Sex for gay men who know they are positive can be just as fulfilling as that for men who are negative and want to remain that way.
Even if your viral load is undetectable, it is still possible to pass on HIV. The virus concentrates in bodily fluids, such as cum. Even if you know that your partner is also HIV positive, his strain of virus will be different to yours. So, if you have unsafe sex, both of you could end up with double infections and needing more complicated treatment in the future.
Picking up a sexually-transmitted infection can have severe consequences if you are already HIV positive. Hepatitis can be more unpleasant, and even gonorrhoea can affect your viral load. So, try and avoid catching anything if you can. If in doubt, pop along for a check-up.
Non-penetrative sex is the safest of all. Let your imagination run riot! Get the massage oil out, ice cream or candle wax. Explore your fantasies. Visit your DIY shop for a cheap supply of toys!
Oral sex may lead to HIV being passed on, particularly if a guy cums and the receiving guy has got gum disease or cuts in the mouth. There are lots of condoms available (in a variety of flavours!) which make oral sex safer.
Fucking is the riskiest of all, in terms of spreading HIV and other sexual infections. Using condoms carefully makes fucking a lot safer and maybe more enjoyable too - you can relax into it, with the knowledge that you and your partner are being as safe as possible.
If you have any questions about sex and your HIV status, come along for a chat at the Steve Retson Project - or discuss matters with your specialist.