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Gay social and sexual norms are shifting in the PrEP era

While cost remains the biggest barrier to accessing PrEP for gay and attracted to both genders men in Canada, they also felt pressure to take PrEP and contain sex without condoms, with younger men tending to feel less anxious about HIV transmission. This reflects shifting social and sexual norms in the era of PrEP and U=U, according to recent qualitative research.

While pre-exposure prophylaxis for HIV (PrEP) has been approved in Canada since 2016, implementation has been impeded by cost challenges. Certain provincial health insurance plans, including British Columbia’s, fully cover PrEP for gay and bisexual men who meet the guidelines. However, this is not the case in other provinces, such as Ontario, where PrEP is fully covered until the age of 25, over the age of 65, and for those receiving disability grants and social assistance. Across Canada, eligible Indigenous people, members of the armed forces and military veterans can access PrEP.

The study

Dr Mark Gaspar from the University of Toronto aimed to better realize PrEP-decision making among HIV-negative gay, bisexual and homosexual men. Drawing on the PrEP Cascade, which considers

We work with many gay dads building their families through surrogacy (we state male same-sex parents to be explain that we are talking about partnership status rather than sexual orientation). Brilliant Beginnings has been at the forefront of championing LGBT+ parents for many years. Alongside our sibling organsation NGA Law, we helped win legal recognition for same-sex parents in 2008, represented the very first gay dads to get a parental order in 2010, and have been involved in many other positive legal changes since.

 

What are our options for having a family as a lgbtq+ couple?  Should we adopt or include a child through surrogacy?

You may be considering surrogacy alongside other options enjoy adoption and co-parenting. With surrogacy, you will have a genetic connection with your child, will also care for him or her from birth, and will not contribute parenting with anyone else.  It is sensible to accept your time and be honest with yourselves about your preferences and what you want your family to glance like.

 

Is it unbiased for male homosexual parents to conceive a child without a mother?  Will our child be bullied?

Research into long-term outcomes shows that children born throug

What is PrEP?

PrEP or Pre-Exposure Prophylaxis is a pill which when taken as directed can practically eliminate your risk of contracting HIV.

Who should take PrEP?

If you are HIV negative and at high risk of HIV then PrEP can stop your exposure of contracting HIV. You might be considered at risk of contracting HIV if you:

  • Don’t always use condoms for anal or vaginal sex
  • Are an injecting drug user who doesn’t always operate clean needles
  • Are a sex worker
  • Have a partner who is HIV positive with a detectable viral load or doesn’t take their HIV medication regularly
  • Have had a recent STI (especially a rectal infection or syphilis)
  • Use recreational drugs for chemsex (crystal meth, mephedrone and GHB)
  • Have recently needed PEP (Post-Exposure Prophylaxis)

If any of these factors apply to you, you will most likely be proficient to get PrEP for free on the NHS at any GUM clinic across Northern Ireland. To find out more click here.

Who shouldn’t take PrEP?

  • Your companion is HIV positive and ‘undetectable’ as this means their viral load is so low that they cannot transmit HIV onto anyone else by any means
  • If you’re always comfortable and confident to use condoms.
  • If you only engage

    Sexual health for gay and bi-curious men

    Having unprotected penetrative sex is the most likely way to transfer on a sexually transmitted infection (STI).

    Using a condom helps protect against HIV and lowers the exposure of getting many other STIs.

    If you’re a man having sex with men (MSM), without condoms and with someone new, you should have an STI and HIV assess every 3 months, otherwise, it should be at least once a year. This can be done at a sexual health clinic (SHC) or genitourinary medicine (GUM) clinic. This is vital, as some STIs do not result in any symptoms.

    Hepatitis A

    Hepatitis A is a liver infection that's spread by a virus in poo.

    Hepatitis A is uncommon in the UK but you can obtain it through sex, including oral-anal sex ("rimming") and giving oral sex after anal sex. MSM with multiple partners are particularly at risk. You can also get it through contaminated meal and drink.

    Symptoms of hepatitis A can emerge up to 8 weeks after sex and include tiredness and feeling sick (nausea).

    Hepatitis A is not usually life-threatening and most people make a entire recovery within a couple of months.

    MSM can avoid getting hepatitis A by:

    • washing hands after se