If me and my partner are healthy and ho sti's or any diseases which can be sexually transmitted...can we have sex without using condoms
Hi, That’s a great question, and it’s exciting to hear that you and your partner are negotiating your sexual health together.
If you and your partner are thinking about having sex without condoms together, we would recommend you both get a HIV and sexual health test with your doctor or local sexual health clinic, and then getting a second test 3 months later after the window period in order to have a conclusive result of both of your HIV status. If both of your results come back as negative for HIV and other STIs after that second test, then it you and your partner can negotiate condomless sex.
If results come back differently, we would consider treatment options before engaging in condomless sex.
You can read more about sexual health testing and relationships on our website here: https://endinghiv.org.au/tribes/in-a-relationship/
If you live in NSW, you can also find the nearest place to get tested here: https://endinghiv.org.au/test-often/where-to-get-tested/
Can I buy pep ina phamacy
Hi, That’s a good question. If you think you have been exposed to HIV, you can access PEP (post-exposure prophylaxis) to prevent HIV transmission. PEP must be started within 72 hours of possible exposure for it to be effective. You can access PEP at sexual health clinics of hospital emergency departments. You can go to the Get PEP website at https://www.getpep.info/ or call the PEP Hotline at 1800 737 669 (1800 PEP NOW) to find out more information on where you can access PEP. However, you can access PrEP (pre-exposure prophylaxis) by collecting a script from your doctor, which you can take to the pharmacy for purchase.
Im a guy and had sex with a guy for the first time, even though he told me he is on PREP and HIV negative. I'm just curious what are the chances of me getting HIV.
Hi, Thanks for your question.
In addition to condoms, we have many biomedical interventions today that have given people different options for HIV prevention strategies that work for them.
PrEP (pre-exposure prohylaxis) is a highly effective HIV prevention strategy. It is a pill that a HIV negative person can take daily to prevent them from being infected with HIV. If the person you had sex with was taking their PrEP correctly, there would be no risk of HIV transmission from that encounter. You can read more about PrEP on our website here: https://endinghiv.org.au/stay-safe/prep/.
However, this can be different for other STIs. We recommend to anyone who is sexually active to get a HIV and STI test 4 times a year (every 3 months) with their doctor or local sexual health clinic. If you live in NSW, you can find the nearest place to get tested here: https://endinghiv.org.au/test-often/where-to-get-tested/
Along with condoms and PrEP, post-exposure prophylaxis (PEP) and undetectable viral load (UVL) are also highly effective HIV prevention strategies. You can read more about these options here: https://endinghiv.org.au/stay-safe/
I just have a question about prep?
If you have been taking it daily, do you have to do the prep on demand dosage before having sex? Or is the prep on demand an option for you if you haven’t been taking it daily?
Hi Tom. Good question.
Daily PrEP is a highly effective HIV prevention strategy. It is a great option for someone to be highly protected from HIV without having to anticipate when their next sexual encounter is. If you are taking daily PrEP, you do not have to do an double dose before having sex like you would if you were taking PrEP on-demand.
On-demand PrEP is an option for people who are having less frequent sex without condoms, who are also able to time when they plan on having sex. The dosing strategy for on-demand PrEP use are as follows:
1. Take two PrEP pills at once (double dose) between 2 to 24 hours before having sex
2. Take one more PrEP pill 24 hours after your first dose
3. Take one final pill 24 hours after the second dose.
On-demand PrEP is also only effective for people having anal sex. It is not effective for people having vaginal or front hole sex.
You can read more about PrEP on our website here: https://endinghiv.org.au/stay-safe/prep/
If you are thinking about whether daily or on-demand PrEP is for you, we recommend consulting with your doctor who prescribes your PrEP to get advice on which strategy is best suited to you, and to make sure you understand the timing of pills.
Hi, I am currently taking PReP. Does PReP impact HIV testing results? I want to stop taking PReP and I want to know when I can get a conclusive HIV test after ceasing PReP. Also the sexual health info link phone number seems only available to people in NSW. I cannot seem to connect whenever I call. Thanks
Hi, Thanks for your question.
Incorrect HIV test results impacted by PrEP are very rare. For some very few people who have recently been infected with HIV but are not aware of their status and have started taking PrEP, there may be a delay before a positive HIV result appears in the test. This is why it is important to make sure you get tested and are HIV negative before you start taking PrEP.
However, this is very rare.
Before you decided to stop taking PrEP, we recommend visiting your doctor or health professional who is prescribing you your PrEP so that you can seek further medical advice around PrEP and HIV testing.
The Sexual Health Infolink is a service available to people in NSW. If you are seeking further support, we recommend talking to your doctor or nearest sexual health clinic.
What if neither of the partner have HIV, is it still possible to have an HIV through cum?
Hi, Thanks for your question. The only way to know your HIV status is to have an HIV test. If you are sexually active, you should have a HIV and sexual health test 4 times a year, and if you are not having sex or in a monogamous relationship, you should get tested once a year. HIV tests can also have a window period of between 2 weeks to 3 months. This is the period of time between possible HIV infection and the point where the test will show a conclusive result. You can read more about testing and the window period on our website here: https://endinghiv.org.au/test-often/all-about-testing/. If you live in NSW, you can find the nearest place to get tested here: https://endinghiv.org.au/test-often/where-to-get-tested/. If you and your partner are in a monogamous relationship and are thinking of having unprotected sex, it is recommended you both get tested, and then get tested again in 3 months’ time after the window period to confirm you are both HIV negative before negotiating having unprotected sex. If you having sex with multiple casual or regular partners and don’t know their status, we recommend considering one of the following highly effective HIV prevention strategies; condoms, pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP) and undetectable viral load (UVL). If you have any more questions, you can call the Sexual Health Infolink at 1800 451 624 where a nurse can answer your questions over the phone.
Hi, I am wondering if Prep is right for me as I do not much about it? I am only sexually active once or twice every 4 to 6 months. I always use condoms but not in a committed relationship. I am a bottom and wondering if I should still get Prep as I see many gay men are on it?
Hi There, thanks for the question. It’s a good one!
In short, it depends on what you feel is right for your health. PrEP is a pill that you take every day that protects you in the event that you might be exposed to HIV (like if a condom breaks). It’s another form of protection, just like condoms. Remember though, PrEP doesn’t protect you from other STIs, only HIV.
We have actually written a blog on this exact topic! It’s a good read and will give you some more food for thought: https://endinghiv.org.au/blog/is-prep-for-you/
If you do decide that PrEP is for you we have written another article that might help you to have the conversation with your doctor: https://endinghiv.org.au/blog/talking-about-prep-with-your-doctor/.
Finally, this is also a conversation that we would recommend you have with your GP. They can help you to understand what’s involved with taking PrEP and whether or not this might be right for you.
Don’t have a regular, gay friendly GP? ACON has a good directory here: https://www.acon.org.au/who-we-are-here-for/gay-and-bisexual-men/#gay-friendly-gps
I was in NYC couple weekends back, 3 weeks ago. I made out with a guy I met there, and he later told me that he was positive and undetectable. I don’t know him at all. He told me that he was on biktarvy. I freaked out rinsed my mouth throughly, but I was sharing a cigarette with him and we made out twice. It was dark so I don’t know if he has any cold sores etc.
After rinsing my mouth, I got some pizza and unfortunately bit my mouth. I’m very worried because I am seeing sporadic spots on my back skin and maybe very light spots on the front.
He felt my ass twice, with his fingers. I doubt if that does anything.
Nothing else happened. I have been tested since my last sexual encounter and tested negative. The spots have me worried.
What should I do?
I’m so worried. Please help. I don’t know where his mouth had been that night. I’m so stupid. I feel horrible. I’m so stressed. The mouth cut has me worried.
Hi, Thanks for your question. Like the guy you met in New York, most people who are living with HIV are on treatment and sustain an undetectable viral load. This means that they cannot transmit HIV to another HIV negative person. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. Saliva is not a bodily fluid that contains HIV. HIV is also not transmitted via skin-to-skin contact. You can read more on HIV and how it is transmitted through our website here: https://endinghiv.org.au/sti/hiv/ Regarding the spots on your skin, this can be caused by many different things. If they are of concern to you, we suggest visiting your doctor or health professional for further medical advice.
Hi team, I have recently changed the chemist at which I place my scripts for Truvada PREP. This time around I have been given “TENOFOVIR DISOPROXIL EMTRICITABINE MYLAN”. Can you please confirm whether this offers the same protection as the Truvada that I have always taken? Thanks
Hi, Thanks for your question. Yes – they are the same medication provided by two different pharmaceutical companies and are just as effective.