There are two types of discussions about HIV that take place in the gen-pop of Black communities. One, how Magic Johnson holds the cure or about the type of person who contracts this virus. Two is the rhetoric that this is a disease one contracts when dealing with a gay man or when gay. Neither dialogues are helpful in educating communities on HIV.
You'll hear many experts and advocates say that HIV is no longer a death sentence and while this is true, I imagine that none of us are flying a Goodyear blimp in the blue skies that says "come for me." No one asks for HIV. No one. Which makes it all the more important that we stay educated on the topic in a way that is sex positive.
Because despite the 14 million people who had to die due to the government's ignorance and bias throughout the 80s and well into the 90s, there always seems to be a new headline about an influx of HIV diagnosis in one black-ish community or another and part of me feels that has a lot to do with the way we've continuously stigmatized it. This can be easy to do when there isn't proper sex education within many communities. We're having too many of the wrong discussions and not enough of the right ones.
But I've never been one to sit around demanding change while refusing to be part of the solution, so let's chat! Let's debunk what you believe to be true about HIV and get the 411 on preventative measures, plus what a diagnosis means.
Human immunodeficiency virus is what those three often bolded letters stand for in the acronym HIV. According to Dr. Cedrina Calder, it hurts the immune system "by attacking specific cells. The virus affects the body's natural ability to fight infection." She warns, "If the virus is left untreated, the illness can progress to a condition called Acquired Immunodeficiency Syndrome or AIDS."
HIV can be detected by your gynecologist or urologist using one of the three methods: Nucleic Acid Test, Antigen test, or an Antibody test. Rapid and home tests are normally antibody tests that can be conducted with an oral swab or a blood sample. For those with a healthy suspicion of home test, like myself, Dr. Calder says they are 92 percent sensitive. In other words, it will be effective for about 92 percent of those who use it. The nucleic acid test is a more thorough test that doctors may opt for if you test positive.
Is There A Cure For HIV?
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The origin of HIV has been a mystery for the most part. While the CDC suggests that it may have been present in Africa since the late 1800s, it didn't knowingly make its way to the United States until the late 1970s. When it first ravaged communities, it was thought to only be a disease that affected the gay community -- the name given to it during that time was Gay-Related Immune Deficiency (GRID).
It took thousands of people dying annually and a decade of activism from groups such as ACT UP for the Government to intervene and pass policy for FDA approved medications for the infection.
As it stands there is no cure for HIV, there are only treatments. These treatments have become increasingly more effective, increased life expectancy, and decreased the likelihood of HIV progressing to AIDS. As previously mentioned, these treatments make it possible to live a healthy life with an equally healthy sex life after being infected through consistency and maintaining a low detectability rate, making it more difficult to transmit the virus.
Exposure to HIV
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It can't be stressed enough how important it is to be tested regularly for HIV. Your annual visit can suffice unless you engage in "risky" sexual behaviors, and then it is recommended that you get tested more frequently.
Risky sexual behavior doesn't necessarily mean engaging in sex with multiple partners but can simply mean you engage in anal sex regularly. According to Dr. Calder, those who participate in anal sex or are the proclaimed "bottom" are at greater risk due to how easy it is for the infection to pass through rectal tissue. This has to do with the lack of lubrication provided in the area, as well as the fact that the tissue there has a lot of blood vessels.
It's worth noting that HIV cannot be detected immediately after exposure and while it often takes anywhere from least three to 12 weeks, there are some cases where the antibodies take longer to detect.
That said, should you be exposed to HIV unknowingly (this might occur in the case of sexual assault), you have a 72-hour window to get to your doctor for PEP or Post-exposure Prophylaxis. If this occurs over a weekend or any given day where you cannot be seen by your physician, it is critical that you get to the ER to begin treatment.
Living with HIV is more than possible with technological advances, but it does require a shift in your lifestyle. In fact, Dr. Calder reminds us that although there is no guarantee that HIV won't develop into AIDs, with early and proper treatment along with a healthy lifestyle you can "significantly decrease the chance of the infection progressing into AIDs." She further elaborated that this healthy lifestyle might look like limiting alcohol and drug intake, fitness, and a generally clean diet.
HIV Today: Proactive PrEParation
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If you are HIV-negative but currently engage or plan on engaging in sex with an HIV-positive partner, then Pre-Exposure Prophylaxis (or PrEP) is a pill regimented daily that helps to prevent the transmission of HIV. For those engaging in vaginal sex, the pill takes up to three weeks to work.
PrEP solely protects against HIV and it's not recommended that couples stop using condoms or other forms of birth control in lieu of taking PrEP. Furthermore, we know that there is no form of contraception that's 100 percent effective outside a laboratory but it can be 90 percent effective at reducing the risk of transmission through sex.
According to PrEP, the pill is also viable option for women who wish to become pregnant with their partner who is positive.
The Ryan White Care Act AIDS Drug Assistance Program has been around since 1990 and helps low-income people afford medications. And now, with the inclusion of Obama Care and the Affordable Care Act, these medications are more accessible than ever. At this juncture, Medicaid and most insurances cover the cost of the PrEP pill, but if you don't have access to those programs, there are organizations you can reach out to for financial assistance.
However, as Dr. Calder points out, it's these type of socioeconomic disparities that have continuously made HIV an epidemic amongst those who identify at the intersection of black, gay, and male.
It must be said that by perpetuating stereotypes, the groups impacted by any disease only become pushed further into the margins, making it more difficult to take preventative measures. Thus, why it's so important for us to have these discussions and create a safe space for people to address genuine concerns, correct misinformation, and further expound upon the dialogue.
Featured image by Getty Images.
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RELATED
Let me start this off by saying that of course, to a certain extent, the answer is subjective because it’s mostly opinion-rather-than-fact driven. However, I personally think that sex is hella impactful, which is why I hope that my personal breakdown will at least cause you to want to think about what you do, who you do it with, and why, more than you may have in the past.
Because although, at the end of the day, the physical aspects of making love, having sex, and f-cking are very similar, you’d be amazed by how drastically different they are in other ways…at the very same time.
Making Love
GiphyBack when I wrote my first book, I wasn’t even 30 at the time and still, one of the things that I said in it is, I pretty much can’t stand the term “make love.” Way back then, I stated that sex between two people who truly love each other and are committed for the long haul, when it comes to what they do in the bedroom, it’s so much more about CELEBRATING love than MAKING it. To make means “to produce” or “to bring into existence;” to celebrate means “to commemorate,” “to perform” or “to have or participate in a party, drinking spree, or uninhibited good time.”
The act of sex, standing alone? It can’t make love happen and honestly, believing otherwise is how a lot of people find themselves getting…got.
What do I mean? Tell me how in the world, you meet a guy, talk to him for a few weeks, don’t even know his middle name or where he was born and yet somehow, you choose to call the first time you have sex with him (under those conditions) “making love.” You don’t love him. You don’t know him well enough to love him. He doesn’t love you either (for the same reason). And yet you’re making love? How sway? Oh, but let that sex be bomb and those oxytocin highs might have you tempted to think that’s what’s happening — and that is emotionally dangerous. And yes, I mean, literally.
If I’ve said it once, I’ve said it a thousand times before, that one of the reasons why I like that the Bible defines sex between a husband and his wife is by using the word “know” (Genesis 4:1) is because, well, I think that is what celebrating love is all about — we know each other well enough to know that we love each other, we know each other well enough to know that we aren’t going anywhere, and that knowing is what makes us want to celebrate that union by getting as close to one another and bringing as much physical pleasure to each other as we possibly can…as often as absolutely possible.
To me, that is what the peak of physical intimacy is all about — and the people who choose to use the term “make love,” it should be seen through this type of lens. When this type of mental and emotional bond comes together via each other’s bodies, they are amplifying love, enjoying love, embracing love.
Making it, though? Chile, the love has already been made. Sex is just the icing on the cake.
Having Sex
GiphyA few nights ago, I found myself rewatching this movie called Four of Hearts (which you can currently view on yep, you guessed it: Tubi). It’s about two married couples — one that is in an open marriage and another that isn’t although they somehow thought that sharing a night with the other couple would be a good idea (chile). Anyway, as one of the partners found themselves getting low-key sprung, the one they fell for said in one of the scenes, “It wasn’t a connection. It was just sex.” JUST. SEX.
Listen, when you decide to let a man put an entire part of his body inside of you at the risk of potentially getting an STI/STD or pregnant (because no form of birth control is 100 percent except for abstinence), it can never be “just sex” (somebody really needed to hear that too). At the same time, though, I got the character’s point because, if one or both people do not love each other or even deeply care for one another and/or sex is treated as an activity more than an act to establish a worthwhile connection and/or you and the person you are sleeping with have not really discussed what you are expecting from sex besides the act itself — you’re definitely not making/celebrating love.
Not by a long shot. What can make things get a bit complicated, though, is you’re doing the same act that “love makers” do without the same mental and emotional ties…or (sometimes) expectations.
You know, back when I decided to put all of my business out there via the piece “14 Lessons I've Learned From 14 Sex Partners,” now more than ever, I am quite clear that most of those guys fell into the “having sex” category. I wasn’t in the type of relationship with them where “making love” even made sense; however, because I was friends with most of them, we weren’t exactly f-cking (which I will get to in just a moment) either. We had a connection of some sort for the bedroom yet not enough to be together in the other rooms of the house.
We were really attracted and curious, so we decided to act on that. Oftentimes, the sex was good and so we rationalized that “having sex” was enough because if the friendship was, eh, “sound enough”, that we could justify the physical pleasure.
And y’all, that’s kind of what having sex is — it’s the limbo (or purgatory, depending on your situation) between making love and f-cking. The thing about limbo ish is it’s a lot like something being lukewarm: it’s not really one thing or another which means that it can completely blindside you, if you’re not careful (and totally honest with yourself as well as your partner(s)).
So, if you are contemplating having sex, I really — REALLY — recommend that you figure out how you feel, what you want (outside of the act itself) and if you are prepared for what “not quites” can bring. My mother used to say that the consequences of sex don’t change just because the circumstances do — and there is some solid “wow” to that, if you really stop to think about it.
GiphyAnd finally, f-ck. Although most experts on the word (and yes, there are some) agree that its origin is rooted somewhere within the German language (although some say that it might’ve come from Middle English words like fyke or fike which mean “to move about restlessly” or the Norwegian word fukka which means “to copulate”), you might have also heard that it is an acronym that once stood for “Fornication Under Consent of the King”; and there is actually some data that is connected to that as well.
Legend has it that way back in the day, in order to keep reproduction rates where a particular king wanted them to be, he would instruct his residents to have sex with each other — whether they were married or not (hence, the word “fornication” being in the acronym). However, because sex outside of marriage was taken far more seriously at the time, residents had to apply for a permit to participate so that the king could determine if things like their occupation and lineage would prove to be beneficial for the kingdom overall. F-ck: no love; just necessity. And although some believe this to be more myth than fact, what is certain is it was only over time that f-ck was seen as a profane/swear/cuss word — a word that was perceived to be so offensive, in fact, that between the years 1795-1965, it didn’t even appear in dictionaries.
Personally, when I think of this four-letter word, the first thing that actually comes to my mind is animals. Take a dog being in heat, for instance. That’s basically when a female dog is ovulating and wants to have sex the most. It’s not because they are “in love” with another dog; they are simply doing what instinctively comes to them — and since animals do not reason or feel at the same capacity that humans do, although they science says that many of them do experience pleasure when they engage in their version of sexual activity, it’s not nearly as layered or even profound as what we experience.
Let’s keep going. Another reason why f-cking makes me think of animals is due to the doggy style position. Hear me out. Ain’t it wild how, most of us pretty much know that the term comes from how dogs have sex, even though most animals have sex that same way — and think about it: Doggy style doesn’t consist of making eye contact or kissing while having intercourse. It’s “hitting from behind” without much emotional energy or effort at all. Just how animals do it. And so, yeah, f-cking does seem to be more about pure animal — or in our case, mammal — instinct. I don’t need to feel anything for someone, so long as the sexual desire is there. Hmph.
Something else that I find to be interesting about f-cking is how dictionaries choose to define it. Many of them are going to provide you with two definitions: “to have sexual intercourse with” and “to treat unfairly or harshly (usually followed by over)” and that definitely makes me think of another term — casual sex and words that define casual like apathetic, careless and without serious or definite intention. So, the dictionary says that while f-cking is about having sexual intercourse — just like making love and having sex is — it goes a step further and says that it can include being treated unfairly or harshly.
And although that can make you think of assault on the surface, for sure — sometimes being treated unfairly or harshly is simply feeling like someone had sex AT you and not really WITH you; instinct (i.e., getting off) and that’s about it. Yeah, the way this puzzle is coming together, f-cking seems to be more about lust and self and not much else.
Now That You Know the Difference, What to Keep in Mind
Y’all, this is definitely the kind of topic that I could expound on until each and every cow comes home. That said, here’s hoping that I provided enough perspective on each act to close this out by encouraging you to keep the following three things to keep in mind:
1. Before you engage in copulation, be honest with yourself about what you’re ACTUALLY doing — and that your partner agrees with you. You know, they say that our brain is our biggest sex organ and honestly, breaking down the differences between making love, having sex and f-cking helps to prove that fact. I say that because, although the sex act itself is pretty much the same across the board, you and your partner’s mindset can make the experience completely different. That said, if you think that you are making love and they think y’all are just having sex — stuff can get pretty dicey. Bottom line: communicate in the bedroom before attempting to connect outside of it. It’s always worth it when you do.
2. Yes, you can feel one way and do something else. I can just about guess what some of y’all are on: Shellie, we can love our partner and still just want to f-ck. If what you are saying is you can emotionally love someone and physically lust them and want to act sometimes on the lust without really factoring in the love — yes, I agree. Doggy style continues to be a favorite sex position for people, in general, and I’m more than confident that many of the participants polled are in a serious relationship. However, having lust-filled sex with someone who you know loves you is vastly different than doing it with someone who you have no clue what they think about you or you barely know at all. Y’all, please just make sure that you know…what you should know. Sex is too amazing to have a lot of regret after it.
3. Have realistic expectations about sex. Listen, so much of my life consists of writing and talking about sex that I will be the first one to say that it deserves a ton of props for what it is able to do, in a wonderful way, for people mentally, emotionally and physically. Yet again, I’m not a fan of “make love” because something that feels really good doesn’t always mean that it is good for you. Meaning, you’ve got to be real about what sex with someone will do to your mind and spirit — not just what it will do for your body. An author by the name of Gabriel García Márquez once said, “Sex is the consolation you have when you can't have love.” For no one, should this be a constant norm. Feel me? I hope you do.
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One act. Three very different experiences.
It’s kind of wild that sex has the ability to create that — and yet, clearly, it does.
Please just make sure that you know which experience you’re signing up for.
So that you’re having sex (you know, in general) instead of sex having you. Real talk.
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