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He also notes that having patients at risk for HIV on Pr EP gives them more opportunities to see the patient since it is a biomedical prevention.It allows them to treat STIs and other problems more efficiently while counseling for any other risk behaviors.Derek brings his perspectives as a San Francisco-based registered nurse specializing in HIV and an outspoken past Pr EP user with HIV-positive and HIV-negative sex partners.

Depending on the environment — a dive bar versus a dance club, a bathhouse or a play party — I might be wearing more clothes or less, but the target is the same: men and anal sex.

[RELATED: 36 Fetishes Every Gay Man Should Know] As gay men, a good portion of some of our lives will be dedicated to the art and craft of anal sex.

Mayer argues that Pr EP is a cost-effective intervention because it can be stopped when risk stops, whereas HIV treatment is lifelong.

He based that conclusion on the high incidence of HIV in the control groups of the British open-label Pr EP study.

This applies, obviously, to someone who has already been diagnosed as HIV positive, and who has controlled replication of the virus. When I ask guys if they’re undetectable, it’s one question in a series. Today, so much of this is done electronically, on Grindr and Scruff and Jackd and all these applications and online connections, that communication can actually be easier than being face-to-face.

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