PrEP and PEP: Finding LGBTQ+ Friendly HIV Care

HIV prevention has transformed dramatically with PrEP and PEP - medications that can prevent HIV infection when taken correctly. LGBTQ+ patients, particularly gay and bisexual men and transgender women, have the highest rates of new HIV diagnoses and the most to gain from these medications. Here's how to access them through affirming providers.

What is PrEP?

PrEP (Pre-Exposure Prophylaxis) is a daily medication for HIV-negative people that reduces HIV transmission risk by 99% when taken as prescribed. The FDA has approved two medications for PrEP: Truvada and Descovy (for cisgender men and transgender women who have sex with men).

What is PEP?

PEP (Post-Exposure Prophylaxis) is an emergency medication taken within 72 hours of potential HIV exposure. It's a 28-day course that can prevent infection if started promptly. PEP is not a substitute for PrEP - it's for emergencies.

Who Should Consider PrEP?

PrEP is recommended for HIV-negative people who:

• Have had anal or vaginal sex in the past 6 months and have a partner living with HIV, don't consistently use condoms, or have been diagnosed with an STI
• Inject drugs and share needles

If you're unsure if PrEP is right for you, an affirming provider can help assess your risk.

Getting PrEP: What to Expect

Getting a PrEP prescription requires:

1. HIV test (must be negative)
2. Kidney function test
3. STI screening
4. Discussion of sexual health history

Follow-up appointments every 3 months include HIV test, STI screening, and kidney function monitoring.

Cost and Insurance

Under the ACA, PrEP must be covered at no cost (no copay, no deductible) by most private insurance plans following recent federal guidance. Medicaid coverage varies by state. Gilead's Patient Assistance Program provides PrEP free for uninsured patients.

Finding an Affirming PrEP Provider

Not all providers are equally comfortable discussing sexual health in an LGBTQ+ context. Use PrideMD's HIV/PrEP/PEP category to find providers who specialize in LGBTQ+ sexual health with verified safety scores.

Find HIV/PrEP providers near you