Tuesday, January 19, 2010

How I found myself getting my blood drawn to test for HIV...

“Let’s take a gamble,” he whispered.

“Let me come inside of you, and if you are pregnant, we’ll marry and live the rest of our lives together.”

Any objective 3rd party would look at this situation and warn the girl, “DON’T DO IT! ARE YOU CRAZY?!” In any case, that’s what I wish I had told myself. There’s something numbing about sexual moments that leave any trace of rationality in that fuzzy place far away. It’s there, but you can’t quite make out its outline, like an old friend from long ago. In its place tugs my guilty desire for romanticism and adventure. The thrill of a risk, and the remote chance of abandoning my ivy-grown life for the simple, rustic lifestyle in the Chinese countryside – like one of those princess-meets-peasant type fairytales. Truthfully, I almost wanted him to get me pregnant.

As soon as we finished, I fell back down to reality. Well, not quite. I went to the opposite extreme and obsessed over the paranoid possibility that I was now HIV positive. My researcher-hat thinking took the reins. He came from a low-income, low-education background, I reasoned, both factors associated with HIV infection. He had had one other partner before, and they didn’t use condoms. He’s never been tested for STD’s. I was going to die of HIV.

That was the last time I saw him, because the next day I flew back to school. I immediately made an appointment for an HIV test. The nurse was nice enough, but I was turned off by her – perhaps a little too unfairly.

“Why are you getting an HIV test today?”

“Because I had unprotected sex.” Why else…

“Was this consensual?” Her straight-faced detachment almost annoyed me.

“Yes, of course.” Why is she asking so many questions. I thought I could just get the test and leave.

“Have you thought about taking emergency contraception?”

I hadn’t even thought about the risk of pregnancy. She showed me the relative risks of HIV and pregnancy. In 20 years, she had seen nine students test positive for HIV, while pregnancy? Too frequent to even remember. Pregnancy was the much more real possibility, but somehow in the whole paranoia mess, I had completely neglected it. I just hear so much scare-talk, about how AIDS is so deadly. Everybody’s talking about it nowadays.

Later I thought about what made me so uncomfortable in the nurse’s office. She was just trying to help. I was defensive – I knew I had done something I shouldn’t have, and I didn’t really want to explore why I did. However, I didn’t really have any protection against repeating that behavior – other than vowing to “never again”. There was also the hypocriticalness of my role as a researcher on HIV, someone who should know the risks, someone ultimately hoping to promote safe practices – and here I was encouraging others to do something I couldn’t even do.

I am now an HIV counselor in my school, providing students with counseling and testing. I don’t tell them what to do. I try to understand and reframe their behavioral motivations. Sometimes, prescriptions can only go so far.

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