Good sex, intimacy and sensual pleasure are an important part of quality of life, but it is very rare that we give ourselves space to think about them. Sex is powerful. It underlies so much of our lives, who we are, and what we do. However, we seldom have opportunities to talk openly about it. Having HIV, and many of us having acquired HIV through sex, complicates things even further. However, I firmly believe that HIV does not have to be a barrier to a pleasurable sex life.