While some HIV-Positive people happily have sex with bug chasers, others are reluctant to have sex with them. These men tend to feel hurt or angry about their proposals. Aware of the life-threatening nature of HIV, they feel the virus should never be fetishized. They also worry about the potential for their HIV to spread beyond the bug chaser, and how the bug chaser may cope with HIV should he contract it.
Anecdotal evidence suggests people who enjoy bug chasing do not indulge in the activity because they don’t care about their health. Instead, they enjoy the rush and taboo of engaging in such risky behavior. Some may want to control their own destinies and contract the virus under their own terms. Others may appreciate the extra healthcare they will receive with HIV-Positive status. There is also a common perception that HIV is a relatively minor condition that can be controlled with medication.
Once a bug chaser contracts HIV-Positive, they are likely to have health complications. While some enjoy the sexual attraction they now receive from bug chasers, others feel sex is lacking because it is no longer high-risk for them. Bug chasing is a high-risk sexual activity. Condoms should be used in any sexual encounter with a HIV-Positive person. Anyone with an interest in bug chasing should enter counseling to curb their urges before they put their health at risk.