Recent Medellín Trip

[Keithambrose]

6 hours ago, Riobard said:

And nonstraight backward punters into comprehensive jackass responding. 😘

Makes my point.

[maump]

12 hours ago, macdaddi said:

Without judgement, am going to endorse this comment. My experience, which is not to exclude all statistical relevance as I have not slept my way (yet) through all Colombian males, would concur in that, with the majority of my sexual encounters, they would prefer condom use for anal sex when asked.

But when its laying on the bedtable they rarely pick it up unless asked...  it is always there for them.

[speedoo1]

I find it helpful if the chico asks in advance if one has condoms. Then it is clear from the outset that he wants to wear a condom (which is also fine for me). 

[Scott]

On 12/25/2024 at 8:09 PM, midwestdad said:

Good question.  Neither daily nor on-demand is 100% effective.  So I take it, and offer to sexual partners, as to reduce the overall risk.

I don't know enough about the local to answer your question about buying doxy through Rappi.  I typically just stock up in the states before I go on because it's and easy to get here.  Maybe @macdaddi has some more ! 

As someone who has education and experience in Public Health,  I would say ADHERENCE is key, and Prep is way more effective than PEP.  Here a CDC blog all about it (I for one, did not know that for anal intercourse in bottoming, Prep reaches good protection after 7 days of use (oral)-the shots have not been out long enough to have any statistics.  However, receptive vaginal intercourse requires 21 days.  Since I only one time had sex with a woman in college, and it was a bad experience to say the least, I would have guessed that 30 days for protection to be solid-I would be incorrect again, if you believe this website:

https://www.cdc.gov/hiv/prevention/prep.html

Which I rather do!  

[maump]

13 hours ago, Scott said:

As someone who has education and experience in Public Health,  I would say ADHERENCE is key, and Prep is way more effective than PEP.  Here a CDC blog all about it (I for one, did not know that for anal intercourse in bottoming, Prep reaches good protection after 7 days of use (oral)-the shots have not been out long enough to have any statistics.  However, receptive vaginal intercourse requires 21 days.  Since I only one time had sex with a woman in college, and it was a bad experience to say the least, I would have guessed that 30 days for protection to be solid-I would be incorrect again, if you believe this website:

https://www.cdc.gov/hiv/prevention/prep.html

Which I rather do!  

Given the mechanism that Prep uses (interference with HIV entering the immune system attack cells).  the difference in effectiveness times for women seem odd.  especially with the endorsement of prep on demand 2 at 2 hours before and one a day for 2 days.   this method I use during times of little sex.  daily when sexually  active.

[floridarob]

I feel a @Riobard reply coming....prepare yourselves.

[Latbear4blk]

I think both, @Scott and @maump, make good points. I agree, with Scott that consistency and taking the pill everyday is safer. However, if you are going through a season with little or no sexual activity, the side effects do not worth the risk. In that situation, I would go for the PrEP 2-1-1. I only take the pill everyday when I am traveling on a sex marathon. 

[Riobard]

On 1/9/2025 at 9:32 PM, Scott said:

As someone who has education and experience in Public Health,  I would say ADHERENCE is key, and Prep is way more effective than PEP.  Here a CDC blog all about it (I for one, did not know that for anal intercourse in bottoming, Prep reaches good protection after 7 days of use (oral)-the shots have not been out long enough to have any statistics.  However, receptive vaginal intercourse requires 21 days.  Since I only one time had sex with a woman in college, and it was a bad experience to say the least, I would have guessed that 30 days for protection to be solid-I would be incorrect again, if you believe this website:

https://www.cdc.gov/hiv/prevention/prep.html

Which I rather do!  

These articles attached below elaborate on gender differences. With optimal adherence over a duration shorter than 3 weeks, that length of lead in of oral PrEP for cisgender women may not be essential, besides which 21 days of abstinence from unprotected vaginal sex is also unrealistic for many. The key would be that missed doses would be few to none over the shorter lead in period.

That oral PrEP, perhaps with extended follow-up doses for cervical and vaginal drug concentrations after latest intercourse in event-driven scenarios, is promising is good news given that the majority of women globally taking some form of PrEP reside in areas where injectable PrEP is financially out of reach. 

As far as comparing PrEP to PEP I’m not sure where you are coming from.

https://www.aidsmap.com/about-hiv/prep-and-women

https://www.aidsmap.com/news/dec-2023/oral-prep-can-work-just-well-women-men-modelling-studies-conclude

[Scott]

4 hours ago, Riobard said:

These articles attached below elaborate on gender differences. With optimal adherence over a duration shorter than 3 weeks, that length of lead in of oral PrEP for cisgender women may not be essential, besides which 21 days of abstinence from unprotected vaginal sex is also unrealistic for many. The key would be that missed doses would be few to none over the shorter lead in period.

That oral PrEP, perhaps with extended follow-up doses for cervical and vaginal drug concentrations after latest intercourse in event-driven scenarios, is promising is good news given that the majority of women globally taking some form of PrEP reside in areas where injectable PrEP is financially out of reach. 

As far as comparing PrEP to PEP I’m not sure where you are coming from.

https://www.aidsmap.com/about-hiv/prep-and-women

https://www.aidsmap.com/news/dec-2023/oral-prep-can-work-just-well-women-men-modelling-studies-conclude

If you mean my perspective, I am a gay male 100% and not ashamed to say I like to be dominated and bottom.  I also have a lot of education and some publications in high-impact peer-reviewed scientific journals (God, that sounds arrogant- sorry).   That said, there are guys in Brazil who think that since they have not turned HIV+ by "topping" and making a 90-day supply of PREP in the last 6 months, that is all well and good.  And maybe that is the case, but my one all-caps word above was ADHERENCE, which a 50% dose is absolutely not.  This is why I take to prep, make little baggies of what I need for a chronic back degenerative disc disease and PREP prevention for HIV as well as doxycycline 100 mg/day to "help" with syphilis prophylaxis.  I would prefer to bareback.  So that's where I am coming from.  Everyone has their own risk tolerance, but I know I will not be transmitting HIV to anyone with my ADHERENCE strategy.  Is that what you meant by where I am coming from?  I should probably not have even menionterd sex with women, which your 2 links seem to focus on.

[maump]

On 1/13/2025 at 7:04 PM, Scott said:

If you mean my perspective, I am a gay male 100% and not ashamed to say I like to be dominated and bottom.  I also have a lot of education and some publications in high-impact peer-reviewed scientific journals (God, that sounds arrogant- sorry).   That said, there are guys in Brazil who think that since they have not turned HIV+ by "topping" and making a 90-day supply of PREP in the last 6 months, that is all well and good.  And maybe that is the case, but my one all-caps word above was ADHERENCE, which a 50% dose is absolutely not.  This is why I take to prep, make little baggies of what I need for a chronic back degenerative disc disease and PREP prevention for HIV as well as doxycycline 100 mg/day to "help" with syphilis prophylaxis.  I would prefer to bareback.  So that's where I am coming from.  Everyone has their own risk tolerance, but I know I will not be transmitting HIV to anyone with my ADHERENCE strategy.  Is that what you meant by where I am coming from?  I should probably not have even menionterd sex with women, which your 2 links seem to focus on.

I do a Similar strategy.  daily doxy and hiv prep during my high sex periods. (both top and bottom, but more bottom)  I also prefer BB.  I do Prep on demand at home in low sex periods. we haven't discussed the endorsed  4 pills per week strategy to stretch the supply and reduce cost for people in many countries.   

It is crazy the cost of prep (my insurance medicare pays 600$) but I have a 300$ co-pay (i think that copay drops to 0 this year).  so I buy it without insurance from costplusdrugs.com in USA for $13/30.

here in Colombia, I'm TOLD it is 69usd for 30 if you can find it.

[Birmingham boy]

4 hours ago, maump said:

Colombia, I'm TOLD it is 69usd for 30

Yikes! It's free on NHS in the UK. I got 3 bottles and they gave me a few jabs against all the different sexual stuff for free as well. Gave me some doxy too, all for free... I bet not many ppl in Colombia can afford a proper prep therapy then...:(

[macdaddi]

34 minutes ago, Birmingham boy said:

I bet not many ppl in Colombia can afford a proper prep therapy then...:(

Won't post a long explanation about how Colombian healthcare system works, but Prep is covered for those with the paid health program. You will see lots of profiles on all the apps indicating Prep use.  The cost above would be correct if the person only had the free health care access, which is a difficult proposition. You will see clinics here with long lineups at all hours -- those are the clinics for persons with free access. About 60% of the population has paid access -- which means it is a higher percentage in urban cities. Would bet that most of your sex partners will be using Prep.

[Latbear4blk]

7 hours ago, maump said:

It is crazy the cost of prep (my insurance medicare pays 600$) but I have a 300$ co-pay (i think that copay drops to 0 this year).  so I buy it without insurance from costplusdrugs.com in USA for $13/30.

 

Do you reside in the US? You can easily have PrEP for free.