 I'm not sure why, but because, again, they need to take a pill and they don't 212 00:16:25,220 --> 00:16:29,460 die. But that's not exactly going to solve everything because I would rather 213 00:16:29,460 --> 00:16:32,420 negative, to be honest with you, because I don't have to keep going to the 214 00:16:32,420 --> 00:16:36,150 hospital. costing the government money for leaving jail. 215 00:16:36,430 --> 00:16:42,670 The costs for HIV infection in the total length are about 216 00:16:42,670 --> 00:16:47,990 500 ,000 euros. 217 00:16:48,370 --> 00:16:55,350 In terms of the financial issues around HIV and their backing, any new infection 218 00:16:55,350 --> 00:16:57,770 costs a vast amount of money. 219 00:16:58,170 --> 00:17:02,450 And we're probably talking over the lifetime of a patient of... 220 00:17:02,970 --> 00:17:04,670 400, 500 ,000. 221 00:17:05,170 --> 00:17:11,670 So it is comparable with other long -term, not 222 00:17:11,670 --> 00:17:13,510 healable diseases. 223 00:17:14,030 --> 00:17:19,250 So the issues of catching another sexually transmitted disease on top of 224 00:17:19,250 --> 00:17:20,250 a number of things. 225 00:17:20,349 --> 00:17:24,530 Syphilis, which is much more difficult to treat and much more unpleasant when 226 00:17:24,530 --> 00:17:25,409 you have HIV. 227 00:17:25,410 --> 00:17:29,630 So it's more likely to be secondary syphilis, which is a whole body. 228 00:17:30,590 --> 00:17:35,470 phenomenon and occasionally neurosyphilis which is when it gets into 229 00:17:35,470 --> 00:17:39,310 and we have had a number of patients very very sick with syphilis I think the 230 00:17:39,310 --> 00:17:44,330 biggest issue is hepatitis C there's no hep C vaccine at the moment and there's 231 00:17:44,330 --> 00:17:49,770 a recent rise in hep C in gay men mainly through blood in fact there's good 232 00:17:49,770 --> 00:17:54,950 evidence that really it is only blood and maybe blood infected other 233 00:17:57,000 --> 00:18:02,240 secretions like semen that's bloody that will transmit hcv we are all about 234 00:18:02,240 --> 00:18:09,180 blood so and even in the anal region when we check the 235 00:18:09,180 --> 00:18:16,080 anal region every day 15 15 times 50 times so it's always bloody because 236 00:18:16,080 --> 00:18:22,460 the hemorrhoids are very thin tissue and just 237 00:18:22,460 --> 00:18:25,020 when you when you touch it 238 00:18:36,580 --> 00:18:43,460 And the difference in 239 00:18:43,460 --> 00:18:48,100 progression to serious liver disease between people who are singly infected 240 00:18:48,100 --> 00:18:51,320 Hep C and dually infected is about tenfold. 241 00:18:51,920 --> 00:18:57,580 So that where you might expect to live 20 or 30 years before you start to get 242 00:18:57,580 --> 00:19:02,360 serious liver disease, many people, not all, but many people with HIV and Hep C 243 00:19:02,360 --> 00:19:05,620 start to get serious liver fibrosis after three or four years. 244 00:19:06,280 --> 00:19:07,900 So it's kind of not a good combination. 245 00:19:08,500 --> 00:19:12,360 My thoughts on Hep C? Well, I've got some fairly strong thoughts because I 246 00:19:12,360 --> 00:19:14,100 became co -infected some time ago. 247 00:19:14,949 --> 00:19:18,950 It took a little while to get the treatment to work. I had two stabs at 248 00:19:18,950 --> 00:19:20,230 it did work. It took a year. 249 00:19:20,490 --> 00:19:25,150 I had a fairly light time on it, but many people don't. The treatment is 250 00:19:25,150 --> 00:19:26,290 to cause depression. 251 00:19:26,910 --> 00:19:28,950 It can be very heavy on the system. 252 00:19:29,150 --> 00:19:32,450 It's like having the flu for a year, a proper flu, not man flu. 253 00:19:32,650 --> 00:19:36,510 And I'll pretty much always ask, do you know your hep C status? 254 00:19:36,790 --> 00:19:37,790 What is it? 255 00:19:38,250 --> 00:19:40,470 I don't think it's something that I've thought about very much. 256 00:19:40,880 --> 00:19:43,880 to be honest, which is worrying because I know it's on the upward trend and it's 257 00:19:43,880 --> 00:19:45,700 not something that is discussed very much at all. 258 00:19:46,260 --> 00:19:50,440 And, you know, people always associate liver disease with alcoholism and forget 259 00:19:50,440 --> 00:19:54,340 that it can be, you know, contracted to sex, you know. 260 00:19:55,440 --> 00:20:01,780 Hepatitis B is hugely significant in terms of the impact it has on the 261 00:20:01,780 --> 00:20:03,560 of people living with HIV. 262 00:20:03,780 --> 00:20:05,460 There was a study that I read today. 263 00:20:06,360 --> 00:20:12,120 from Italy where hepatitis C co -infection was implicated in 40 % of 264 00:20:12,120 --> 00:20:15,840 deaths amongst the cohorts of people living with HIV. 265 00:20:16,460 --> 00:20:20,980 I used to use condoms but I also used to seek out bareback sex and used to have 266 00:20:20,980 --> 00:20:25,860 a strategy of trying to avoid risk of guys not coming in me. It obviously 267 00:20:25,860 --> 00:20:26,940 and I'm positive. 268 00:20:27,680 --> 00:20:32,920 And in some ways I think that was an inevitable trajectory for my personal 269 00:20:32,920 --> 00:20:33,920 life and 270 00:20:34,639 --> 00:20:36,040 area of the scene in London? 271 00:20:36,640 --> 00:20:40,640 You say to yourself, if I go out tonight and I meet somebody, I will use 272 00:20:40,640 --> 00:20:43,200 condoms. And you always imagine that you will. 273 00:20:43,740 --> 00:20:48,060 And these situations where you end up not using one always happen in the 274 00:20:48,160 --> 00:20:50,180 You would never have planned to not use a condom. 275 00:20:51,400 --> 00:20:55,960 So my precautions are to try and always use condoms, even if I'm not always 276 00:20:55,960 --> 00:20:58,740 successful or I don't always pull mine out quick enough. 277 00:20:59,690 --> 00:21:03,730 If somebody wants to bear back sex with me, it will depend on the context. 278 00:21:04,050 --> 00:21:07,710 Generally, it's online these days, and if it's through a certain website, many 279 00:21:07,710 --> 00:21:11,410 of those sites ask their status. They may state what it is. 280 00:21:12,010 --> 00:21:13,470 I never take that for granted. 281 00:21:13,790 --> 00:21:18,970 If I end up in a situation where somebody clearly wants to have sex 282 00:21:18,970 --> 00:21:22,190 using a condom, it can be either one or two things. 283 00:21:22,410 --> 00:21:26,250 I'm negative, and sometimes I end up having bear back sex. 284 00:21:26,530 --> 00:21:29,050 Sometimes I think that the person is... 285 00:21:29,320 --> 00:21:32,060 being equally sort of maybe a bit reckless, like me. 286 00:21:33,720 --> 00:21:38,120 Or, of course, you think to yourself, well, there's a chance that they're 287 00:21:38,120 --> 00:21:39,120 probably positive. 288 00:21:39,480 --> 00:21:46,440 And, of course, suddenly becoming positive, I had to try and change 289 00:21:46,440 --> 00:21:51,720 my headspace completely and assume that everybody else is negative and protect 290 00:21:51,720 --> 00:21:55,220 them accordingly. But, of course, if you're in a bareback club or you're in a 291 00:21:55,220 --> 00:22:00,050 club where most people are barebacking, and people come straight onto you and 292 00:22:00,050 --> 00:22:06,690 either refuse or don't offer to use a condom, I 293 00:22:06,690 --> 00:22:10,210 feel that it's very likely that they're positive. 294 00:22:10,730 --> 00:22:12,130 Would I prefer to be HIV negative? 295 00:22:12,670 --> 00:22:15,610 Sometimes I'm not sure I would, frankly. That may sound terrible. 296 00:22:15,990 --> 00:22:20,050 I don't spend a lot of time thinking about whether I would prefer to be 297 00:22:20,050 --> 00:22:22,070 because I can't change it. 298 00:22:22,270 --> 00:22:25,550 But I guess if I could go back to the... 299 00:22:26,070 --> 00:22:30,590 time that I contracted it and choose again, then I would certainly walk away. 300 00:22:31,150 --> 00:22:36,030 However, I have to say as well that that would mean I would have lost out on a 301 00:22:36,030 --> 00:22:40,850 lot of positive experiences as well as difficult ones that I've had since I 302 00:22:40,850 --> 00:22:42,070 became positive. 303 00:22:42,390 --> 00:22:47,130 So I guess I'm glad that it's a hypothetical question for me, but I find 304 00:22:47,130 --> 00:22:48,130 to answer. 305 00:22:48,270 --> 00:22:50,870 I'm on meds. The meds work very well. 306 00:22:51,070 --> 00:22:52,650 I take one pill once a day. 307 00:22:53,320 --> 00:22:55,100 I'm pretty fit and healthy, I have a good diet. 308 00:22:55,520 --> 00:22:58,460 In the time that I've been positive, I've had a number of long -term 309 00:22:59,160 --> 00:23:01,760 I've changed jobs, done lots of things, been travelling. 310 00:23:02,300 --> 00:23:07,060 You know, life goes on. It is one aspect of life, but it isn't the single 311 00:23:07,060 --> 00:23:08,060 defining one. 312 00:23:08,220 --> 00:23:10,320 No, I wouldn't prefer to be HIV positive. 313 00:23:11,100 --> 00:23:13,380 Because there are other people involved, there's family and friends involved, 314 00:23:13,460 --> 00:23:16,480 and you have to go through, particularly if you've got a partner, you've got to 315 00:23:16,480 --> 00:23:18,220 go through a whole process where you've got to tell them. 316 00:23:18,500 --> 00:23:21,520 But of course there's moments where you just think, I would like to increase, 317 00:23:21,720 --> 00:23:22,720 you know. 318 00:23:23,150 --> 00:23:29,950 As an adult gay male, I'd like to increase my capacity for wild sex that 319 00:23:29,950 --> 00:23:30,950 involve condoms. 320 00:23:31,210 --> 00:23:33,090 But I still don't think it's really worth paying the price. 321 00:23:33,430 --> 00:23:36,030 I've often been at parties and thought, I wish I was positive because I could 322 00:23:36,030 --> 00:23:39,050 just run around and stick it in everyone and not worry at all. 323 00:23:39,690 --> 00:23:43,470 And the upside is there's much more pleasurable, bareback, filthy sex. 324 00:23:43,710 --> 00:23:48,930 And generally, most people I know would say that they would do bareback sex if 325 00:23:48,930 --> 00:23:50,110 it were risk -free. 326 00:23:50,920 --> 00:23:53,920 I think it's very difficult to quantify. There have been a number of studies 327 00:23:53,920 --> 00:24:00,380 that looked at the individual risk of catching HIV from barebacking, either at 328 00:24:00,380 --> 00:24:05,080 the top or at the bottom. The estimate for the bottom is about 1 in 100, and 329 00:24:05,080 --> 00:24:10,000 estimate for a top is about 1 in 1 ,000. But I think it very much depends on the 330 00:24:10,000 --> 00:24:14,160 environment of what the population you're dealing with are. 331 00:24:27,760 --> 00:24:34,460 It's hard to deny that the actual physical sensation of bareback is more 332 00:24:34,460 --> 00:24:38,840 than having sex with a condom, especially for the top, I think. 333 00:24:39,620 --> 00:24:44,200 And possibly emotionally it's more intense as well. 334 00:24:44,900 --> 00:24:46,960 I was originally fascinated by 335 00:24:47,740 --> 00:24:53,860 barebacking when I saw it in like bars and sex parties and clubs and so on go 336 00:24:53,860 --> 00:24:57,360 a place that wasn't a barebacking party but that like pretty much everybody 337 00:24:57,360 --> 00:25:01,740 would be fucking without a condom and I was first like terrified and like 338 00:25:01,740 --> 00:25:07,000 shocked and like whoa but then I was also kind of fascinated by by this kind 339 00:25:07,000 --> 00:25:12,120 like apocalyptic feeling that that everybody was just like like fucking 340 00:25:12,120 --> 00:25:17,040 there was no tomorrow or whatever or going for the ecstasy of the moment and 341 00:25:17,040 --> 00:25:18,320 caring about the future. 342 00:25:18,600 --> 00:25:25,060 But I think that the most seductive thing about barebacking is often simply 343 00:25:25,060 --> 00:25:30,120 fact that it's easier because you don't have to mess around opening packets or 344 00:25:30,120 --> 00:25:31,560 opening crepes. 345 00:25:32,520 --> 00:25:36,780 Sex itself is quite naughty and it provokes feelings of dirtiness and this 346 00:25:36,780 --> 00:25:38,060 like a heightened sort of extension. 347 00:25:39,680 --> 00:25:43,160 Before you know it, you're actually not only not wearing a condom, but you're 348 00:25:43,160 --> 00:25:46,580 completely getting off on the fact that you haven't got one on. What I found 349 00:25:46,580 --> 00:25:52,340 myself doing in a kind of panicked, stupid, crazy sort of sense is entering 350 00:25:52,340 --> 00:25:56,160 sex, penetrating, getting somewhere down the line, and then asking the person 351 00:25:56,160 --> 00:25:59,960 mid -spark as to whether they think they're positive or not, and telling 352 00:25:59,960 --> 00:26:03,200 that I'm negative and I hope that they're negative, which is slightly 353 00:26:03,200 --> 00:26:04,200 ridiculous. 354 00:26:05,700 --> 00:26:09,080 or going through with it and then at the end just pleading with them to tell you 355 00:26:09,080 --> 00:26:13,000 that you are negative aren't you you have been tested haven't you and 356 00:26:13,000 --> 00:26:16,220 you don't get that and I've had sex with people where I've entered into it I've 357 00:26:16,220 --> 00:26:19,580 done it and then afterwards had the sort of hand wringing and the upset and just 358 00:26:19,580 --> 00:26:24,360 saying by the way you know are you negative and they've looked at me as if 359 00:26:24,360 --> 00:26:29,860 say you fucking idiot of course I'm not and that's why I kind of entered into it 360 00:26:29,860 --> 00:26:34,550 so then you walk away going Oh shit, right, well I've done it now, and it's 361 00:26:34,550 --> 00:26:35,550 the first time, you know? 362 00:26:35,810 --> 00:26:37,090 All fucked up! 363 00:26:38,190 --> 00:26:42,950 Ready to fuck, ready for love, and all is up but nowhere to go! 364 00:26:43,870 --> 00:26:47,530 All fucked up and ready to fuck but nowhere to go! 365 00:26:48,470 --> 00:26:52,850 Ready for love, all is up, all fucked up and ready to fuck! 366 00:26:53,110 --> 00:26:57,330 Ready for love, all is up, all fucked up and ready to fuck! 33498

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