Savage Love

I'm a loyal fan and a physician who cares for people living with HIV. I was reading a column from a few months back and appreciated your candid response to an HIV-negative man who was embarking on a new sexual relationship with a known HIV-positive man.

However, I would have hoped that you would touch upon what a guy should do if a condom DOES break. According to CDC guidelines, if a person receives HIV medicine within 72 hours of a condom breaking or another "exposure," there is evidence that you can actually prevent HIV infection. Of course, these medicines have to be taken for 28 days, have lots of side effects, and are not always effective. I would never promote unprotected sex with the idea that you could just take the medicines afterward and have no worries. The medical world has termed this "postexposure prophylaxis." It has been the standard of care since January 2005.

I was just hoping that you would share this with your readers. From the number of patients I continue to see, I am unsure if this is public knowledge.

Pittsburgh Doctor

Thanks for sharing, PD.

NOW FOR A LITTLE SEX-POSITIVE JOURNALISM: Recently, the sex-negative journalism of a certain teeveenewz reporter—Kandiss Crone of WLBT News in Jackson, Mississippi—annoyed me so much that I devoted an entire column to slapping Crone around. I even urged my readers to send Crone angry e-mails and, er, used sex toys. Perhaps I went a little overboard. Crone isn't the only "journalist" out there doing idiotic, sex-negative work. Fact is, most of what gets written and published about sex is negative and sensationalistic.

This sad state of affairs inspired the National Coalition for Sexual Freedom, the Center for Sex & Culture, Babeland, and journalist Miriam Axel-Lute to launch the Sex-Positive Journalism Awards. By drawing attention to good, sex-positive reporting, the "Sexies" hope to promote fair, accurate, and nonsensationalized coverage of sexual topics.

"The fact that sex-positive journalism is so rare means we need the help of all of you readers out there to help us turn up those gems of good, objective, sex-positive reporting," says Axel-Lute. "Especially in mainstream sources."

I'm proud to have been asked to serve as a judge for the first annual Sex-Positive Journalism Awards. The deadline for submissions for the first annual "Sexies" is March 23, 2008. (The piece must have been published during 2007.) Anyone can submit a piece for consideration at the "Sexies" website:

Anything by Kandiss Crone is, of course, ineligible.

Download Savage Lovecast (my weekly podcast) every Tuesday at

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