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Yet even with more than 40 percent of local HIV patients reporting that they are also meth users — significant because tweakers are much less likely to use protection, HIV-positive or not — there’s been no significant public health campaign in Maricopa County warning of the dangers of having sex while tweaking.There certainly hasn’t been an effort like that made in other major metropolitan cities like New York, Chicago, Boston, or San Francisco, where city leaders and nonprofit agencies are pre-emptively targeting gay men before they use meth for the first time.They bought a stolen professional-grade video camera, recruited the girls, and then spent hours at a time choreographing the scenes, like big-shot porn directors in the San Fernando Valley.“I remember we stressed about the cum shot, the ‘money shot,’ for so long,” Robert says — typical, obsessive tweaker behavior.For the sex-addicted tweakers, if they manage to be sober long enough to get into recovery and therapy — like Theresa, Randy and Robert — there is a lifetime of sexual reprogramming, somehow learning to disassociate sex from the act of using meth.“I know I’m not gay,” says Randy, who once so obsessively sought “to get a nut” while high on meth that he had unprotected sex with a transsexual while his girlfriend waited for him at home.And one state employee who works closely with Child Protective Services calls meth a fertility drug.“Meth moms are having baby after baby after baby,” she says.

“They started out with a ,000 offer,” Robert says.The Stop AIDS Project credits a series of public health awareness campaigns coordinated in part by the agency for a nearly 50 percent drop in meth use among gay and bisexual men in San Francisco.That’s not the case in Phoenix, where health officials admit they’ve done little, if anything, to address what a huge problem meth and sex present.There was almost always someone willing to pay for the pleasure. She’s been pregnant, though — a lot — but never had kids.Theresa ended up having 12 abortions, and doubts she could ever get pregnant again.