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PrEP Myth-Busting: Separating Fact from Fiction

Despite its proven effectiveness in preventing HIV, there are many myths and misconceptions surrounding PrEP (Pre-Exposure Prophylaxis). These myths can create unnecessary stigma, discourage people from using it, or spread misinformation about who it’s for and how it works. In this guide, we’ll break down the most common myths about PrEP and uncover the truth, empowering you to make informed decisions about your health and well-being. Let’s set the record straight!

Myth: If you're on PrEP, you don't need to use condoms.

Fact: While PrEP is highly effective at preventing HIV, it does not protect against other sexually transmitted infections (STIs) or pregnancy. Using condoms alongside PrEP offers the best protection.

Myth: PrEP has severe side effects.

Fact: Most people experience minimal to no side effects. Common side effects, such as nausea or headaches, typically go away within a few weeks. Talk to your healthcare provider if you have concerns.

Myth: PrEP is hard to access and expensive.

Fact: Many programs and insurance plans make PrEP affordable or even free. Check with local health clinics or organizations for assistance.

Myth: PrEP needs to be taken forever.

Fact: You can stop taking PrEP if your circumstances change and you’re no longer at risk of HIV. Consult your healthcare provider before discontinuing.

Myth: Transgender individuals can't use PrEP because of hormone interactions.

Fact: Studies show no significant interactions between PrEP and gender-affirming hormone therapy, and both can be used safely together.

Myth: LGBTQ+ people who use PrEP are irresponsible or promiscuous.

Fact: Taking PrEP is a responsible and proactive choice to reduce the risk of HIV, not an indicator of someone’s sexual behavior.

Myth: PrEP isn’t effective for transgender women.

Fact: Research confirms that PrEP is highly effective for transgender women when taken consistently, just as it is for anyone else at risk of HIV.

Myth: If I forget my double dose of PrEP on-demand before sex, I can take it right after the hookup

Fact: After the hook-up, it’s unfortunately too late to start your PrEP on-demand schedule. You will only be protected by PrEP on-demand if you take the starting double dose between 2 and 24 hours before sex, as your body needs time to absorb the medication. Think of it like sunscreen – it’s most effective if applied before you go out in the sun, and it’s not effective at all if applied after being out in the sun.

Myth: I stopped PrEP during a relationship but plan to restart with my leftover pills and see my doctor
when they run out.

Fact: Restarting PrEP without consulting a doctor isn’t recommended. You need an HIV test before resuming PrEP to ensure you haven’t contracted the virus, as starting PrEP while HIV-positive can lead to drug resistance. Always check with your healthcare provider before restarting.

Myth: I want to save money, so I'll reduce my daily PrEP to 4-5 pills a week.

Fact: Taking fewer PrEP pills than prescribed reduces its effectiveness and increases the risk of HIV infection. Stick to the recommended daily dosing or consult your healthcare provider about alternatives like PrEP on demand if suitable for your situation.

Myth: I missed the follow-up dose after my on-demand double dose, so I'll take another double dose
to make up for it.

Fact: Missing the follow-up dose for PrEP on demand reduces its effectiveness. Doubling the next dose won’t compensate for the missed one. Instead, continue with the regular schedule and consult your healthcare provider for guidance.

 
Myth: Since I'm on PrEP on-demand, I can skip the 3-month check-ups and only visit when
I need a new prescription.
Fact: Even on PrEP on demand, regular 3-month check-ups are essential to monitor for side effects, HIV status, and kidney function. Skipping these visits can compromise your health and PrEP effectiveness.
 
 

By busting these myths, we can better understand the role of PrEP in HIV prevention and its importance in public health.

Have a question about PrEP?

Always speak with your prescribing doctor if you have any questions about taking PrEP correctly.

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