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One of the most popular forms of Pr EP is Truvada, a medication previously taken for HIV treatment that, when taken properly, has been shown to prevent HIV-negative users from contracting HIV from infected partners.

While these drugs do not necessarily prevent the transmission of other STIs, they have stirred a discussion on what "safe" sex without the use of condoms really entails. Halkitis concluded that the resurgence of barebacking led to an increase in sexually transmitted infections among the MSM community.

For example, Hot Desert Knights (HDK) was one of the studios that initially operated on the assumption that all of their bareback models were HIV positive.

However, in February 2008 HDK announced that it would begin testing its models for HIV and engage in a process of "sero-sorting", which match HIV-positive performers with other HIV-positive performers, and negative with negative.

From 1995, several high-profile HIV positive men declared their refusal to wear condoms with other HIV positive men in gay publications, dubbing the practice barebacking.

Bareback gay pornography was standard in "pre-condom" films from the 1970s and early 1980s.

As awareness of the risk of AIDS developed, pornography producers came under pressure to use condoms, both for the health of the performers and to serve as role models for their viewers.

By the early 1990s new pornographic videos usually featured the use of condoms for anal sex.

However, beginning in the 1990s, an increasing number of studios have been devoted to the production of new films featuring men engaging in unprotected sex.

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For example, San Francisco-based studio Treasure Island Media, whose work focuses in this area, has produced bareback films since 1999.

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