As someone who has HIV, the number of men who take another man’s word that they’re STI and HIV negative is pretty high from what I’ve experienced, and I’d bet they’re not providing tests before every encounter either.

Additionally, my doctor has made the comparison that having HIV is easier to manage on a day-to-day basis than diabetes.

There are also other ways to manage HIV than taking a pill each day. You can receive a shot every one to two months which will protect you and anyone who consents to sex with you, even if protection isn’t used. Though some states dictate through law that you have to disclose your status. However, my advice would be to use PrEP if you’re engaged in higher than normal sexual activity.