A question for the ladies. After a discussion with a clinician I enquired about the use of prep on the understanding that it can be taken on an event basis.
I was advised that little research has been done with regards to women on prep so was told if I were to take it then I should use it daily. Has anyone else particularly women used prep ? |
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Yes. Until very recently I was... and I took it daily..apparently I no longer fit the criteria as I use condoms etc xz ( which seems odd as originally I was given it as I have a high number of sexual partners but they knew then I only do sex with condoms. |
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There's been a fair amount of discussion on PrEp use here but not very much about the on demand methodology and especially for this for a woman to follow it. It's a great discussion to start OP 
My understanding is that it's perhaps a little under& researched, for women to use this approach. There's been a great imbalance, with research mainly upon men.
Quite a few women here so take it but I think I've only heard about them taking the daily dosing approach, so far. |
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I was discussing this will the sexual health clinic today and she did mention to me that biological women are usually advised to take it event based but can take it daily.
Although not biologically female I take mine daily and then take and extra when going to clubs and such! Where as my male partner takes it event based.
So with advice from SH I’d say do what feels better safer for you x |
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We are looking into this option ourselves as we both enjoy bare fun and anal in groups and ourselves, do the guys have to take it daily and I take it before or after a meet or is it something that’s built up in your system over time, and will my early menopause cause any side effects with taking it |
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By *rLicksMan 8 weeks ago
Worcester |
Me and wife are both on prep - she was advised the same… daily usage rather than event based due to research etc (can’t remember exactly what was said - we have been using it for over 2 years now)
It’s certainly worth using IMO - again not going to protect you from everything but certainly what it does protect from is golden!
I’ve had conversations with people about it and been rebuked with the line of “condoms would be the best prevention” which the obvious answer is this…. Condoms occasionally break therefore not 100% so if you can have something else then all the better |
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"Me and wife are both on prep - she was advised the same… daily usage rather than event based due to research etc (can’t remember exactly what was said - we have been using it for over 2 years now)
It’s certainly worth using IMO - again not going to protect you from everything but certainly what it does protect from is golden!
I’ve had conversations with people about it and been rebuked with the line of “condoms would be the best prevention” which the obvious answer is this…. Condoms occasionally break therefore not 100% so if you can have something else then all the better "
i use the condoms break argument and been told as i am very proactive with using condoms for sex. I no longer qualify for prep as a female. Being told I can't have extra protection because I play safe feels a little backwards |
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By *rLicksMan 8 weeks ago
Worcester |
" i use the condoms break argument and been told as i am very proactive with using condoms for sex. I no longer qualify for prep as a female. Being told I can't have extra protection because I play safe feels a little backwards "
 it’s ridiculous! (Probably more to do with saving £££ via NHS). Every time we go for our check up, bloods etc we are offered and given condoms. Maybe being a little “conservative” with the truth might take you back into eligibility. My thoughts on Prep are that it should be offered to everyone who is sexually active. There needs to be much more public knowledge about it also. The ongoing cost would be significant, however would be a huge step towards eradicating a potentially lethal, certainly life altering virus. |
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" i use the condoms break argument and been told as i am very proactive with using condoms for sex. I no longer qualify for prep as a female. Being told I can't have extra protection because I play safe feels a little backwards
it’s ridiculous! (Probably more to do with saving £££ via NHS). Every time we go for our check up, bloods etc we are offered and given condoms. Maybe being a little “conservative” with the truth might take you back into eligibility. My thoughts on Prep are that it should be offered to everyone who is sexually active. There needs to be much more public knowledge about it also. The ongoing cost would be significant, however would be a huge step towards eradicating a potentially lethal, certainly life altering virus. "
thing is when we are playing fully, I'm a very greedy girl. Been known to have well into triple figures for sex ( albeit with condoms) in a week.... yet I'm penalised. I did think about saying i get paid for it, instead of doing it for fun. As then I'd be in the criteria again.
Ive already had to start saying I'm a trans female just to get oral swabs via post  |
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I can't speak for the approach women need to take with prep.
Though you would have thought the advice for women would be at the very least the same as the women.
End of the day if it was freely available, then surely it would provide so much benefit in terms of protection. And as a consequence potentially helping to eradication of a terrible disease.
Surely that's more cost effective. Or maybe we are all wrong and HIV/, AIDS isn't as prevalant, and that's why we are have this discussion.
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"Me and wife are both on prep - she was advised the same… daily usage rather than event based due to research etc (can’t remember exactly what was said - we have been using it for over 2 years now)
It’s certainly worth using IMO - again not going to protect you from everything but certainly what it does protect from is golden!
I’ve had conversations with people about it and been rebuked with the line of “condoms would be the best prevention” which the obvious answer is this…. Condoms occasionally break therefore not 100% so if you can have something else then all the better i use the condoms break argument and been told as i am very proactive with using condoms for sex. I no longer qualify for prep as a female. Being told I can't have extra protection because I play safe feels a little backwards "
If you really want them then tell your clinician you meet with bi sexual men that will more than likely qualify you. |
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If you want to go one further, the latest thinking is DoxyPEP to protect from other STIs. Not nhs available yet but they are wanting to get a trial funded. I found out from my local clinic.
https://www.queerhealth.info/projects/doxypep#:~:text=Introduction,informed%20much%20of%20this%20guide.
Been trying it out - so far so good! |
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By *ubjojoTV/TS 2 weeks ago
Dumbarton |
I would be very very cautious about using a product like this that is not prescribed by doctors and or the nhs, but also this drug is still in its trial state and for me that is a big concern. Why well with Prep, you are advised about all the other drugs that you cannot take at the same time as Prep, like ibuprofen, it interferes with the Prep. So i think taking Doxypep is a bit to risky for my liking. Im sorry i dont doubt that this may be a future drug for us, but in my mind there are still too many question marks over it, and im very uncomfortable taking non prescription experimental drugs for the avoidance of HIV. I think this is a risk to far.
"If you want to go one further, the latest thinking is DoxyPEP to protect from other STIs. Not nhs available yet but they are wanting to get a trial funded. I found out from my local clinic.
https://www.queerhealth.info/projects/doxypep#:~:text=Introduction,informed%20much%20of%20this%20guide.
Been trying it out - so far so good!"
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Doxycycline is an antibiotic, so only effective against bacterial STIs, like syphilis, gonorrhea and chlamydia. It won’t be any use whatsoever for HIV. I looked at it a while back - it’s being used in the US like a morning-after pill in cases of non-condom use. I’d be too wary of developing antibiotic resistance by using it regularly to risk it. |
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"A question for the ladies. After a discussion with a clinician I enquired about the use of prep on the understanding that it can be taken on an event basis.
I was advised that little research has been done with regards to women on prep so was told if I were to take it then I should use it daily. Has anyone else particularly women used prep ? "
I can't take it. Kidneys not upto the task 😞 |
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I was advised that it's not good for females to take as it can effect the bones
They also tested my blood to see if my kidney function was OK before telling me I can take them but at first they weren't and then tested again and I was good to go
They said I can either take them daily if I play regularly with bi men, I also use condoms with bi play. They said of I wanted to take them when I knew I was going to play at a bi party I had to take them 2 hours before
This was when I was actively playing but for now I'm only hosting swinging parties
I suppose if you are open with how you play and tell them the chances of condoms bursting they might get you to take prep again to air on the cautious side as that's the only reason why I got them, for piece of mind |
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By *aulconMan 2 weeks ago
sheffield |
This is how I’ve used it previously
Event based
Prep
This means you: Take 2 tablets of HIV PrEP before you have sex. Ideally this should be between 2 and 24 hours before sex. Take 1 tablet of HIV PrEP every 24 hours until you've had 2 sex free days.
Doxycycline
200 mg of doxycycline taken within 72 hours after sex has been shown to reduce syphilis and chlamydia infections by 70% and gonococcal infections by approximately 50%.
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It seems to be increasingly common that PrEp is now being suggested to straight couples who inform the NHS they are swingers.
In the past they would only issue it to gay male couples as they are at a higher risk of HIV.
I would be very concerned of the side effects and long term health implications of taking such a drug.
Best sticking to condoms and the pill.
Gonorrhea and Chlaymida can still be transmitted through unprotected oral sex. |
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You are absolutely correct with the bacterial resistance to antibiotics if used regularly. And we have very few if any new antibiotics on the horizon, and if you become A resistant, you put not only your own health at risk but everyone you come into physical contact with.my daughter is a bacteriologist and drums this into me all the time. |
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In reality Antibiotics should only be given if bacteria is proven to be present, they should never be used as a preventative measure. There is a very high risk of A resistant bacteria with constant use of antibiotics. I'm very surprised to hear that this is an actual practice. |
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"In reality Antibiotics should only be given if bacteria is proven to be present, they should never be used as a preventative measure. There is a very high risk of A resistant bacteria with constant use of antibiotics. I'm very surprised to hear that this is an actual practice."
DoxyPEP has been approved in the US but not in the UK, and this is largely due to philosophical differences in the medical systems. In the US the philosophy is focused on the benefit to the individual (probably because they will sue if you don’t give the best possible care) while in the UK the focus is on the benefit to the overall population, so the emergence of resistance is taken more seriously. My strategy is to take 2 doxycycline before sex to add even more protection, as well as 2 the following day. It’s not been tested but it’s certainly not going to do me any harm. |
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"In reality Antibiotics should only be given if bacteria is proven to be present, they should never be used as a preventative measure. There is a very high risk of A resistant bacteria with constant use of antibiotics. I'm very surprised to hear that this is an actual practice."
You're incorrect. For example, antibiotics are normally recommended if you're having a type of surgery that carries a high risk of infection. antibiotic prophylaxis is used in multiple scenarios, for example, including after bites, UTI prevention and other scenarios. |
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