How high are my chances of contracting it if we are careful?

Dear Reader, There is no way for a sexually active person to be 100 percent certain that s/he is protected from HIV infection or any other sexually transmitted infection (STI).

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However, there are many ways to reduce risk of transmission, even for an uninfected person in a sexually active relationship with someone who is HIV-positive.

Many studies have been conducted on serodiscordant couples, meaning that one partner is HIV-positive and the other is HIV-negative.

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Growing evidence suggests that as HIV medicines become more efficacious, HIV-positive individuals taking antiretroviral medications are significantly less likely to transmit the virus to a sexual partner than someone not taking medication.

In fact, in a study of almost 3,000 monogamous serodiscordant couples, it was found that with the use of antiretroviral therapy, only 3.4 percent of sexually active couples would transmit HIV from the infected to uninfected partner over a period of 100 years.

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