我是否要考虑用PrEP？

我是否要考虑用PrEP？

PrEP适用于那些没有HIV，但在性行为或注射毒品使用中面临非常高感染HIV风险的人。根据联邦指南，建议那些HIV阴性且与HIV阳性伴侣保持长期性关系的人考虑使用PrEP。

这一推荐也适用于以下人群：

• 不与近期检测为HIV阴性的伴侣维持彼此专一关系的人；

• 男同性恋或双性恋男性，在过去6个月内有过不使用避孕套的肛交，或被诊断为性传播疾病（STD）的人；

• 异性恋男性或女性，在与HIV状况不明的高风险性伴侣（例如，注射毒品者或与双性恋男性有性关系的女性）发生性行为时不规律使用避孕套的人；

• 过去6个月内曾注射毒品并且共享过针头或注射工具，或参与过药物治疗的人。

如果你的伴侣是HIV阳性且你正在考虑怀孕，如果你没有在服用PrEP，建议与你的医生讨论是否应该开始使用。PrEP可能是帮助你和宝宝在备孕、怀孕期间或哺乳期避免HIV感染的一个选择。

由于PrEP需要每天服药并定期访问医疗提供者，因此它可能不适合所有人。而且，虽然PrEP可能引起一些副作用，如恶心，但这些副作用通常会随着时间的推移减轻，并且通常不危及生命。详细了解PrEP是否安全，请参考相关资料。

Mutually monogamous意味着你和伴侣只有彼此作为性伴侣，不在关系之外有性行为。

Should I consider taking PrEP?

PrEP is for people who do not have HIV but are at very high risk of getting it from sex or injection drug use. Federal guidelines recommend that PrEP be considered for HIV-negative people in an ongoing sexual relationship with an HIV-positive partner.

This recommendation also applies to anyone who:

• Is not in a mutually monogamous* relationship with a partner who recently tested HIV-negative;

• Is a gay or bisexual man who has had anal sex without using a condom or has been diagnosed with an STD in the past 6 months;

• Is a heterosexual man or woman who does not regularly use condoms during sex with partners of unknown HIV status who are at substantial risk of HIV infection (for example, people who inject drugs or women with bisexual male partners);

• Has injected drugs in the past 6 months and has shared needles or works or been in drug treatment in the past 6 months.

If you have an HIV-positive partner and are considering pregnancy, talk to your doctor about PrEP if you're not already taking it. PrEP may be an option to help protect you and your baby from HIV infection while you try to get pregnant, during pregnancy, or while breastfeeding.

Because PrEP involves daily medication and regular visits to a healthcare provider, it may not be suitable for everyone. Also, PrEP may cause side effects like nausea in some people, but these generally subside over time and are not life-threatening. For more information on whether PrEP is safe, refer to the relevant materials.

*Mutually monogamous means you and your partner only have sex with each other and do not have sex outside the relationship.