I Met A Man... Can I Give Him HIV?

I met a man and OMG he was just simply charming. Now I usually don't give my number to random men on the street, but did I say he was sooooo charming?!

Even Chloe liked him, but ummm now that I think about it, Chloe likes everyone she sees. But the fact that he took the time while macking to bend down and speak to my baby girl was a brownie point. But umm that could have been a part of the Mack game to. LOL But unmm I still gave him my number. Did I say how charming he was?

We made it through the first round of "gettin to know" each other. And I'm not sure if we are even going on a date. I try not to make assumptions because that's when feelings get hurt. Now don't get me wrong, I have standards like mutual respect etc. etc. etc. What I'm talking about is not marrying him in your head before you know if he puts the toilet sit down, look at you like you're the only woman in the room and most importantly not some misogyntic butt hole. Like for real for real. But now that I think about it, charming men tend to love women, all of them. What have I gotten myself into? But then again, I try not to make assumptions even about charming men.

 So here I am, I've given my number to a very charming man and we have gotten beyond at least the introduction. Now I have to be honest, this created some anxiety  that I haven't felt in years; Mainly, I got to tell this man that I have HIV but on top of HIV that I'm this super famous woman who goes around the country talking about having HIV. This is not an easy thing. 

It's been years since a man approached me that didn't already know who I was and this sent me back to a place that I haven't been in years. Since my divorce well over 17 years ago, I've learned that being famous with HIV is collateral damage. Even when a man likes you, they are faced with the stigma that comes with dating a person with HIV. And don't be in denial, it does come. Why would he date her? Does he have HIV also? Will she give him HIV? And the list goes on and on. 

Prior to the cover of Essence, there was no need to tell a man that I had HIV until we had been on a few dates and I've made sure he wasn't crazy crazy. It was always about, do I think this man is worth my energy, worth me and once I reached that point, I would have the "kitchen conversation" sitting at the table with my clothes on explaining that I am HIV positive; answering all of his questions and explaining the ramifications of what dating a positive woman means for him. But back then it was a mutual secret. Remember, those first 7 years I told like 5 people that I was positive, other than the men I dated.

So the "kitchen conversation" is important. I've always believed that a person should be informed so that they can make what they feel is the best decision for their life. Everyone has that right, even the right to not date a person who is living with HIV. That goes for whatever the reason, stigma, risk and even I don't want to be bothered with dating a person with a chronic Illness. 

But today the "kitchen conversation happens a lot earlier for me.  I almost have to have the, "I am a public figure" conversation. Now what if I don't tell him right away, and we bump into someone who recognizes me? People come up to me often in public, and what if THAT PERSON who says. "Ain't you that lady with AIDS" bumps into us having dinner. And once I tell him my last name and he googles me or send me friend request me on Facebook, it's a wrap. Like, being this public person flows into every area of my life. So much pressure being "THAT GIRL." Now for sure, I wouldn't change a thing. God has given me a gift and I would rather use my gift  and be single for the rest of my life if that be the case.

Now again, I have no idea if this is going anywhere. Shoot, I'm writing this blog and may never talk to him again. But this situation got me to thinking about  being infected and dating with HIV in 2016. 

 Its crazy that the risk of infecting a person is so very very low today, unlike it was let's say even 17 years ago. But the stigma is at a freaking stand still. Its like people can't move beyond 1994 when I was on the cover of Essence. So I thought that I would take this opportunity to update you on the risk factors of dating a positive person and the new medical advancements. If I never talk to this man again, well at least he got me to write a blog for you, and y'all know I've not been that inspired to write very much as of late. So it's all good. 

OK! Let me lay it out for you. I'll give it to you in lay terms as much as I can. I have also provided links.  It's a tad long, but its good information, and I'm going to ask all of you to share this blog on your Social Media sites.

1) A person who is living with HIV man or female who's viral load is undetectable is very unlikely to transmit HIV to another person. Let me say it this way, even if you do not use a condom or the condom breaks, if the person living with HIV viral load is undetectable the risk of infecting another person is significantly low. Scholars have been playing it safe, and saying 96% safe.  My former doctor, whom I trust with my life,  said to me and I quote, "it's zero infection Rae" 

The latest study was 30,000 sexual acts with a positive and negative person and Zero inflections. WHAT THE HECK DOES ALL OF THIS MEAN???? Glad you asked. It means that a person in treatment with an undetectable viral load both in their blood, semen ad vaginal secretions, CANNOT transmit HIV. Now let me expand viral load.

A) Viral Load is the amount of HIV that has copied in your body. The more it copies, the sicker a person is likely to be, and the greater risk there is of infecting their partner. 

Thirty-Five years into the AIDS pandemic, treatment is remarkable. There are 32 different HIV medications, which we call antiretrovirals and five different classes of antiretrovirals. Taking a combination of antiretrovirals is often referred to as HAART. When a person takes HAART medications it actually reduces the HIV virus from the body and blocks copies of newer resistant strains when the virus copies. This viral suppression means that a person will less likely develop AIDS Related Complex or even transition to AIDS. 

If  a person has already transitioned to AIDS, like in my case, HAART therapy will suppress the virus from doing any new damage to my body. But the damage that has already been done to my immune system cannot be reversed. ( that's why I have more health problems then the average person today with HIV) 

The success of HAART is why its important for people to be tested at lest once a year. Being diagnosed early, getting into treatment, complying with treatment and staying in treatment will prolog your life and the quality of your life.  Furthermore, this alone will reduce the new cases of HIV. About 38% of newly diagnosed persons with HIV are infected by a person who did not know that they were infected.

B) There are some factors in transmission of HIV with an undetectable viral load, such as, other sexually transmitted diseases, menstruation, and the level of virus in a woman's vaginal sectarians and male semen. Usually, HAART medication reduces ones viral load in both blood, semen and vaginal sectarians, but there are some instances where this has not been the case. Read here

C) An Undetectable Viral Load does NOT mean that you no longer have HIV. Yes, HIV is still in your body, but in very small amounts. The smaller the amount the more difficult it is to transmit HIV. Undetectable is optimum.

D) What if a persons Viral Load goes up? Well it then means that the risk factor of infecting someone goes up, and this also increases their chances of disease progression. So for example, back in 1997 my viral load for 400,000 thats a lot of virus, My T-Cell Count was 8 and I was very sick. During this time the risk of me infecting someone was far greater then today. 

E) Why does a person Viral Load increase? Drug resistance. HIV in your body has developed a resistance to the medications, whether it's one in your combination, or all? 

F) Why does a person develop resistant to HAART therapy? Typically failure to comply with ones treatment is the reason resistance sets in, but not exclusively.

• When a person does not take their medication as prescribed; missing dosage, stopping and starting at random all of these can cause a resistance. BUT if a person does what they are supposed to do then the chances of resistance is low. Of course their can be just plain old drug failure, but if a person is in care their doctor is on top of it.  

• For example, my viral load gets tested every 3 months. And BTW my Viral Load has been undetectable for 13 years and staying steady, thanks be to God, but ummm I do what the fuck I'm supposed to do too. POW!! If you don't do good, you can't expect good results!

G) Ok I know, I know what you are saying, nothing is full proof. I agree, that's why condom use is still important.  Plus I'm not trying to get Zike from anyone. BOOM! But we have come a long way from those early days when risk factor was so much higher. I'm going to also remind you that female to male transmission has always been very low. Its like 20-1 that a woman will infect a man.

2) PrEP is also a medical breakthrough in HIV Treatment and Care!

What the heck is PrEP! I'm glad you asked. Its a pre-exposure prophylaxis; a once a day antiretroviral that a person who is not infected takes to prevent HIV infection. Yep, one pill, once a day. I've covered this topic in my Charlie Sheen blog here. But the bottom line, PrEP does prevent HIV. I think a person must determine for themselves, based on their lifestyle if they should consider taking PrEP Now that I'm back in the groove. I will write another blog about PReP in the next week or so to give you my detail thoughts, in the meantime you can learn about it here.

For sure we have come a long way in thirty-five years. What I want for you, is to advance your mind with the medical advancements. This staying stuck and not embracing these new and exciting advancements around HIV is like ummmm still trying to use My Space. This staying stuck also perpetuates stigma. If you continue to relegate AIDS to be this horrible death sentence that it once was, you continue to deny those living and thriving  with HIV the beautiful miracle of life. Keeping HIV in a time warped continues to push the paradigm of hopelessness. Does that impact our dating, you damn right cause who wants to date someone who society believes is a walking death sentence!? Come on y'all, help a sista out, change your mind and your ass will follow....

Tap Into Your Own Power!

Today is National Women and Girls HIV/AIDS Awareness Day and my message is unwavering. We have to tap into our own power. We have to make the decision to put ourselves first, love ourselves first and absolutely love ourselves more than wanting and needing a man in our life.  

Now don't get me wrong, there is nothing wrong with dating and love and all that good stuff. There's even nothing wrong with sex. Studies show that people who have sex are happier beings. 

It's just, the decision that you make about your life and body should be rooted in self-love, not the love or desire for love that you have or want from another. If I've learn one thing from other women in the twenty-two years that I've been educating about HIV/AIDS, it's this, the only person that will keep you safe in the end is you.  If I had a dollar for all the stories women have told me about what they thought about their relationship that was not true, I could get me a cute designer bag. 

We make decisions everyday about our lives, based on what someone has told us that we believe, what we assumed and even what we hope for our future. When we should be making decisions on what we know to be true, for sure. We plan our future down to the last "T" but when it comes to dating and love we sometimes get so caught up, that we start making decisions that leave us vulnerable. 

Let me use this example, if your employer told you that your job was going to end. They don't know the date, but for sure, it was not going to last.  You would start looking for another job in spite of the fact that you continue to go to work  everyday. You wouldn't keep hoping that the job wasn't going to end, you would prepare yourself. In fact, even if six months had passed the stress along of waiting for the ball to drop would make you get the hell out of that place.

But if a man tells you that he does not want a relationship, yet he keeps calling, texting, soaking up your space and diving into your goodness, you would rationalize that he eventually will come around. "He must like me," you say to yourself, "but maybe he's afraid of commitment." His behavior makes you  think that one day he's going to say, "I want you as my woman for real" *blank stare* But the man done told you that he does not want a relationship and he meant that shit. That's why he has never introduced you as his women, in spite of how he treats you in private . You keep holding on waiting and wanting and losing a part of yourself with each passing day. Ladies, I'm a witness that the idea of a healthy relationship does not make it true. Just like when the boss say that they are closing the doors, coming to work everyday does not change that fact.

I keep asking why we make these decisions for ourselves that our unhealthy in search of what we think will make us whole. When in fact the only thing that will make us whole is living from our soul.  We live from our soul when we make decisions that lift us up in every single way, mind, body and spirit. Oprah says all the time, that we are responsible for ourselves and that is a truth I will bank on. Yet we surrender ourselves in the name of love.  It really is up to us to take control over our lives and our bodies. Our body belongs to us, our life is our own and some of us treat our designer handbag better than we treat ourselves. 

My suggestions to take control over your life and body.

1) Insist on Condom Use. Every time you have sex without a condom you put your life against that sexual experience and for sure there is no sex worth your life. I promise, if you tell him, no condom no sex  and mean it, he will adjust. If he doesn't want to adjust, you have to not only ask yourself but also give an honest answer, is sex without a condom a risk I'm willing to take? Am I prepared for the consequences of what I don't know?

The reality is this, it's 2 to 1 that a man will infect a woman with HIV and 20 to 1 that a woman will infect a man. Furthermore, over half of the cases of women infected with HIV are through heterosexual sex. We continue to have unprotected sex a decision that is made on what we think we know or we do it in the heat of the moment. Passion will not save your life, neither will your assumptions about your partner. For sure, If the penis ain't in your pocket you have no idea what it's doing when it ain't with you. I say often, "I hope what you think you know about your partner is true."

2) Everyone who has ever had sex needs to be tested for HIV. When people say they don't want to know, I say that's some stupid shit. Why wouldn't you want to know about a medical condition that can be treated and with an early  diagnosis and virus suppression you could live a long life.

It's 2016 and every 10 minutes a person still becomes infected with HIV in the United States. Furthermore 38% of newly diagnosed HIV cases are of people that were infected by someone who did not know that they had HIV. Testing along can reduce the cases of new infections.

I have HIV and I insist that my partner have an HIV test. First off, I don't want to live in that kind of ignorance for him or myself. Most importantly, I am not trying to get re-infected with a different stain of HIV. What I have is more than enough.  By the way, a man can't tell me he got tested a year ago and let it ride. I have no idea what you have done with your penis in the 12 months prior to me. 

Testing for HIV is one of the best things that you can do for yourself. Staying in that ignorance could mean  how long you live or how soon you die. If you test positive  the better off you are in terms of life expectancy. The earlier they suppress the virus the healthier you will be. I know you think you know, but honesty, you don't know until you  take an HIV test. Living in what you think you know rather then what you know for sure is not a healthy lifestyle. I bet you know how much that handbag is that you want so you can get your money in order. *Blank Stare* But you don't know your HIV Status?

3) Have a talk with your partner. I find it so strange that when we talk about sex, we leave out some of the most important things. We know what position he likes best and that is important, and what you like it is equally important. But have you sat down and talked about HIV testing, condom use and other sexually transmitted disease. Have you even opened the door for the conversation? So many people are living with herpes and HVP, not in secret, not just HIV. You must to be willing to have an adult conversation about sex and how it happens with your partner. It makes for a healthy start to any relationship.  

So how to you talk about sex? At the kitchen table with all your clothes on. You cannot talk about sex, condom use in the moment of passion.

4) If you are infected with HIV. Get into treatment and care and STAY in treatment and care. I know it seems like an overwhelming burden. You send me messages about your struggle. But if I can do it for 33 years so can you. Think about this, when I was diagnosed there was no treatment, then came AZT, then can DDI then came more and more and more. I kept doing what my doctors asked of me and it saved my life. I want you to live a good life and the earlier the virus is suppressed the better off you will be.

a) Take your medication as prescribed

b) Talk to your doctor, ask questions, Co-partner with your care.

c) Get a support system. YOU CANNOT DO THIS ALONE

d) Get into some kind of therapy. Depression is very common with HIV and you don't need anything working against you

e) Find you a spiritual outlet

f) Find a community for yourself via social media. There are many people who follow me on my different social media sites who are positive and my post inspire them to keep going. Community is very important. YOU CANNOT DO THIS AlONE!

At the end of the day, I want women to  know that we have so much unspoken and untapped power! My challenge to you today, whether  you are infected or affected is to tap into the power within you, for a better you! Namaste

In honor of Women and Girls HIV/AIDS Awareness Day the Office of Women's Health is sponsoring a blog hop. Please check out  the blog post of my partners for today.

Rae Lewis-Thornton Diva Living With AIDS Blog (Twitter, Instagram, Facebook)

Charreah Jackson,  Essence (Twitter, Instagram, Facebook)

Karyn Lee,  Red Pump Project (Twitter, Instagram, Facebook)

Dr. Hazel Dean, Black Doctor  Twitter, Instagram, Facebook)