As an HIV tester and counselor during my university days and beyond, I learned very quickly that most people have more pressing issues to deal with in their lives than HIV prevention. At at Oberlin College, I often saw clients shortly after an unprotected sexual encounter. For most, condom use to protect against HIV and other STIs had to be negotiated alongside myriad influential experiences and other barriers – including insecurity around the sexual relationship, fear around the sexual encounter, school stress, mental illness, and financial hardship, just to name a few. The very fact that these clients had proactively sought out an HIV test, demonstrated to me that they were both aware of and concerned about HIV risk, but that the prevention methods available to them just did not meet their needs or circumstances.