Friday, December 29, 2006

a couple of questions


If you were a sexual health specialist, would you advise patients to use condoms to protect against AIDS?

If so, would you have sex with someone you knew had AIDS - even if you used a condom.

5 comments:

Anonymous said...

If AIDs is not diagnosed and one has a promiscuity life, one should use protective material.

If AIDs is diagnosed, one's moral conscience should overrule one's desire to have sex.

Sb said...

Chuck: real trials have shown that used CORRECTLY condoms have an almost %100 success rate. Of all the STI's condoms are most effective against HIV.

Note I said CORRECTLY, that 80% figure that gets passed around includes failures such as forgetting to put it on!

SB

Anonymous said...

Chuck: You haven't said anything that contradicts what I said.

Numerous studies have shown that when used correctly the 100% figure is obtained in the real world.

Numerous studies have shown that many people do not use condoms correctly. That does not mean that condoms are not 100% effective.

Its stupid to say that the 100% is the work of the AIDS foundation, its available from many studies for example the CDC uses the same figure
To quote their study

"In a two-year study of sero-discordant couples (in which one partner was HIV-positive and one was HIV-negative), no uninfected partner became infected among couples using condoms correctly and consistently at every act of vaginal or anal sex versus 10 percent of those using condoms inconsistently"

The reason for the high rate of HIV in the homosexual community is not that condoms do not work but that they are not using condoms.

I don't regard not putting on a condom as being a failure of the condom but the users of that condom.

That is why sex workers are not regarded as a STI vector any more by health professionals, because of their very high usage and correct usage of condoms.

SB

Anonymous said...

So using the figures from the site you quoted the effective rate is between 90-95% not the 80% that you originally posted.

The WHO is currently quoting the figure of 96% for its protection value.

I always said "almost 100%" not "100%" I would say 96% is almost 100% compared with your figure of 80%.

The study you originally quoted from is a meta study. One of the studies they used in their model also reported a factor of 96%.

So using that sites figures condoms provide a very high but not perfect level of protection against HIV. You don't say how long the Italian study was but 1.2% for always correct always use condoms, is a very low rate and higher than 96% protection.

"None of twenty-four couples always using condoms became infected" so for them condoms were 100% effective!

"You are probably correct about prostitutes particularly if they are working in a brothel where they are not using drugs including alcohol" whats alcohol got to do with condom effectiveness in a brothel?


Sb

Anonymous said...

Chuck:Obviously if a prostitute and her client is under the influence of alcohol the chance of them using a condom correctly are significantly reduced.

I disagree. Using a condom correctly is really easy. I can't understand why people have problems. If I have had a couple of drinks then I will still have no problem putting it on. If she has had some drinks then she still can put it on.

If we are so drunk so as to unable to put a condom on correctly then we are probably unable to do the business anyway!

I would only agree with your statement if you said "excessive alcohol " and then security would through you out anyway.

Of course if you at home/bar etc then its different!


Sb