And condoms STILL are not better at protecting against HIV than PrEP.
Anal sex with condoms has not been studied well. (And condoms are not approved by the FDA for anal sex.)
"If used perfectly, male/external condoms can be up to 98% effective at preventing pregnancy. In reality they are only 85% effective – an average of 15 women out of 100 get pregnant when using condoms as their only form of protection for a year."
Birth Control Pill, Patch, Ring or Shot
: Because the pill, patch, and ring have room for human error, eight women out of 100 will get pregnant while using them for a year.
Using these methods with condoms makes them extremely effective at preventing pregnancy. Condoms will also reduce the small risk of pregnancy with the Depo Shot.IUDS:
IUDs are small devices a doctor implants into the uterus, and are extremely effective methods of birth control (over 99% in actual use
). Condoms used with an IUD lower risk of a rare pregnancy. Copper IUDs are also the most effective emergency birth control. See the section on “If a condom breaks or slips off” for more information.http://everywomanshealthcentre.ca/condoms/
PrEP is better than the 8% for "the pill". For that 1% you can use a condom too. We all take risks. This is about risk reduction.
This guy did everything right, he took his PrEP religiously. But his partner was failing his ART regime. (Probably from not taking his meds) So he wasn't undetectable. Even worse he brought along his resistance to Stribild. He needed to change his ART meds to become undetectable again.
It's very important for people on ART to take their meds as prescribed with at least 90% compliance. If they don't and become detectable there is a potential risk to people on PrEP with the same drug ingredient or family of that drug, rendering that component useless. The formula can be changed if resistance is detected.
It is still an isolated case. The guy on PrEP is successfully undetectable already. So we know it didn't wipe out other classes/families of drugs to use.