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Gay culture can put a lot of value and pressure on having sex. But very often there are steps you can take to overcome these challenges. One of the most recent controversial questions is whether an HIV-positive person on antiretroviral treatment and with an undetectable viral load can pass on HIV to another person through sex. Here are some issues that you might consider as you chart your course. Jump to Navigation Jump to Content. Like many other aspects of HIV, sexual health is a big and often complex subject. Others, such as syphilis, can require more aggressive treatment currently, while a single dose of intramuscular penicillin is the standard treatment for early-stage syphilis, some experts may prescribe a stronger course of treatment for PHAs. High rates of frailty seen among middle-aged and older HIV-positive people in Alberta. For many poz gay men, being positive creates a lot of anxiety and guilt, and there may not be the desire to have sex at all.

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