Savage Love | Opinion | Pittsburgh | Pittsburgh City Paper

I'm a young heteroflexible guy who has been a "sugar baby" for wealthy older guys. I get money, I have fun being with them, and the guys seem to like having me around. I just got with a new guy who is really great except for one thing: He is HIV-positive. He says his doctors predict he won't have a shortened life span and may not even have any symptoms that would make his life uncomfortable. I like the fact that he told me, and I am open to being with him sexually even though I am HIV negative and want to stay that way.

He is VERY submissive -- he wants to be used and abused sexually, physically and mentally. What kinds of sex acts are OK to do with this guy? 

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It's pretty simple, HIV: Sex acts that expose you to his semen and/or blood are definitely unsafe, and sex acts that expose him to your semen and/or blood are mostly safe. Rimming you, blowing you (even without a condom), getting fucked by you (with a condom) -- all very low risk for HIV transmission. If he's on a drug regimen and his viral load is undetectable, your already-low risks of being exposed while, say, accepting a blowjob (and a check) are even lower. The risks aren't nonexistent -- all sex acts carry some degree of risk -- but if the risks were any closer to nonexistent, they'd be sitting on nonexistent's lap.

Odds are good that some of your previous daddies were HIV positive and either didn't know or didn't disclose. This guy's willingness to disclose is evidence not just of his honesty and decency, but of his commitment to keeping you safe. This guy is less likely to ask you to engage in sex acts that are higher risk than a guy who isn't aware that he's positive or is actively hiding the fact. And his interest in being "used and abused" creates lots of hot safe-sex-play options -- letting him beat off while he licks your boots or jerking him off while he's tied to the bed are no-risk sexual activities.


I'm a 24-year-old straight guy. I've been with my girl for three years, and things are great. We have lots of sex -- but for the last year or so, she has not been on birth control and we have not been using condoms. We're not against the idea of a child, but we aren't currently going for it. I was always told that pulling out was a 100 percent ineffective method of birth control. So how could we have unprotected sex for a year without getting her pregnant? We both want children eventually and are worried it might not happen.

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Withdrawal is a much more effective birth-control method than most sex advisers are comfortable acknowledging. But facts are facts: A comprehensive study conducted by the Guttmacher Institute found that withdrawal was almost as effective a birth-control option as condoms. 

"If the male partner withdraws before ejaculation every time a couple has vaginal intercourse, about 4 percent of couples will become pregnant over the course of a year," the authors of the study wrote. That compares pretty favorably with the 2 percent of straight couples who will become pregnant using condoms perfectly.

In the real world, very few people do anything perfectly. When you take mistakes, leaks and broken condoms into account, researchers estimate that 17 percent of straight couples who rely on condoms will become pregnant in any given year. Not all withdrawers use withdrawal perfectly, either -- amazingly enough, some guys forget to pull out as their orgasms approach -- but the research shows that just 18 percent of straight couples who use withdrawal will get pregnant in any given year.

So odds are good that you're not infertile, just lucky.


I'm a young lesbian. I recently met a girl who's cute, and we're on the likely-to-have-sex-soon track. The thing is, she's participated in needle play in dungeon-party situations. I'm not turned off by kinkiness just 'cause it's kinky, but it seems like even "safe" needle play is a recipe for STI transmission unless you're playing with trained medical professionals. She says she gets tested regularly, but would it be really risky for me to sleep with her?

Enthusiastic Reader


Every time I've watched needle play in a dungeon-party situation -- watched with my hands clamped over my eyes, peeking through the small spaces between my fingers -- no one was being stuck with rusty needles by dirty-handed brutes. All the needle-play scenes I've witnessed were ostentatiously sterile: These kinksters, some of whom were trained medical professionals, made a big show of using alcohol wipes, cotton swabs, latex gloves and clean sharps. It's fair to ask this girl for more information about her blood and needle experiences, about the safety precautions that her partners took, and about how recently she was tested. But the most effective STI transmission routes involve sticking dicks in people in completely vanilla situations, not clean needles in dungeon-party situations.


CONFIDENTIAL TO AMERICAN LADIES: Republicans took the House of Representatives after campaigning on jobs, debt and taxes. But it's been nonstop assaults on Planned Parenthood and reproductive freedom ever since. The GOP is always going on and on about how they want to shrink the size of government, and now we know why: They want to stuff the government in your vagina.


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