U=U: What It Means for Our Queer Community
- Raine Lovebright
- May 31
- 3 min read
Updated: Aug 3
This week I had the pleasure of attending a recent webinar hosted by ASHM on PEP (Post-Exposure Prophylaxis) and its role in supporting the U=U message. As a nurse, I had a basic understanding of U=U, but I had never truly reflected on what it means for me personally as a queer person. I thought it was important to do some research and share what I learned, not just as a healthcare worker but as someone directly impacted by these conversations.
Imagine a world where fear and shame around HIV no longer hold power over us, a world where science and solidarity unite to liberate rather than isolate. It turns out that world is already emerging, and it begins with three powerful words: Undetectable = Untransmittable, or U=U.
Whether you’re living with HIV, navigating dating apps, in a long-term relationship, or just want to be better informed, understanding what U=U means is a game-changer for all of us in the LGBTQ+ community.
So, What Is U=U?
U=U means that people living with HIV who are on effective treatment and maintain an undetectable viral load can’t pass the virus on through sex. Full stop.
This isn’t wishful thinking, it’s backed by years of robust international research. Studies like HPTN 052, PARTNER, and Opposites Attract have shown zero cases of sexual HIV transmission when the HIV-positive partner had an undetectable viral load. That’s science with a capital S. If someone is taking antiretroviral therapy (ART) and their HIV levels are suppressed to undetectable levels (typically under 200 copies/mL), there is no risk of sexual transmission, even without condoms. (ASHM, 2020)
Why This Matters for Queer Folks
Let’s be real: HIV stigma has always hit our communities hardest. From the early days of the AIDS crisis to now, fear and misinformation have shaped how we relate to sex, dating, and each other. But U=U flips that narrative. It replaces fear with empowerment. It’s a message that says: people living with HIV are not dangerous. They’re not broken. They’re not a threat.
U=U helps us tear down stigma. Not just in healthcare systems or public policy, but in our own bedrooms and relationships. It opens up possibilities for love, sex, family, and connection, without shame.
U=U Is Liberation
For many of us in the queer community, HIV stigma hasn’t just shaped how the world sees us, it’s shaped how we see ourselves. U=U offers a radical shift: a chance to replace fear with freedom, and shame with science. If you’re living with HIV, know this: you are not a risk. You are not a danger. You are not less than. And if you’re HIV-negative, it’s time to educate yourself, challenge internalised stigma, and support your friends, lovers, and community.
Let’s spread the word, not the virus.
TL;DR:
U=U = Undetectable = Untransmittable
HIV can’t be passed on through sex when the viral load is undetectable
U=U helps smash stigma and build trust, confidence, and connection
Learn more and support the message by checking out the resources below
If you want to chat about what U=U means for your own life, or if you’re looking for queer-friendly sexual health support, reach out to your local LGBTQ+ health clinic or peer support network. We’re in this together.
🏳️🌈💜 Science is on our side. So is community.
The information provided in this blog post is intended for general educational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While I am a registered health practitioner, this content is not a substitute for consultation with a qualified healthcare professional who can consider your individual circumstances.
This blog reflects my personal views and professional experiences and does not represent the views of my employer or any affiliated organisations.
In line with AHPRA guidelines, no testimonials are included, and this blog post is not intended to advertise or promote specific services or treatments.
Always great to see work done to break down the stigma around status 🌈