Q I'm a 21-year-old woman, and I have an IUD for birth control. I've had sex with quite a few men, and one thing seems to be almost constant among them: Trying to fuck without condoms. Many of the men I've been with seem to be perfectly fine and terribly eager to have sex without condoms. This has always angered me. They generally assume or make sure I'm on birth control, which they immediately take to mean condom-free sex is welcome. I don't want to have sex without condoms without being in a committed relationship. I know people cheat and monogamy doesn't mean STIs won't happen, but it's a risk I'm comfortable with.
I'm so annoyed by how often men try to get out of using condoms that I want to start lying and say I'm not on birth control. The risk of a baby seems to be the only STI most men are concerned with. Is it alright for me to lie and say I'm not on any birth control and explain why I lied later on if things get serious?—I'm Understandably Distressed
A Let's get this out of the way first: You're right, IUD, sexually transmitted infections (STI) do happen to people in monogamous relationships. People cheat, people lie, people contract, people transmit. A 2015 study found that people in consensually non-monogamous (CNM) relationships were no more likely to contract an STI than people in monogamous relationships. The reason? If a person in a monogamous relationship screws around and doesn't use a condom, they can't ask their partner to start using condoms again without drawing attention to their infidelity. If someone in a CNM relationship asks their primary partner to start using condoms again—because a condom broke or fell off or didn't wind up on a cock for some other reason—they're drawing attention to their fidelity. Moving on...
Right again, IUD: Babies do seem to be the only STI many men are worried about. Australian researchers conducted a large study about stealthing—the deeply shitty, rape-adjacent practice of surreptitiously removing the condom during intercourse—and they were shocked to discover how common this deeply shitty practice seems to be. "The researchers estimated in advance that approximately two percent of the sample would report having been stealthed," sex researcher Justin Lehmiller wrote in a blog post looking at the results of the study. "In fact, 32 percent of the women and 19 percent of the men surveyed reported having experienced stealthing...A majority of both groups reported discussing the event with their partner afterward, and most also reported feeling emotionally stressed about it. A majority also considered stealthing to be a form of sexual assault."
The researchers didn't ask heterosexual men about being stealthed and, as Lehmiller points out, there are scattered reports about women poking holes in condoms before sex or retrieving them after sex. We don't need a study to tease out the motives of these women—they want to have a child and don't care whether their partners do (and that is not OK)—but we could use a study that asked heterosexual men about their motives for stealthing.
One question we should put to these assholes: Are they more likely to "go stealth"—to sexually assault a woman—if they know her to be on some other form of birth control? Or are they just so wrapped up in their own momentary sexual pleasure that they don't give a shit about babies or any of the other STIs?
Moving on to your actual question: Can you lie? Of course you can. Should you lie? In the case of a casual sex partner who might not have your best interests at heart—some total rando you want to fuck but aren't sure you can trust—I think you should. This lie doesn't do him any harm; it's not like you're telling him you're on birth control when you're not. And if this lie inspires some rando to be more careful about keeping the condom on (sometimes condoms fall off by accident), it's a lie that made the sex safer for you and for him.
And if you get serious about someone you initially lied to about having an IUD—if some dude makes the transition from hot rando to hot boyfriend—and he reacts badly when you tell him the truth, just say (or text) this to him: "I could have waited to fuck you until I was sure you were a good guy. But then you would have missed out on all the awesome sex we've had. By coming clean now, I'm basically saying that I think you're a good guy that I can trust. I know that now, but I didn't always know it because I'm not psychic. Now, do you want to raw-dog me or do you want to complain?"
Q My partner is too embarrassed to raise this question with his doctor: Is it safe for me to drink my partner's urine? He's HIV-positive, but his viral load is undetectable. I know other STIs could potentially be passed on to the watersports receiver through urine. My partner has been tested for everything and has no other STIs. He is worried that his urine could contain enough of his antiretroviral drugs (Tivicay and Descovy) to do me harm. I am not on any medications. I believe that his fear stems from when he was on chemo drugs for something else. Nurses treating him then advised me not to use his hospital bathroom so that I would not possibly be exposed to any chemo-drug residue. Could you ask a doctor for us? —Ingesting Medicines
A "This one is easy," says Peter Shalit, a physician who has been treating people with HIV/AIDS for 30 years. "Tivicay and Descovy are very benign medicines with very little potential toxicity in standard doses. If one were to drink the urine of someone taking these medicines, there would be essentially no Tivicay, as this medicine is excreted by the liver, not the kidneys. The remnants of the drug are excreted in the feces."
As for Descovy—that's actually two medicines in one. First, the bad news: Emtricitabine and tenofovir alafenamide, the meds in Descovy, are excreted in the urine. And the good news: "The amount of Descovy that would be in one liter of urine is much less than a single pill's worth," says Shalit, who is also a member of the American Academy of HIV Medicine. "Since these medicines are intrinsically very safe to begin with, in my opinion the health risk from exposure to the small amounts that may be found in urine is negligible. Don't worry about it."