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In 2017, the united kingdom made PrEP accessible to 10,000 males who’ve intercourse with males across 200 UK clinics
In order for PrEP to offer effective prevention it should be taken properly and consistently.66 Guys that have intercourse with males should really be counselled and informed concerning the proper utilization of PrEP prior to it being offered. PrEP will not offer security against STIs, and when not taken regularly is significantly less efficient, therefore will not change other avoidance choices like condoms.
There were concerns that PrEP usage may lead to a lowering of condom usage, nonetheless these have already been refuted by studies, such as the PROUD study when you look at the UK.67 A 2019 evidence review analysing 20 studies that are prEP studies discovered high prices of STIs among males that have intercourse with males whom utilize PrEP. Nonetheless, this will not indicate use that is prEP causing STI rates to increase.68 69
A report posted in 2018 points towards the known proven fact that STI prices among males who have intercourse with males are increasing when it comes to previous twenty years, meaning PrEP alone cannot give an explanation for enhance. Outcomes claim that there are more behavioural things to consider, such as for example alterations in blending patterns within danger teams, utilization of smartphone relationship applications, team intercourse, leisure medication use, and usage of medical.70
PEP
Post-exposure prophylaxis (PEP) is taken after possible contact with HIV. whom recommends providing PEP to men that have intercourse with guys as an element of a package of avoidance choices. It should additionally be in conjunction with counselling about the significance of completing the procedure course. (more…)