It has become clear to me over the last few months that we have a very real problem as gay men. We really don’t talk about our sex lives HONESTLY. Particularly with regards to sex and condoms. This is one of the main reasons why we have seen new HIV infections rise and rise – year after year. 6000 new HIV infections were diagnosed in the UK last year alone (and countless others that are yet undiagnosed). I’m going to go way out there and just state it as I see it. Put moral judgements aside and stop debating what we (gay men) should and shouldn’t be doing. The simple fact is that people do not always use a condom for penetrative sex all the time, every time. Yesterday I had a conversation with a friend of mine who had told me previously and several times that he “doesn’t really ever bareback” but he did at the weekend. He’s now on PEP for the next month. In my own case, even though I had spells of busy sexual activity, I didn’t bareback that much or over a long period of time. And when I did have condomless sex I always tried to box clever. I of all people am very real proof that no matter how HIV aware and educated you are – you can’t outsmart HIV on your own.
If I had have been able to get PrEP I would still be HIV negative.
PrEP is only about HIV protection – it doesn’t claim to offer protection against any other STI. So it’s infuriating for me to constantly hear this “what about other STIs?” sensationalism and attempted counter claim to the benefits of PrEP. It’s like saying wearing a seat belt won’t stop you getting cancer! Of course it won’t! It’s not designed to protect you from getting cancer – it is designed to help protect you in a car should you have a driving accident. PrEP and HIV protection is exactly the same. PrEP is amazingly effective at protecting you from HIV! That is what it is designed for – nothing else. Every other STI can be immunised against or cured – even Hep C (Harvoni is the new treatment). Yes, drug resistant gonorrhea is obviously a concern but you can catch that from oral sex. And realistically…how many people wear a condom for oral sex? Very few. You can catch every other STI from oral sex.
So please stop and think about this before screaming about ‘other STIs’ when discussing PrEP.
In my experience people who want PrEP don’t want it to START barebacking – they want it because they ALREADY ARE barebacking.
They are aware that they are taking risks and they just want to protect themselves. Personally I think that is amazing and that these guys should be commended.
I have so much interaction with the users of our website. It’s incredibly inspiring and exciting. This has been an amazing year for HIV awareness, anti-stigma and HIV prevention developments. Next year is going to be a hugely transformative year in the HIV arena. The future is PrEP – the future is here!