In 2017, the united kingdom made PrEP offered to 10,000 males who possess intercourse with males across 200 UK clinics
In order for PrEP to give you effective prevention it must certanly be taken properly and consistently.66 Males that have intercourse with guys should always be counselled and informed in regards to the use that is correct of prior to it being provided. PrEP will not offer security against STIs, and when perhaps maybe maybe not taken consistently is significantly less efficient, therefore will not change other avoidance choices like condoms.
There were concerns that PrEP use may lead to a decrease in condom usage, nonetheless these were refuted by studies, like the PROUD study when you look at the UK.67 A 2019 evidence review analysing 20 PrEP studies and studies discovered high prices of STIs among males who’ve intercourse with males who utilize PrEP. But, this doesn’t indicate PrEP use is causing STI rates to go up.68 69
A report posted in 2018 points to your known undeniable fact that STI prices among males that have intercourse with men have already been increasing for the previous two decades, which means that PrEP alone cannot give an explanation for enhance. Outcomes declare that there are various other behavioural things to consider, such as for example alterations in blending patterns within risk teams, utilization of smartphone relationship applications, team intercourse, leisure drug usage, and usage of healthcare.70
Post-exposure prophylaxis (PEP) is taken after possible contact with HIV. whom recommends PEP that are offering men that have intercourse with guys included in a package of avoidance choices. It should additionally be along with counselling about the necessity of completing the therapy program. One research discovered that on average simply 67% of males that have intercourse with guys finished the course that is 28-day limiting the potency of PEP.71
Nonetheless, A french research among males that have intercourse with males that has taken previously taken PEP found numerous reported negative experiences.