Benny wrote:Taking Truvada has risks, I mean there's a reason why you need a prescription from a doctor to obtain it.
That is both wrong and irrelevant.
It's not a prescripted course medication in all countries - does it mean there are risks for Britons to take it, but no risk for Mexicans? If a Brit moves from the UK to México, the risks suddenly disappear?
The only reason why PrEP is a prescripted drug in some
countries is because that's the norm for antibiotics and antivirals, for fear of people misusing it, ie not finishing a "course", or using it whilst being HIV+, leading to drug resistance.
Benny wrote:The risks are there, even if they may affect only 5 or 10% of all patients taking it.
Because you make it sound as if it that medication is completely harmless.
There are potential side effects, as there are for all
But I wasn't here to dispute the fact that it could be a negative impact in the short-term
on some people's kidney, but the claim that "the long-term effects are unknown
". They are as much known as the potential long-term effects of using a microwave, Wi-Fi, approved vaccines, or consuming GM food.
Benny wrote:Personally I don't understand how someone prefers taking medication with the risk of side effects instead of using a simple condom.
Are you going to have the same confusion over why anyone would want to use the birth control pill? How about people who go to the doctor when they catch a cold, instead of just resting and letting it heal? Why do people take vitamin C pills, when they have the potential side effects of Redness and warm feeling of the skin, or flushing, headache, nausea, vomiting, or diarrhea, upset stomach during or after eating, and feeling faint? How about all those people going for traditional Chinese medicine or drinking any kind of herb tea? Why have the Hep A, Hep B, and HPV vaccines? They can just use a condom, no?
Do you never take a panadol when you have a headache? Why didn't you let it heal? Don't you know about its potential side effects bloody or black, tarry stools, bloody or cloudy urine, fever with or without chills, pain in the lower back and/or side (severe and/or sharp), pinpoint red spots on the skin, skin rash, hives, or itching, sore throat, sores, ulcers, or white spots on the lips or in the mouth, sudden decrease in the amount of urine, unusual bleeding or bruising, unusual tiredness or weakness, yellow eyes or skin, diarrhea, increased sweating, loss of appetite, nausea or vomiting, stomach cramps or pain
swelling, pain, or tenderness in the upper abdomen or stomach area. You could even die if you're allergic to it - and allergies could be developed later on in life.
If you didn't have questions for all of these, why is PrEP creating a bigger doubt for you? It's only because of the societal internalized control over gay men's sexual behaviour. It happened with condoms, and it has happened with PrEP. The society just doesn't like gay men having gay sex.
But to answer your question directly, these are some of the reasons I can think of:
- potentially better protection against HIV than using a condom. Condoms' effectiveness is 96%, whilst PrEP is as high as 99%. Condoms have never been approved to be used for anal sex, while PrEP has been;
- in cases of involuntary sex, eg rape, date-rape, stealthing etc;
- added protection, yes, some people are on PrEP and still use a condom;
- protection for exposure not protected by the use of condoms, such as blood going into one's eye, neddles getting shared;
- protection also against Hep B - it's been found that PrEP also works against acquiring Hep B, though with a much, much lower effectiveness;
- for bottoms, actual protection rather than relying on the tops to behave, especially in situations like an orgy; and
- better quality sex. Some people are allergic to condoms, many people cannot get hard or stay hard using a condom, most people need more lubrication when using a condom, and almost everyone finds condomless sex more enjoyable, hence the production of thin condoms and the popularity of bareback sex among both the gay and heterosexual communities.