PrEP and HIV Prevention: A Quick Primer on a Hot Topic (Video)

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    Nov 28, 2015 8:43 PM GMT
    By Mathew Rodriguez
    From TheBody.com

    July 16, 2015

    Stopping the transmission of HIV is not solely the job of either people with HIV or those who are HIV negative. And it may be easier than you think!

    Anyone can help prevent HIV -- and the options for how to do so are growing.

    In the vast majority of cases, people with HIV can stop transmission of the virus just by adhering to their HIV medications. Now, HIV-negative people can also stop transmission of the virus with medication called pre-exposure prophylaxis, or PrEP.

    In this short video, we explain treatment as prevention (TasP) and PrEP. Please share it with other people who may want to know!



  • starboard5

    Posts: 969

    Nov 29, 2015 6:49 PM GMT
    Nice video, though I was surprised and a little disturbed that they didn't address the use of condoms with PrEP, as is recommended.
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    Nov 29, 2015 7:20 PM GMT
    As of now apparently the odds of transmitting the virus if you are on PrEP or if undetectable are virtually zero, but that doesn't mean that the virus won't evolve as time goes on. So I think people should reconsider how these new medications shouldn't be looked at as mediums to bypass a more proactive stance on sexual health and safety.
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    Nov 29, 2015 10:01 PM GMT
    TO23 saidAs of now apparently the odds of transmitting the virus if you are on PrEP or if undetectable are virtually zero, but that doesn't mean that the virus won't evolve as time goes on. So I think people should reconsider how these new medications shouldn't be looked at as mediums to bypass a more proactive stance on sexual health and safety.


    HIV is evolving. Literally different for every person.
    "Each time HIV replicates (by infecting a new cell), small changes or mutations may occur.1 This means there are many different forms of HIV, including within the body of a single person living with HIV."- See more at: http://www.avert.org/professionals/hiv-science/types-strains#sthash.0jVoP2Vt.dpuf

    There is HIV-1 and HIV-2. Hiv-1 is much more common. There are 4 strains of HIV-1 and 9 subsets. HIV has been a moving target for decades. Only with the three prong treatment, aka the "cocktail" HAART/ART therapy where it breaks the chain at different levels has it been successful. Virologic failure does occur between 5-10%. Mostly due to a failure of adherence. In most cases changing regimes can get them back to Undetectable.

    PrEP is a two prong attack for Negative people, it doesn't need to have the third element in HAART to break up HIV reproduction because HIV hasn't been introduced to their body. It's DOA. To me that is the most proactive response.

    With condoms there is still a potential for HIV to be introduced, from inaccurate use or failure. Google "condom efficacy anal sex"

    "We are also unclear about to what extent condoms actually prevent HIV transmission in anal sex. This last fact may seem surprising, given that condoms have been recommended since the mid-1980s as the only effective HIV prevention method for gay men who have anal sex.

    In fact, there is only one large study in gay men, dating from 1989. In this study of 2914 gay men, HIV incidence among those who said they used condoms 100% of the time was 70% lower than in men who did not use them at all. There has been one small study in the era of antiretroviral treatment (ART), which found an efficacy of approximately 75%."

    http://www.aidsmap.com/Consistent-condom-use-in-anal-sex-stops-70-of-HIV-infections-study-finds-but-intermittent-use-has-no-effect/page/2586976/


    51% of New HIV Infections from Condom Failure During Anal Sex, Study Finds

    They further explain that, “condoms have been and should remain an important tool in our armamentarium for reducing the risk of HIV transmission among MSM.”

    These findings also hold implications for the important role that pre-exposure prophylaxis (PrEP) may play in further reducing infections that may occur when condoms fail. PrEP is a prevention strategy where HIV-negative individuals take antiretroviral medications to reduce risk of HIV infection.

    http://betablog.org/51-new-hiv-infections-condom-failure-anal-sex-study-finds/
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    Nov 29, 2015 10:09 PM GMT
    Before the condom Nazis start screaming, IMHO use condoms to prevent STDs, for the shit that REALLY matters (HIV) use PrEP.

    I wouldn't say we've been lied to about the efficacy of condoms for Gay men, it just wasn't studied. If you want to put all your eggs in one one basket in the condoms vs PrEP debate, the protection factors can not be ignored.
  • Sincityfan

    Posts: 409

    Nov 29, 2015 10:20 PM GMT
    timmm55 saidBefore the condom Nazis start screaming, IMHO use condoms to prevent STDs, for the shit that REALLY matters (HIV) use PrEP.

    I wouldn't say we've been lied to about the efficacy of condoms for Gay men, it just wasn't studied. If you want to put all your eggs in one one basket in the condoms vs PrEP debate, the protection factors can not be ignored.


    Are you say hepatitis b isn't serious? Genital/anal warts isn't either? Those things are NASTY. Syphilis???
    Aren't you always saying that HIV is no longer serious?
    hmmmmm.That you can live a long normal healthy life?
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    Nov 29, 2015 11:13 PM GMT
    Sincityfan said
    timmm55 saidBefore the condom Nazis start screaming, IMHO use condoms to prevent STDs, for the shit that REALLY matters (HIV) use PrEP.

    I wouldn't say we've been lied to about the efficacy of condoms for Gay men, it just wasn't studied. If you want to put all your eggs in one one basket in the condoms vs PrEP debate, the protection factors can not be ignored.


    Are you say hepatitis b isn't serious? Genital/anal warts isn't either? Those things are NASTY. Syphilis???
    Aren't you always saying that HIV is no longer serious?
    hmmmmm.That you can live a long normal healthy life?


    Do you have mothballs for brains? I said the really serious stuff...like HIV that can KILL you. Use condoms too for the other shit. My God you are dense.

    HIV is a manageable illness. Left unchecked it can still result in AIDS, people do still die of it. It's night or day.

    You are not capable of paraphrasing my thoughts. Please refrain from interjecting your thoughts as mine.