Sex After Diagnosis: My Journey to Believing That Undetectable HIV Viral Load Means Uninfectious

An image of the moment I was diagnosed HIV positive remains vivid in my mind. The feelings and emotions that ran through my body like a lightening bolt that day are not easily forgotten. They will be with me forever, as will my feeling of infectiousness upon hearing the words that have played in my mind like a broken record all these years: “Josh, I am sorry, but you are HIV positive.”

I remember telling myself that this would be the end of the road when it came to my sex life. Children? Forget it. That would never happen. Who would ever want to be with me, and how could I bring myself want to be with someone else again when condomless sex got me into this situation in the first place?

The first time I had sex after my diagnosis, it was with a sex worker in Tijuana, Mexico. This was a major step for me. At the time, I had not yet started treatment. I knew enough about HIV to understand that by using a condom I would be protecting both her and me. I longed not only for the physical affection I felt I would never again receive, but also mentally I wanted to prove to myself that sex was not out of the picture.

I went into a small brothel labeled a “massage parlor.” You know those ones, right? Where happy-endings are not only a hope, but a guarantee. Well, yeah, it was one of those. In typical red light style, they had all the women line up, and I chose the one I would spend the next few hours with. As I glanced over, I saw a beautiful woman in her early thirties with long black hair and green eyes. Let’s call her “Alejandra.”

I didn’t know whether I could bring myself to disclose at this stage of my diagnosis. I knew it was the right thing to do, even though we were both protected by the condom, but I didn’t know how she would react. I figured that I needed to tell her, even if she was a sex worker providing a service. And so, I did.

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below