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I am not and there is no major difference at all. The first time I do have condom-less sex while on PrEP is a one-night stand.

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I tell the man I am negative and on PrEP; he tells me he is negative but not taking it. He does not seem to care whether we use a condom or not but, telling myself I am protected, I go through with it. Afterwards, I burst into tears. I feel dirty and guilty, as if I have let myself down. But I carry on and, over the next six weeks, date a couple of men. By the time I can make my second PrEP monitoring appointment I have been taking the drug for six weeks. Is PrEP contributing to that? I receive a phone call from the Mortimer Market Centre.

The NHS must show it cares about gay men’s lives – and roll out PrEP HIV drugs | Owen Jones

Is PrEP contributing to that? Reuse this content. I love Knowledge and protocols are the only way to effectively deal with these evil men. I am not so desperate for money that I would take the risk.

I am told there has been an anomaly in my test results. I panic.

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I have to discontinue taking PrEP immediately and go back to the clinic for an emergency blood test. When the results come through a few days later, it seems my kidney function is back to normal. But it strikes me how easily I could come close to kidney failure — and this makes me realise how important it is for people self-sourcing PrEP online to be monitored by the NHS, just like women taking the contraceptive pill have to have their blood pressure checked regularly.

After a few days break, I restart my course of PrEP with a vow to avoid ibuprofen.

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Shortly afterwards, I fly to the US. In fact, the first thing that happens when I switch on the app is that I receive an advert for PrEP on sale at the high-street pharmacy chain Walgreens. During the course of my trip I have sex with a few men and condoms are not even mentioned — nor is HIV status discussed.

I have no idea whether this is a good or bad thing but it is clear that PrEP has indeed changed things. In the past, I had always been struck by how upfront Americans were about their HIV status — and asking about mine. It seems this is no longer an issue or even a conversation — and the sexual activity I experience is entirely free from fear. The drug is completely normalised and there is no stigma. As I fly back to the UK, I think this is what it should be like at home.

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Looking at the bigger picture, there is no denying that the drug is a potential game-changer. If all the gay men who are HIV-negative go on PrEP — and all those who are HIV-positive take the medication that will make their viral load undetectable meaning they will not pass on the infection — we will have the power to wipe out this disease.

If the NHS offers it everywhere in the UK, and all gay men who are deemed to be at risk start taking it, there can be no slut-shaming. PrEP will become the new normal. It allows us to have sex how it should be experienced — innocently and joyously. It is perfectly natural and a desire that has always been part of me. I had been robbed of it for more than two decades.

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Facebook Twitter Pinterest. Topics Aids and HIV. Sex Sexuality features. Reuse this content. I go to fitness, I participate in competitions on the run.

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