How to Talk to Your Partner About Using PrEP

HIV Plus
Original Article:

Not so long ago, the only way to prevent HIV exposure was by using condoms. So the decision was pretty clear. If you didn’t want to be exposed to HIV, you used a condom. End of story.  

But the story continues. Now we have pre-exposure prophylaxis, or PrEP. For couples, PrEP may open up a whole new chapter in your relationship. Are you ready?  
PrEP is a game-changer in more ways than one. I have had many clients talk to me about PrEP. Along with the issues that are coming up for them. Issues like: Going on a daily medication for the foreseeable future. Being stigmatized as someone who has a lot of random hookups. The level of risk from exposure that still might be present. Whether it is covered by insurance, along with the co-pays.  

Some of my clients are single, and others are in relationships. And making the PrEP decision when you are in a relationship can be especially difficult. You have to consider not only your needs and expectations, but those of your partner. Two people. Twice as many considerations.  

Here are a few examples that illustrate the kinds of questions couples are facing as they consider PrEP.  

A client I’ll call Tom is HIV-negative and partnered with Daniel, who is HIV-positive. Tom has been comfortable using condoms and thought Daniel was as well. Recently, Daniel expressed the desire to have bareback sex and has requested that Tom go on PrEP so they can. “I’m not sure if I’m ready to have sex without a condom,” Tom said. “Daniel says I’ll be fine, since he’s undetectable. But he’s not the one taking the risk. I am.”

Full text of article available at link below: