This paper explores Scottish gay men's understandings of HIV testing within
the context of changes stemming from the availability of new treatments fo
r HIV. Transcripts of one-to-one interviews with 18 gay men were analysed t
ogether with those from four focus groups (n = 19) concerning HIV testing,
HIV status and HIV risk management. Interpretative Phenomenological Analysi
s was employed to identify recurrent themes. We focus upon a rise of HIV-op
timism, risk-complacency and HIV fatigue and chart the apparent transformat
ion of HIV diagnosis from 'death sentence' to 'life sentence'. In turn, we
explore how these changes have impacted upon HIV testing. As HIV management
becomes increasingly medicalized, we highlight the ongoing need to attend
to psychological and social issues.