These issues include differences in serostatus identity, difficulties related to future planning, fear of HIV transmission, lack of sexual spontaneity, and care-taking concerns.
Communication is essential, as silence can have dangerous results.
Dr. Robert Remien of the HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University says there are several matters mixed-status couples should investigate, especially learning what is important in their lives and safe sex and risk behaviors. Remien's other recommendations include respecting each other's differences, normalizing condoms as a natural part of sex, and working with a couples counselor who has HIV experience, if needed.