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I'm going to assume a bit and for that I'll apologize in advance. I'm assuming you're in a high risk group for HIV. Why not just use condoms? Is it because t
by schlipity 2y ago
I'm going to assume a bit and for that I'll apologize in advance. I'm assuming you're in a high risk group for HIV. Why not just use condoms? Is it because they aren't 100% effective?
- halfmatthalfcat 2y agoIsn't this like asking by do we have multiple methods of birth control? Pill, IUD, etc?
- schlipity 2y agoThis is a great way of looking at it, thank you for that.
- david38 2y ago[flagged]
- mvid 2y agoWhat if I engage in correlational sex? Also this is wrong. Most people I know use multiple versions of birth control. Access to the morning after pill and abortion is a form of birth control. Being on the pill and also using condoms is common.
- vidarh 2y agoWhile that might be true for "most" people, plenty of people do still use multiple forms at the same time - including people who do not engage in a lot of casual sex. But lots of people also do have lots of casual sex, and that is a choice they have every right to make.
- granfaffalo 2y agoI'm not going to make such an assumption, but two reasons people prefer PrEP generally: 1. in sex work, "not using a condom" is an "extra" that clients will pay quite a bit for 2. people who "party and play" tend to be in an altered state of consciousness that biases against use of condoms
- justinclift 2y ago> in sex work, "not using a condom" is an "extra" that clients will pay quite a bit for To me, that is such a weird thing. People literally paying money for something that can damage them for life and may even kill them. Though the same can be said of addictive things (smoking comes to mind), is this some form of that maybe?
- shiroiushi 2y ago>People literally paying money for something that can damage them for life and may even kill them. You could say the same about sky-diving.
- justinclift 2y agoYep, sure could. :)
- mattmaroon 2y agoRisk always entails a premium.
- mypalmike 2y agoNot generally, no. Driving that car with the sketchy suspension is cheaper than getting it fixed.
- snapplebobapple 2y agoHave you had sex wearing a condom vs not? Its gotten better in the last twenty years but it is still noticeably worse
- iknowstuff 2y agoCondoms are less effective at HIV prevention, but also they’re unpleasant and don’t prevent most STIs because of oral sex. Nobody’s giving or getting head with a condom. People who stay on top of preventative measures tend to not bother with condoms since PrEP became prevalent. Preventative: 1. Gardasil 9 (vaccine against 9 strains of HPV, prevents genital warts and cancers caused by HPV) 2. Monkeypox vaccine 3. Meningitis ACYW vax 4. Meningitis B vax (35% effective against gonorrhea) 5. doxyPEP (two pills of doxycycline taken after sex, 90% effective against syphilis, 80% chlamydia, 50% gonorrhea) 6. PrEP (prevents HIV infections) 7. and the usual suite of vaccines against the rest like hepatitis A/B, mumps etc Treatment of the bacterial ones (which transmit through oral too): 1. syphilis - butt shot of penicillin 2. chlamydia - 1 pill of an antibiotic 3. gonorrhea - a week of doxycycline pills or one butt shot of ceftriaxone Remaining: HSV. Half of the population has it, so no big deal. Condoms dont prevent it either. As for hepatitis: even though it requires blood contact and as such is not necessarily considered an STI, hepatitis c is curable these days thanks to DAAs taken over the course of 8-12 weeks. a/b have vaccines.
- anjel 2y ago...And your odds of making it through that pharma-minefield with zero side effects are not encouraging. Worse still--large scale casual sex is a great way to introduce new, novel and un-contemplated STDs into the population. STDs are opportunistic that way, just ask Mr. triple-resistant Gonorrhea. It's decidedly not the way I want it to be, but that's just how it works. For casual sex to be safe I think its more like "Hi, please spit into this tube so we can get busy" and red means HIV, Green means Monkeypox, comprehensively.
- autoexec 2y agoIt's not just about casual sex though is it. There are many people in long term monogamous relationships with a partner who has an STD, but who don't want to catch it themselves. Vaccines and medications can allow them to have active sex lives while staying healthy and in some cases even help women go through pregnancy and childbirth while preventing the spread of an STD to the child. For these people minor side effects (and at times even more severe ones) can be entirely worthwhile.
- heavyset_go 2y agoPeople lie and condoms break.
- 01333229541 2y ago[dead]
- JanetToolsmith 2y ago> Why not just use condoms? Why not just save money and not install those ECP brakes on your vinyl chloride freight train? Why not just use one unshielded Raspberry Pi on that spacecraft instead of a 3-of-5 quorum from the output of 5 identical engineered-for-space systems? Using/requiring condoms AND being on PrEP helps me live my best life with less fear-based inhibition and cognitive load.
- Flumtioniro 2y agoThe same reason why not everyone drives the safest car: cost and other negatives. In case of a pill perhaps negative side effects. I have no clue how often a person in high HIV risk has sex or behaves. It should be fine to ask that question
- JanetToolsmith 2y ago> It should be fine to ask that question It is. I interpreted the parent post as a neutral question, and I intended my reply to involve playful analogizing. I'm sorry that it didn't reach you as such through the side-channel-impoverished medium of text.
- 39896880 2y agoIt’s because they’re no fun.
- 01333229541 2y ago[dead]
- brunoTbear 2y agoSome of us prefer to enjoy sex as a beautiful act of human connection and condoms detract from being in the moment of joy. This is like saying to someone killed in a motorcycle accident why didn’t you use a car. It’s a reductive, unempathetic and frankly unproductive take. Please think before asking this again.
- oopsallmagic 2y ago[flagged]
- oopsallmagic 2y agoCondoms aren't perfect, and PrEP is cheap and has basically zero side effects. Plus, rapists don't use condoms, no matter how nicely you ask. Edit: lmao touched a nerve? I will never understand why folks here get so prudish when we talk about sex... "Just wear a condom!" is remarkably insensitive, as though 100% of HIV transmission is your own fault, and not, say, someone else who has bad intentions.
- throwaway7ahgb 2y agoWhy not just not have sex unless trying to procreate? It's amazing in 2024 this line of discussion is happening. We all know exactly at a individual level what to do and not. We can keep asking "Why not just use a condom?" and see how far that gets us, or actually understand psychology and use patterns and work with what people actually do (good or bad). Same can be said about (illicit) drugs, why not just not do drugs? Simple!
- AlexandrB 2y ago> Same can be said about (illicit) drugs, why not just not do drugs? Simple! It is actually simple. Just not easy. Same with losing weight - consume fewer calories than you burn.
- rswskg 2y agoI guess you aren't assuming to be around when the osteoporosis kicks in?
- throwaway7ahgb 2y agoWhat are you implying, if I have sex without a condom I'll die sooner?
- hn_throwaway_99 2y agoWho prefers to chew gum with the wrapper on?
- bravura 2y agoBesides the other nice reasons people offered, because "stealthing" (when someone removes a condom during sex without the other person's consent or lies about having put one) is remarkably common, and not as easily noticed as you might expect.
- whimsicalism 2y agothis might be news to HN, but condomless sex feels significantly better moreover, condoms can have numerous issues like tearing or stealthing
- fullspectrumdev 2y agoThey can break, so multiple protective elements is better.