To allow PrEP to present prevention that is effective should be taken properly and regularly. 66 Guys that have intercourse with males should really be counselled and informed in regards to the use that is correct of prior to it being provided. PrEP doesn’t offer security against STIs, if perhaps perhaps maybe not taken regularly is significantly less efficient, so will not replace other avoidance options like condoms.
There has been issues that PrEP usage may lead to a decrease in condom usage, but these were refuted by studies, like the PROUD study in the UK. 67 A 2019 evidence review analysing 20 studies that are prEP studies discovered high prices of STIs among males who possess intercourse with males who utilize PrEP. Nevertheless, this will not indicate PrEP use is causing STI rates to increase. 68 69
A research posted in 2018 points into the known proven fact that STI rates among males who possess intercourse with guys have now been rising for the previous twenty years, which means that PrEP alone cannot give an explanation for enhance. Outcomes claim that there are more behavioural considerations, such as for instance alterations in combining patterns within danger teams, use of smartphone relationship applications, group intercourse, leisure medication usage, and use of medical. 70