PrEP for HIV prevention

I can relate to what is said in the above video, especially when the talk turns to "slut shaming ", as I made it my responsiblity to get tested for HIV once a month due to fact that I was performing sexually for so many men in my female role. Best intentions as havings guys wear a condom, often flew out the door,once a guy had me bent over ready to penetrate me, especially if I wanted him to ejaculate in in the first place,which was usually the case. Yet, soon a nurse at the health department said to me, " Michael you can't come here to get tested every time you change sex partners ", I ran into much difficulty even getting tested (early 2000's).

I know after 14 years of celibacy, I am ready to start meeting men again.

  I soon will be taking the drug Truvada® a

Pre-exposure prophylaxis (or PrEP) is when people at risk for HIV take daily medicine to prevent HIV.

  Which wasn't a option when I was very sexually  promiscuous in late 90's to 2005 as a female-roled male for men.

  One thing different now though a potential male sexual partner, is going to have to get tested for all STD's prior to us having any sexual contact. I already decided " I'll pay for the test if need be, yet must happen !,  I remember worrying all the time, if guys were honest when they'd tell me they were STD free.

                    was very much like playing;


                   Russian roulette

When taken every day, PrEP ( Truvada® ) is safe and highly effective in preventing HIV.

PrEP reaches maximum protection from HIV for receptive anal sex at about 7 days of daily use.

Sexual Risk Taking Among Transgender Male-to-Female Youths With Different Partner Types -


"Transgender female youths (young persons born anatomically male who identify as female) are a group at high risk for HIV infection. A growing body of research shows estimates of HIV seroprevalence among transgender women that are higher than among other US at-risk populations.14 A meta-analysis of the HIV prevention literature focused on transgender women found that 27.7% of transgender women tested positive for HIV, while 11.8% reported being HIV positive.5 In the 2 studies to date, rates of HIV infection among transgender female youths were found to be comparable to those of transgender women.6,7

Some studies have shown that partner type (categorized as main, casual, or commercial) influences the sexual risk behaviors of groups at high risk for HIV infection.

Below is a brief overview of STD testing recommendations.

 STD screening information for healthcare providers can be found here.

  • All adults and adolescents from ages 13 to 64 should be tested at least once for HIV.

  • All sexually active women younger than 25 years should be tested for gonorrhea and chlamydia every year. Women 25 years and older with risk factors such as new or multiple sex partners or a sex partner who has an STD should also be tested for gonorrhea and chlamydia every year.

  • All pregnant women should be tested for syphilis, HIV, and hepatitis B starting early in pregnancy. At-risk pregnant women should also be tested for chlamydia and gonorrhea starting early in pregnancy. Testing should be repeated as needed to protect the health of mothers and their infants.

  • All sexually active gay and bisexual men should be tested at least once a year for syphilis, chlamydia, and gonorrhea. Those who have multiple or anonymous partners should be tested more frequently for STDs (i.e., at 3- to 6-month intervals).

  • Sexually active gay and bisexual men may benefit from more frequent HIV testing (e.g., every 3 to 6 months).

  • Anyone who has unsafe sex or shares injection drug equipment should get tested for HIV at least once a year.

                                                      I was getting tested at least every 3 months or sooner (1998-2005 )

                                                      To be on  Truvada® the protocal is every 3 months