PrEP Consultation

PrEP is medication taken before any exposure, by people who do not have HIV, to stop the virus establishing itself. Taken as prescribed, it reduces the risk of getting HIV from sex by about 99% — it is one of the most effective preventive medications in ordinary use. It does not protect against other sexually transmitted infections, which is why PrEP care includes periodic screening rather than just a prescription. Starting requires a negative HIV test and some baseline blood work, both of which we do here, and most people leave the first appointment having started.

• Anyone whose partner is living with HIV, particularly if their viral load is not suppressed
• Anyone who has condomless sex with partners whose status they do not know
• Anyone who has recently been treated for a sexually transmitted infection
• Anyone who has needed PEP before, or expects they might
• Anyone who would simply rather not have to think about it each time

• Before starting: an HIV test is required, because taking PrEP with an undiagnosed HIV infection is the wrong medication for the situation.
• Roughly every three months while you continue, for HIV, kidney function and STI screening.
• If you have had a possible exposure in the last 72 hours and are not already on PrEP, this is a PEP conversation first — PrEP does not work retroactively.

• Bring a list of any medication you take regularly, including anything bought over the counter.
• Expect a blood draw at the first visit — no fasting needed.
• Come with your questions. This appointment is mostly conversation; the prescription is the short part.