You can discuss your concerns with someone at your HIV clinic – perhaps your doctor, nurse, health adviser or patient representative.
This may help you clarify your thoughts and what you’d like to say.
All too often, relationships between people of different HIV status are thought of only in terms of sex and the risk of HIV transmission.
Yes, sex is important to many intimate relationships – but few successful relationships are purely based upon sex, and the sexual side of relationships usually changes significantly over time.
The risk of HIV transmission from unprotected sex is partly related to viral load.
The higher your viral load, the greater the risk of HIV transmission to your partner.
One way or another, HIV may affect the way you and your partner feel about sex, and have implications for the type of sex you have.
The presence of any long-term health condition in a relationship can sometimes affect sex.
However, difficulties with using condoms are sometimes more connected to feelings about HIV and intimacy, and talking through your feelings with your partner, or a professional such as a health adviser or counsellor might help in these situations.
If you are not using condoms, it’s important that you both understand and accept the possible risks and have considered the impact on both of you if your partner were to contract HIV, or if either of you were to get another sexually transmitted infection, or if the female partner became pregnant.
This is a solution for some couples, but others find it difficult to use condoms all the time or at all.