PrEP for PSE

[bonerhope]

Probably many of you know this, but since I'm GFE, I hadn't researched it. Discussing in pm the whole PSE/GFE thing, I discovered that all health insurance is required to cover for free PrEP (Pre-Exposure Prophylaxis) to prevent catching HIV as long as you take a pill every day. Of course you need a prescription now or eventually from your doctor who legally can't tell anyone. Normally you need to test clear of HIV, not be pregnant etc.

Also, if you don't have insurance one of the PrEP drugs, Truvada is now out of patent and in US you can get a month's supply for $30 at Walmart with GoodRX coupon. I imagine in Korea it's easily available. So, in theory all providers could be on PrEP without hurting bottom line (Truvada was like $2000 a month).

 

[mxpsdfkpodsfpko]

I would expect all K-girls are taking it since this is their job.

 

[Jwang321]

Probably many of you know this, but since I'm GFE, I hadn't researched it. Discussing in pm the whole PSE/GFE thing, I discovered that all health insurance is required to cover for free PrEP (Pre-Exposure Prophylaxis) to prevent catching HIV as long as you take a pill every day. Of course you need a prescription now or eventually from your doctor who legally can't tell anyone. Normally you need to test clear of HIV, not be pregnant etc.

Also, if you don't have insurance one of the PrEP drugs, Truvada is now out of patent and in US you can get a month's supply for $30 at Walmart with GoodRX coupon. I imagine in Korea it's easily available. So, in theory all providers could be on PrEP without hurting bottom line (Truvada was like $2000 a month).

is that like generic Truvada for $30/mth?

 

[bonerhope]

is that like generic Truvada for $30/mth?

Yes. You can Google it.

 

[bonerhope]

If you feel it's necessary and if you don't want to go to your own doctor for the prescription, one of guys I'm pming found that planned parenthood will write a prescription, or you can use an anonymous online doctor.

 

[bonerhope]

The other gotcha is that against HIV PrEP is 99% effective while comdoms are 95% effective with perfect use, but typically less. Google it.

 

[bonerhope]

The other gotcha is that against HIV PrEP is 99% effective while condoms are 95% effective with perfect use, but typically less. Google it.

I realized the condom effacy numbers are lower than I expected because they are talking about anal sex which can be rougher than vaginal sex. Perfect use of condom is 98% effective at preventing pregnancy.

 

[mxpsdfkpodsfpko]

I think because the 2% account for misusage of the condom such as nails cutting a hole and stuff.

 

[mxpsdfkpodsfpko]

Plan Parenthood is pretty chill. Talking to your primary care provider can be awkward. But one of the things I learned is there is a public database for your health records. So in the end your primary care provider will know about it.

 

[Mickthedom]

thanks for this info . Will look into it for myself

 

[sexyloser]

I would expect all K-girls are taking it since this is their job.

Eh, I wouldn't be so sure about that. Most of them don't do anal.

Whether you're comfortable with the extreme low chance of non-anal HIV transmission (especially lower given the unlikelihood of either partners having it in the first place) or want to lower the chance even further is up to personal risk tolerance so I won't comment on that.

 

[mxpsdfkpodsfpko]

Eh, I wouldn't be so sure about that. Most of them don't do anal.

Whether you're comfortable with the extreme low chance of non-anal HIV transmission (especially lower given the unlikelihood of either partners having it in the first place) or want to lower the chance even further is up to personal risk tolerance so I won't comment on that.

I’m would do PrEP. I keep thinking about Charlie Sheen getting HIV. That guy something many years ago.

 

[Juanjr650]

Probably many of you know this, but since I'm GFE, I hadn't researched it. Discussing in pm the whole PSE/GFE thing, I discovered that all health insurance is required to cover for free PrEP (Pre-Exposure Prophylaxis) to prevent catching HIV as long as you take a pill every day. Of course you need a prescription now or eventually from your doctor who legally can't tell anyone. Normally you need to test clear of HIV, not be pregnant etc.

Also, if you don't have insurance one of the PrEP drugs, Truvada is now out of patent and in US you can get a month's supply for $30 at Walmart with GoodRX coupon. I imagine in Korea it's easily available. So, in theory all providers could be on PrEP without hurting bottom line (Truvada was like $2000 a month).

I know a popular provider who is talked about here being very worried about STDs, I told her to just become GFE. She is worried she will lose all her customers. I tried explaining to her many girls have made this transition for a peace of mind. She goes to see a doctor at a clinic monthly. Also told me it's expensive since she can't get health insurance here. These poor girls, some have a stronger mental game and can handle more. I hope she switches to GFE or she might just quit.

 

[kgirluvr]

in this day and age, HIV is rare in developed area, and statistically difficult for hetero men to get in P2V penetration UNLESS you have an existing std, or open wound down there; but prep would create peace of mind.

However, it's the more common ones, like HSV-1/2, clap, chlamydia, or syphilis that is more easily transmissible, especially since you can get most of them even with protection. You should also check out DoxyPep which can prevent the last 3. According to stats, 2/3 of us in the US unknowingly have HSV-1, and HSV-2 is the second easiest to catch.

 

[mxpsdfkpodsfpko]

in this day and age, HIV is rare in developed area, and statistically difficult for hetero men to get in P2V penetration UNLESS you have an existing std, or open wound down there; but prep would create peace of mind.

However, it's the more common ones, like HSV-1/2, clap, chlamydia, or syphilis that is more easily transmissible, especially since you can get most of them even with protection. You should also check out DoxyPep which can prevent the last 3. According to stats, 2/3 of us in the US unknowingly have HSV-1, and HSV-2 is the second easiest to catch.

Do you recommend any places to get a prescription? I don't really want to have this conversation with my primary doctor.

 

[kgirluvr]

Do you recommend any places to get a prescription? I don't really want to have this conversation with my primary doctor.

To be honest, I'm really open with my Doc, and vice versa. I'm with KP, so they're really big on anything preventative, and recommended to me without me even asking when I went in for my bi-annual/suspect of catching something full panel. If you go in with your shields down, it's actually not awkward, but I can only speak for myself. I had no problem being fully exposed by nurses whenever I'm in the hospital, and don't mind my doc inspecting my mini-me when he's looking for hsv-1/2

 

[mxpsdfkpodsfpko]

To be honest, I'm really open with my Doc, and vice versa. I'm with KP, so they're really big on anything preventative, and recommended to me without me even asking when I went in for my bi-annual/suspect of catching something full panel. If you go in with your shields down, it's actually not awkward, but I can only speak for myself. I had no problem being fully exposed by nurses whenever I'm in the hospital, and don't mind my doc inspecting my mini-me when he's looking for hsv-1/2

I am not sure why KP exists. Their services are god awful. And economically it makes sense. Insurance wants to minimize costs as much as possible. Since they also own the doctors they can. I would recommend you leave KP if you can afford to.

 

[bonerhope]

I think because the 2% account for misusage of the condom such as nails cutting a hole and stuff.

Condoms tear, but often come off inside their pussy. I've had both happen. Condoms come off when pulling out if your boner shrinks after cumming. I've seen condoms tear when putting them on.

When pulling out, experienced providers often will grab the base of condom on penis so it doesn't stay in vagina. If you use a large condom on a small dick, it can easily work it's way off during screwing. I've had many GFE providers periodically check that condom is still on by feeling for ring at base. Also, I've seen them replace the condom with a new one after some wear and tear screwing.

 

[mxpsdfkpodsfpko]

Condoms tear, but often come off inside their pussy. I've had both happen. Condoms come off when pulling out if your boner shrinks after cumming. I've seen condoms tear when putting them on.

When pulling out, experienced providers often will grab the base of condom on penis so it doesn't stay in vagina. If you use a large condom on a small dick, it can easily work it's way off during screwing. I've had many GFE providers periodically check that condom is still on by feeling for ring at base. Also, I've seen them replace the condom with a new one after some wear and tear screwing.

Yeah, these kgirls are really professional. I’m still shocked how I missed them after mongering for all these years.

 

[bonerhope]

Eh, I wouldn't be so sure about that. Most of them don't do anal.

Whether you're comfortable with the extreme low chance of non-anal HIV transmission (especially lower given the unlikelihood of either partners having it in the first place) or want to lower the chance even further is up to personal risk tolerance so I won't comment on that.

I agree about extreme low risk, but the risk analysis problem is I'm not sure we would have heard about either provider or monger getting it.

Also, as kgirluvr pointed out the condom doesn't work that well for some STDs rven if it doesn't tear or come off. So, it's not clear how much reduction in risk tou get by not using it.

Obviously, the providers are 100 fold more likely to get it than mongers. The most useful stat is if any providers got it. POs are more likely to know of any providers that have gotten HIV, but won't tell us.

If providers get tested for HIV with a home test periodically like every month, then the odds of passing HIV to a monger are pretty low before viral load gets big. But I don't know how variable testing is across orgs.

I do occasionally hear about a monger getting an STD and swearing he will use condom in future, but that may be less than a 1% reporting rate since I know from review analysis that bad experiences aren't reported, mostly only good experiences. Would you want to report on ampreviews that you got an STD? .(there was a discussion thread with voting on whether a monger should tell a PO he thinks he got an STD from their provider).

I use a condom mostly to avoid the hassle of getting a UTI (Urinary Track Infection), because I'm medically more susceptible, and want to minimise even treatable medical issues. But also I don't want my doc learning I got an STD (chlamydia most likely), unlike a UTI you can get from a lot of different non-sex sources. (I have no significant other sex partner).