Word on the Street: PrEP Use by Gay and Bisexual Men
October 16, 2012
I think that PrEP is a new, additional "tool," as they say. It's yet another mode of prevention that we could add as part of a multi-pronged approach for prevention, particularly with gay men. Since we've learned over the years that a method, or an approach, that is excessively condom-centered is not working. There are people, for any number of reasons, from actual, informed choice to certain constraints that people live under, including anything from sex work to not being necessarily able to negotiate condom use with partners, to just, you know, not finding condoms pleasurable, and, again, in an informed way, in a way that exercises sexual agency, who are choosing not to use condoms.
I think that, again, PrEP offers somewhat of a back-up. And, it's not an either/or. I think that's the point to make, is that we have to move away from this very binary notion of prevention, and give people options and give people a menu. And, at the same time, so, PrEP is not meant to be used as a replacement for any particular strategy. It's meant to back up those strategies, or those other tools.
Comment by: Joshua
Wed., Apr. 17, 2013 at 11:26 am EDT
I can’t begin to tell you how relieved—ecstatic actually—I am that the intimacy of m2m sex has been restored! For so many years those of us who are positive already were told that even in our misfortune we must nevertheless wear a penis “burqa” while expressing our passions. Being a skeptic by nature, it quickly became apparent to me that we were being lied to by those who claimed condoms could be eroticized, or that they could ever even remotely allow the conveyance of the lustful, subtle, stars-exploding enjoyment of skin on skin sex. I turned to porn for awhile but found that even it was ruined when a scene staged to imply the action was spontaneous had all the participants wearing rubbers! For me, porn is supposed to be a way of indulging our fantasies, not of reminding us of the bitter realities we face on a daily basis. The technology exists and porn is a profitable enough industry, that even if condoms are used on a set they should not be seen or even hinted at on video or in photos. Nothing is so quickly withering as watching two hot, hunky men simulating copulation when their sex organs aren’t even touching. Anyway, to get the point, I’m so relieve PrEP is here I think we should designate a holiday to celebrate it!
Comment by: LOL
Sat., Jun. 7, 2014 at 12:48 am EDT If you think PrEP is going to fix the stigma problem, or the expectation that you wear a condom, I've got beachfront property in Arizona I'd like to sell you. The PrEP users I've met have been hypochondriacs who won't get within ten feet of a disclosing poz guy, not valiant serodiscordants.
Comment by: Edwin Dia z
Tue., Apr. 16, 2013 at 11:57 pm EDT
I think that the more preventive care there is the less exposure there is on the spread of HIV.So I welcome all the preventive care posible for better safer sex.
Comment by: Andy
Sat., Dec. 1, 2012 at 9:53 pm EST
As a Next PrEP research participant, I have noticed myself feeling safer with taking the meds, even though they suggest still using condoms and that the meds aren't 100% effective. Intellectually, I know this. I understand this. My attitude has slowly been changing though. I think PrEP gives the patient a false sense of security. I have been taking more risks and have been using condoms less, because in the back of my head I feel protected by PrEP. For this reason, I think PrEP isn't going to be helpful.
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