Question | Discussion | References | CME Credit

Case 1: High-Risk Behavior Among HIV-infected Individuals

You answered:

C His practice of having casual sex only with partners whom he assumes are HIV-infected reduces his likelihood of acquiring a sexually transmitted disease (STD).

This answer is incorrect. Selecting sex partners who are HIV-infected (serosorting) does not protect this patient against STDs. Indeed, unprotected intercourse with casual or anonymous partners greatly increases his risk of acquiring a STD.

A It is unusual that this individual has remained sexually active despite having HIV infection, since fewer than 20% of HIV-infected men remain sexually active once they have a diagnosis of HIV.
B Although many HIV-infected men, such as this patient, are sexually active, fewer than 5% of them engage in unprotected anal intercourse.
D Medications used to treat erectile dysfunction have been associated with increased unsafe sexual practices in HIV-infected men who have sex with men (MSM).

[Back to Case 1 Question | Go to Correct Answer]