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Are we talking condoms in long term - monogamous - relationships here? Isn't that taking it a bit far? I know that some times, some people cheat and all, but still...
It's a personal decision.
My public health experience predates the AIDS crisis. So, I saw lots of guys coming in with anal warts, rectal gonorrhea, syphilis, hepatitis and a host of UTIs and GI infections.
When we figured out that condoms could prevent HIV, many of us had a facepalm moment and said, "Why weren't we recommending this all along?".
I also agree with the poster under this original post that you wouldn't tell a straight couple to use a condom for the duration of their long term relationship.
To answer your question, I advise all straight couples who are having anal sex to use condoms. I advise the same for gay couples.
It's really a hygeine issue as much as anything.
For straight people who are "hooking up" for casual sex, absolutely we want them to use condoms for vaginal intercourse. Anyone who works in public health in a college town will tell you that this doesn't happen, though. I'm amazed at how many women are coming in with cervical dysplasia secondary to HPV infections who are in their 20s. Cervical dysplasia is a term we use for a pre-cancerous abnormal growth on the cervix- these women are at risk for cancer in the future.
The same issue is out there for gay men and anorectal cancer secondary to HPV infections. Until an HPV vaccine is developed for gay men, there is a higher risk for gay men to develop anorectal cancers. We don't appreciate this risk because for the barebacking community, HIV will get them long before HPV does because the latency period for HIV is much less than for HPV.
But we're way off topic, now.



















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