This new study looks at couple's sexual prevention behaviours at all time points in the study. The previous analysis, of whether there was any risk of transmission by the HIV-positive partner if he had an undetectable viral load, excluded all sex acts that were covered by condoms or PrEP. In fact, a high proportion of couples continued to use condoms all or some of the time and a third of the negative partners took PrEP during at least part of the study. Opposites Attract started in Australia but later extended to sites in Brazil and Thailand, and there were interesting differences between the HIV prevention choices in the different countries. In Thailand in particular, a high proportion of the HIV-positive partners had not started antiretroviral therapy ART when they entered the study, though nearly all had by its end. Viral load tests are conducted less often there, and this may explain why Thai participants were more likely to use condoms or PrEP, alone or in combination, as their main protective behaviour.
When it comes to sex, the sexual spectrum is very long and very interesting. There are those couples who like to keep things simple, basic, and without any fear of throwing out their back during some advanced sexual move , then there are those who prefer to keep things new and refreshing at all times. These are the couples who aren't looking to spice up their long-term relationship , but couples who live and breathe experimental sex, and are damn lucky they found each other — because some of the places these couples go, others wouldn't dare to tread.