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Author Topic: Truvada PrEP  (Read 595 times)

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Offline Mightysure

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  • Posts: 5
Truvada PrEP
« on: February 26, 2014, 02:20:57 PM »
Hello all

I am an HIV negative guy who is thinking about PrEP for several reasons, the main reason is that I met a nice guy who is someone I could see myself with but he happens to be positive. Even though I know about HIV transmission, undetectability, and consistent and correct condom usage, I have lingering anxiety about having sex with him.  I thunkt more than anything Truvada will give me practice of mind.

So I have two questions. Does anyone have any tips on how to get over anxiety about sero-discordant sex and for anyone taking Truvada or its component drugs has any warnings or tips? I would greatly appreciate any feedback

Offline mecch

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  • red pill? or blue pill?
Re: Truvada PrEP
« Reply #1 on: February 26, 2014, 02:41:49 PM »
I had serodiscordant relationships when I was HIV- and my boyfriends HIV+. 
I got over anxiety about it by knowledge that sex with condoms prevents transmission. Some of these partners were not on medicine and two were before there was HIV treatment and two died of AIDS.  I never had condom breaks, I think that would have freaked me out.
Today of course an HIV+ parter might easily be on effective treatment and consistently undetectable. Wouldn't that lower anxiety. Secondly, there is POST-exposure treatment available.  Also gives peace of mind. Plus - good old condoms.
Yes there is PREP available now.  If your partner is undetectable and you want to have condom protected penetration, I would think that PLUS PREP would be overkill. 

I would think the PREP would be interesting if the idea was to do without condoms completely, with an undetectable partner, and just to be super super duper sure. 

Generally, my gut reaction to your post is to work though the ways to lower anxiety without the need for PREP.  iF you really cannot work towards that, with some time and application, I would say that PREP, with condoms, and undetectable viral load, is overkill and a sign that someone really can't be comfortable in a sero-discordant relation.  Just an opinion mind you. And I obviously don't know the particulars.
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline mecch

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  • red pill? or blue pill?
Re: Truvada PrEP
« Reply #2 on: February 26, 2014, 05:31:20 PM »
OH, P.S. - here's an interesting discussion of PrEP:

http://blogs.poz.com/marksking/2014/01/the_fury_of_the_prep.html

“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline AusShep

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Re: Truvada PrEP
« Reply #3 on: February 28, 2014, 05:01:45 PM »
I've been in a sero-discordant relationship for almost 20 of our 22 years.  I don't think the fear ever goes totally away.  I think I'm actually more concerned than my partner though.

If you can get it covered by your insurance (get the copay assistance too), I'd say to go for it since you're worried.  Continue to practice safer sex, it'll probably give you both more peace of mind.  Also, PrEP can be safely stopped after confirming you're still negative if you decide it is no longer necessary or have any lingering side effects.
Converted:      11/1994

Offline Mightysure

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  • Posts: 5
Re: Truvada PrEP
« Reply #4 on: February 28, 2014, 08:51:47 PM »
Thank you for your input. I've read all the pros but never really got the cons or the opinion of someone who doesn't see it as a crucial thing. I have general anxiety anyway, but I just have this phobia, which is odd b/c I've slept with ppl who've said they were negative but I don't know if they were or not and I had no reservations then. 

Cost wouldn't be an issue. My co-pay would be 45 dollars per month w/o co-pay assistance.  I just don't want to miss out on a good guy b/c of my hang ups about a virus that they have under control and they aren't really infectious.  I don't know, but thanks for your input. It will give me something to think about.

Offline mecch

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  • red pill? or blue pill?
Re: Truvada PrEP
« Reply #5 on: March 01, 2014, 11:56:11 AM »
Its not crucial thing. Because you have options, such as I layed out. 

If you are going on it to solve your anxiety issues, maybe the anxiety issues need other attention - like behaviour therapy of whatever.  Have you had sex with this person? Is your idea you will need PrEP before you start sex with him? If so, I'd say its the anxiety ,and not all that rational. But you know that.  And we are not always rational are we. Its human.

That said, I don't see much harm in taking PrEP if its the only way you'll dare have sex with him.  Maybe after awhile you will chill and decide you don't need the PrEP to keep having sex.  Or maybe the relation won't last, for whatever reason.   

Nothing ventured, nothing gained.

A little vocabulary correction - HIV is not "infectious" -- it is not an "infectious disease"! It is transmissible.   Maybe that little distinction might help?
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline Mightysure

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Re: Truvada PrEP
« Reply #6 on: March 01, 2014, 04:30:09 PM »
Sorry if I offended you meech. But in the US, doctors who specialize in HIV care are called infectious diseases doctors. At least in my area. Thats why I used the term.

But no. I've never had sex with him yet. Its not the most important thing bc I like who he is as a person. I think its just one of those things where the more you think about it, thr more anxious you become. So I'll try, when the tiime comes, to treat him as I would anyone else whose status I dont know.  Thanks for all your input and i like how supportive and helpful this site is


Offline wolfter

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Re: Truvada PrEP
« Reply #7 on: March 01, 2014, 04:48:50 PM »
I guess I too better inform my specialist that he is in fact; a transmissible disease specialist. ::)

I still believe HIV/AIDS is considered an infectious disease. 

sorry to the OP, hopefully you garner some great insight without further chastising by our regular know-it-alls.

within these forums, you'll find numerous threads about this topic.

best of luck
wolfie
Judging someone does not define them, it defines you. 

True peace is not merely the absence of war, it is the presence of justice.

Offline mecch

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  • red pill? or blue pill?
Re: Truvada PrEP
« Reply #8 on: March 01, 2014, 05:07:35 PM »
You didn't offend me. I was a dunce! I was thinking of "contagious" of course.  :o

Just do what you have to do to go forward.  And be frank with this person.

I suffer with anxiety so over life have to find all the workarounds so it doesn't get in the way of actions. 

Good luck!
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline AusShep

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Re: Truvada PrEP
« Reply #9 on: March 01, 2014, 06:34:17 PM »
Infectious Disease is the correct Internal Medicine sub-speciality name although many HIV specialists aren't Board certified in infectious disease or even internal medicine and not all ID docs specialize in HIV, but none of this really matters...

PrEP is really a numbers game.  The odds of transmission may be very low in your described situation, but they're not zero.  PEP is not 100% effective, and neither is PrEP.

One can play the numbers/cost game all day long and debate how many millions may be spent for each prevented infection that could have been spent elsewhere.  But in the end, if you're one of the unlucky few, you'd probably want to have had the extra 98-99% protection from PrEP.  It's one of those things you just have to decide for yourself.

As someone who got HIV in one of those long shot (literally) ways.  I sure wish PEP and PrEP were options available for me to consider and use 20 years ago.



Converted:      11/1994

Offline Mightysure

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Re: Truvada PrEP
« Reply #10 on: March 03, 2014, 12:56:58 PM »
I just had a consult with an ID doc and from.our discussion and the feedback.here, PrEP isnt right for me. If im doing things to where PrEP is needed, then im exposing myself to other infections. And if I do become positive while taking it, there is a strong chance that strain will.become resistant to that entire class of ARVs. And that's a bigger danger than becoming positive.  So no PrEP for me. I'll just work on my anxiety issues and proceed from there. Thank you all. Everyone has been a big help.

Offline magneticlove

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Re: Truvada PrEP
« Reply #11 on: April 06, 2014, 07:59:13 PM »
I've been on Truvada for PrEP for about two months now, since I'm in a serodiscordant relationship with a positive man (I'm a negative woman).  Even though he's undetectable and on meds, I wanted the extra layer of reassurance.  We hate condoms and will not use them faithfully, and we both like the freedom of not being worried about him ejaculating in me.  Also, we want to have a baby at some point, so Truvada is good on that note, too.   ;D

I had a few weeks of nausea in the beginning, but overall, I'm thrilled with my choice.  I have to get tested in about a month, and I'm not worried about it AT ALL, knowing that both he and I haven't missed any doses of either of our meds.   8)
Boyfriend <3 = positive, undetectable, on ARV's
Me = negative, on Truvada for PrEP :)

 


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