In the past week, I've learnt that i have three close friends who are HIV positive. Of course it's not the death sentence it once was. Medicines exist today that will allow them to live a long and healthy life. One of them confessed that the reason he must go to the gym regularly, and must eat healthy is because of his concerns over HIV. He won't take a job that may cause him to miss a gym appointment, or to skip a healthy meal. His health is his highest priority.
There is a medicine now, PrEP, that when used properly, prevents HIV better than condoms. I've heard friends talk about it. I wouldn't be surprised if they are on it now. If you are singe sexually active PrEP has to live a weight off your shoulders.
Of course we have to have the slut discussion. If men don't have to worry about the consequences of unprotected sex, then many of them will be far more promiscuous.
I hope that's a consequence the gay community is willing to live with, even though some people will be very uncomfortable with it. Taking a pill that prevents a horrible disease is about as good as it gets. Condoms and safe sex education have only lowered the spread of HIV. They won't eliminate it any time in the future. It's a good next step to adding PrEP to our list of preventions.
Of course some people will absolutely celebrate the return of low risk sex. That is, if your definition of low risk includes exposing yourself to antibiotic resistant syphilis, antibiotic resistant gonorrhea, herpes… the list goes on.
I have no plans of taking PrEP, but I wouldn't rule it out in the future. Other STDs concern me enough that I'll continue to have safe sex.