To ensure that PrEP to present prevention that is effective must certanly be taken precisely and consistently. 66 Males who possess intercourse with guys must certanly be counselled and informed in regards to the use that is correct of prior to it being provided. PrEP will not offer security against STIs, of course perhaps not taken regularly is a lot less efficient, so will not change other avoidance choices like condoms.
There were issues that PrEP usage may lead to a decrease in condom usage, nonetheless these are refuted by studies, such as the PROUD study when you look at the UK. 67 A 2019 evidence review analysing 20 PrEP studies and trials discovered high prices of STIs among males that have intercourse with males whom use PrEP. But, this doesn’t indicate PrEP use is causing STI rates to increase. 68 69
A report posted in 2018 points into the known undeniable fact that STI prices among males who possess intercourse with males have already been increasing when it comes to previous two decades, this means PrEP alone cannot give an explanation for enhance. Outcomes declare that there are more behavioural things to consider, such as for example alterations in blending patterns within danger teams, utilization of smartphone relationship applications, team intercourse, leisure medication usage, and use of medical. 70