So now we know the body fluids that can
carry hiv
and the ways that hiv can be transmitted
what is an easy way to know
if i am at risk for hiv and if i should
get tested immediately so what i'll show
you are the four conditions for
transmission we call this
ESSE. E-S-S-E. think of it like a checklist
if the person answers yes to all four
conditions
then we can consider the risk to be high
and we would recommend getting tested as
soon as you can
so the first e in ESSE stands for exit. HIV
must exit the body of
an infected person so did any body fluid
come out
did he or she come did he or she bleed
those are questions the person can ask
next is the s first s stands for
sufficiency so there must be sufficient
amount of hiv
for infection to happen this is why we
focus on the four body fluids
blood semen vaginal fluid and breast
milk because these are the ones that are
potent enough
for hiv to transmit unlike for example
saliva which has very low potency so you
would need crazy amounts of sagava to
have
sufficient hiv to transmit the second s
stands for survival hiv must be in a
condition which it can survive
so hiv is very sensitive it needs the
right temperature
which is close to body temperature and
dies once it comes in contact with other
substances
like air and water so the transmission
should be direct like the person should
ejaculate directly into the other person
or the infected blood should come from a
syringe since
it's a vacuum inside a syringe or the
baby
i guess it could also be the husband
breast fed directly from the mother this
is why it's not true that you can have
a drop of blood on a piece of paper and
then that can infect anyone who touches
it because the hiv would have died once
it was exposed to air
the same goes for other incidents you
might have heard in the news like hiv
spreading from a pedicure shop
or an infected needle being placed in a
bus seat so take
these with a large grain of salt and try
to evaluate them using these four
conditions
so the last letter in sa the last e
stands for Entry. So HIV must enter the
bloodstream
for infection to occur so if one of the
four body fluids
exited person a did it enter the
bloodstream
of person b this could be through a
wound the anus
the vagina or a vein like by a needle
so let's say person a ejaculated but he
was wearing a condom
then nothing entered person b or let's
say two people are having oral sex
and person a ejaculated into the mouth
of person b
if person b has a wound or an opening in
the mouth
then yes that can be an entry point so
the four conditions
are exit sufficiency survival and
entry so if the person feels that all
four conditions were met
then yes the risk is considered high but
even if it's low risk
meaning not all four conditions were met
it's still best to get tested
because there still is risk so DOH (Department of Health)
recommends the following five ways to
prevent
HIV it's called ABCDE so
A for abstinence so no sex B
for being mutually faithful to your
partner C
for correct and consistent use of
condoms
D for do not use drugs and alcohol
so this one it's because when we are
under the influence of drugs or alcohol
our decision making becomes very poor so
maybe you skip
putting on the condom or you use a
needle that someone just passed on to
you
and then fifth is education like what we
are doing right now
with you watching me in this video
however LoveYourself
acknowledges that a abstinence and b
being mutually faithful
might not work for some people so
instead of
abcde what we at love yourself also
suggests
is called TSC -- the triangle of
self-care -- because we are a sex positive
organization
sex is normal and it should just be done
safely
so in the triangle of self-care we have
TSC 
so the T stands for timely testing and
treatment
so because of the three-month window
period we talked about earlier
it's best to get tested at least every
three months for those who are sexually
active
and every six months for those who are
not sexually active
and if the test results come back
reactive
or positive for hiv it's best to start
the treatment right away
and then the S stands for safe and
satisfying sex
so safe meaning you use protection most
commonly
these are condoms but we now also have
other means of protection from hiv like
PReP
so PRep stands for pre-exposure
prophylaxis
this is a pill that can reduce the risk
of getting hiv
from sex by more than 90 this can be
taken daily or
on demand meaning before and after
planned
sex so this is for people without hiv
who are at high risk for being exposed
to it
for example those who are in a
relationship with uh a plhiv
person living with hiv or those who have
frequent casual sex
for sex workers or for those who can't
wear condoms for whatever reason
LoveYourself already offers PReP here
and since we are a non-profit
organization
it's at the lowest price already if
you're interested please check out PReP
Pilipinas on Facebook (link in the description) for more info
so aside from safe it should also be
satisfying
and by satisfying this means that both
you and your partner should enjoy
there should be consent from both
parties or however many parties are
involved
don't do anything you're not comfortable
doing and vice versa
don't make another person do something
they're not comfortable doing
for example even if your partner doesn't
want to use a condom but you do
then you should insist because we are
responsible for ourselves
we can't blame someone else for
something that happens to us when we
knew already the risks
and communicate with your partner about
what turns you on
what doesn't how to do it fast slow
lights on lights off it should not only
be safe it should also be
satisfying and then the third letter the
sea is correct and consistent
use of condoms so same as the one in DOH
so you have to make sure that you're
putting the condom on correctly so first
i have a condom here we give away free
condoms and lubricant in all of our
centers
first you check the expiration date of
your condom so
yes they expire so don't keep them for
too long with you
next you have to be careful when opening
the condom
so what we recommend is you try to push
down
the edge of the condom you leave some
space here on top so that when you
open it you are not risking tearing it
the condom doesn't get caught also do
not open it with your teeth
because for the same reason you might
end up tearing the condom
so with your condom there are two sides
how do you know which one's the right
side so you check
on the folds they should be on the
outside so that when you pull it down
you feel the condom
rolling down if it's inverted then you
can't roll it down
because the folds are inside so next
what you do is if you have lubricant
i have a banana here you put some
lubricant on the tip of the penis this
will help prevent friction with the
condom
so what you do is with your condom pinch
the top
this is to create some space later on
for when the person ejaculates
so on an erect penis you put the condom
you leave the space on top then you
unroll the condom
all the way down to the shaft and then
you see here we have that little space
for the semen later on then when you are
done with
the deep tilt it down and then you try
to
slide off the condom this is a medyo fat
banana so
okay then with the used condom please
make
sure to tie it so that none of the semen
spills out and then you dispose of it a
condom should be replaced every 15 to 20
minutes because the friction can wear it
down so this is why condom packs come in
three
you can use all three in one session
also it's very
helpful to use lubricant for anal or
vaginal sex
this makes it more pleasurable for you
and your partner and it prevents
skin chafing and then please make sure
to use water-based lubricants like KY Jelly, Durex, etc.
avoid oil-based or silicone based
lubricants during penetrative sex
as this can damage the latex of the
condom since
oil when you have friction it creates
heat
and this can damage the latex of the
condom you can use those for other
things like
massage etc saliva is not a good
lubricant
since it dries up very quickly but it is
still better than having nothing
and it is better than using oil-based
lubricant which can damage the condom so
aside from using the condom correctly
you should also
wear it consistently so you wear it all
the time
and from start to finish you don't just
wear it at the end you don't just wear
it at the start and then take it off
and it should be every time that you
have sex okay
so that ends our discussion i hope you
learned a thing or two from this
if you're interested to get tested
please check out LoveYourself's website
and facebook page to find a center near
you
our HIV testing is free and confidential
however during this pandemic we don't
accept walk-ins
so you will just need to sign up online
at go.loveyourself.org/booking at least a day before this
is so that we can manage the number of
people inside the centers
if you have more questions you can
personally message me and i'm very
open-minded
i won't judge and i can keep a secret
okay
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on your way out have a good day thank
you very much bye!
