HIV risk continuum
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Partner is HIV positive who achieve sustained viral suppression to an undetectable level with treatment i.e. Undetectable = Untransmittable (U=U)
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Abstinence, massage, fantasy, dry kissing
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Take PrEP consistently and correctly every day
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Both partners are HIV negative and mutually monogamous
Unprotected sex
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Partner’s HIV status uncertain
Mutual masturbation, deep kissing (no cuts or bleeding in the mouth)
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Partner’s HIV status uncertain
Anal, vaginal and oral sex
With condoms
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Partner’s HIV status uncertain
Oral sex (no cuts or bleeding in the mouth)
Without condoms
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Partner’s HIV status uncertain
Vaginal sex
Inconsistent use of condoms
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Partner HIV positive
Vaginal sex
Without condoms
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Partner’s HIV status uncertain
Anal sex
Inconsistent use of condoms
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Partner HIV positive and not on treatment
Anal sex
Without condoms