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Editor’s note (2016): Since this article was published in 2013, there have been many exciting developments in research on viral suppression and treatment as prevention.

We now have substantial evidence that people living with HIV who maintain an undetectable viral load to not transmit HIV to sex partners.

This applies, obviously, to someone who has already been diagnosed as HIV positive, and who has controlled replication of the virus. When I ask guys if they’re undetectable, it’s one question in a series. Today, so much of this is done electronically, on Grindr and Scruff and Jackd and all these applications and online connections, that communication can actually be easier than being face-to-face.

What it means in a social context is that this person, in theory, is the least “infectious” they can be, biologically. Derek: For the most part, they appreciate that I’m bringing it up.

It refers to suppressed viral load, which is both a key goal of treatment to protect the health of people living with HIV and an exciting new tool for reducing risk of HIV transmission to negative sex partners. Watch our animated video for an easy-to-follow explanation of undetectable viral load and its importance for HIV health and HIV prevention.) So how do we talk about it?So, if their first response is frosty, then that person probably isn’t open to being with an HIV-positive guy.What if you tell someone you’re HIV positive and undetectable and he asks, “What does that mean?” I think a nice thing to do, from a positive person’s standpoint—or someone in Derek’s position—is to offer a bit of gentle education.You know, people don’t want to go around on Grindr giving sermons, but I think it’s nice to help the conversation along and move community knowledge forward.

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