To ensure that PrEP to give effective prevention it should be taken precisely and consistently. 66 Guys who’ve sex with males must certanly be counselled and informed in regards to the use that is correct of prior to it being offered. PrEP will not offer security against STIs, of course maybe maybe perhaps not taken regularly is significantly less efficient, therefore will not change other avoidance choices like condoms.
There has been issues that PrEP usage may lead to a decrease in condom usage, nonetheless these are refuted by studies, like the PROUD study when you look at the UK. 67 A 2019 evidence review analysing 20 studies that are prEP studies discovered high prices of STIs among males who possess sex with males whom use PrEP. Nonetheless, this doesn’t necessarily mean use that is prEP causing STI rates to increase. 68 69
A research posted in 2018 points into the proven fact that STI prices among males that have intercourse with guys have already been increasing for the previous 20 years, this means PrEP alone cannot give an explanation for enhance. Outcomes declare that there are more behavioural things to consider, such as for instance changes in blending patterns within danger teams, utilization of smartphone relationship applications, team intercourse, leisure medication usage, and use of medical. 70