The median number of sex partners per day with condomless anal sex ranged between two to five each month. He also reported having condomless anal sex on about 50% of the days before diagnosis. The patient reported an average of about 50 anal sex partners per month before diagnosis. The patient tested negative for HIV at the start of PrEP, and again at one month, three months and six months before he tested positive.
#75 LOADS GAY TWITTER TRIAL#
He was in a research trial in Amsterdam, and therefore there was excellent documentation of his consistent adherence to PrEP.
It was reported that a 50-year-old cisgender gay man became HIV positive eight months after starting PrEP. However, a new case published in February 2017 appears to challenge this idea. Now put that together and it adds up: Receptive anal sex encounters, even with detectable HIV+ partners, are protected by PrEP when used as directed. To compare and contrast, there were significant HIV acquisitions in participants that were given a placebo, and/or did not take the drug as prescribed. Yet within this sample there was not one single HIV acquisition among participants who took the drug as prescribed. Many participants were gay and bisexual men who were having condomless receptive anal sex with partners of detectable and unknown HIV statuses.Īlthough the researchers did not specify, we are well aware that in a population sample this large it is almost guaranteed that some were having receptive sex in group situations where multiple loads were received. In order to participate in one of the trials, you had to be considered at relatively "high risk" of contracting HIV. There have been more than 11,901 individuals who have participated in safety and efficacy trials for PrEP (). But some new data suggests that may not be completely certain. There is some compelling evidence to point toward the answer being "no", that taking multiple detectable loads of HIV does not compromise PrEP's efficacy. The short answer is that there is no definitive conclusive evidence on this matter. I also do a lot of speaking about PrEP, and this question comes up for me from time to time as well. Thank you so much for the work you are doing to help people learn pleasurable ways to prevent HIV. I would appreciate an expert's opinion to shed some light on this area. This question is one that has come up recently of which I've not been able to find the answer to. I have been HIV positive for 11 years and currently present talks on living with HIV.
Also, if I was on PrEP, and I have an STI, and took multiple loads, does this increase the risk of transmission?