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Safer sex PrEP use has been at the center of sexual policy and health discussions within the gay community for several years. With the widespread availability of pre-exposure prophylaxis (PrEP), the relationship to HIV has changed fundamentally. HIV has become preventable for many people, and sexuality can be experienced more freely, spontaneously, and pleasurably. At the same time, the question arises as to whether safer sex is now “a thing of the past” or whether its significance has merely shifted. This article examines why safer sex and PrEP use remain relevant, what new dynamics are emerging, and what informed decisions might look like.
Safer sex, PrEP use, and protection against HIV
Safer sex PrEP use refers to the combination of medication-based HIV protection and other strategies to reduce sexually transmitted infections. When taken correctly, PrEP provides very reliable protection against HIV, even during receptive and insertive anal intercourse without a condom. For many gay men, this means enormous relief from fear, a new body image, and more intense sexual experiences. Nevertheless, it is important to understand PrEP correctly: it is only effective against HIV, not against other sexually transmitted infections such as gonorrhea, chlamydia, syphilis, or hepatitis C.
How safe is PrEP really?
Studies show that PrEP offers over 99% protection against HIV when taken regularly. This requires correct use, either daily or in a so-called event-based regimen. Safer sex PrEP use therefore requires knowledge about dosage, the window of opportunity for taking it, and possible interactions. Irregular use or unauthorized breaks can reduce protection. Safer sex is not just a question of condoms, but of informed use of medication.
Safer sex PrEP use and other sexually transmitted infections
While HIV has become largely controllable through PrEP, statistics show an increase in other STIs. Safer sex PrEP use therefore also means being aware of risks beyond HIV. Gonorrhea in the throat, chlamydia in the rectum, or syphilis without visible symptoms are not uncommon. These infections are usually easily treatable, but if left untreated, they can have long-term consequences and be passed on.
Regular testing as part of safer sex
Regular STI testing is a key component of safer sex PrEP use. Many PrEP programs recommend quarterly screenings for HIV, syphilis, gonorrhea, and chlamydia. These tests enable early treatment and reduce further transmission. Safer sex thus becomes a dynamic concept based on responsibility towards oneself and one’s sexual partners.
Safer sex PrEP use and condoms: outdated or rethought?
PrEP has changed the role of condoms. For some people, they have become unnecessary, while for others they remain an important tool. Safer sex PrEP use does not exclude condoms, but rather expands the options. Condoms continue to provide effective protection against many STIs and may be useful depending on preferences, sexual practices, or partner constellations.
Desire, control, and self-determination
For many gay men, sex without a condom is more intense, intimate, and physical. Safer sex with PrEP allows for precisely this experience without the risk of HIV. At the same time, the conscious use of condoms can be an expression of control and care. It is crucial that safer sex is not morally charged, but rather understood as a toolbox from which individuals can choose.
Safer sex PrEP use in open relationships and at sex parties
Open relationships, darkrooms, sex clubs, and private sex parties are part of gay sexual culture for many people. Safer sex PrEP use plays a special role here. PrEP significantly reduces HIV anxiety in anonymous or semi-anonymous settings. At the same time, it increases the responsibility for regular testing and honest communication about one’s own health status.
Communication without moralizing
Safer sex PrEP use does not mean exchanging medical histories at every encounter. Nevertheless, it can be useful to share certain information, such as about PrEP use or the last test. Modern safer sex communication is direct, clear, and non-judgmental. Statements such as “I’m on PrEP and get tested regularly” are now part of a new sexual normality.
Safer sex PrEP use and mental health
The introduction of PrEP has not only physical but also psychological effects. Many people report less anxiety, less inner tension, and more presence in the moment. Safer sex PrEP use can thus lead to better sex because your mind is clear. At the same time, new concerns may arise, such as fear of STIs or social judgment.
Shame, stigma, and self-image
Despite medical facts, there is still stigma surrounding PrEP use. Safer sex PrEP use is sometimes mistakenly equated with “risky behavior.” In fact, the opposite is true: PrEP users often engage more intensively with sexual health than the average person. A reflective approach to one’s own body and desire is a central element of modern safer sex concepts.
Safer sex PrEP use and new prevention strategies
In addition to PrEP, other approaches are gaining importance. These include vaccinations against hepatitis A and B or mpox, as well as new research on Doxy-PEP, i.e., taking antibiotics after sex to reduce certain STIs. Safer sex PrEP use is thus part of a larger prevention mix that is constantly evolving.
Knowledge as erotic capital
Being informed, knowing your own body, and realistically assessing risks can also be sexually attractive. Safer sex PrEP use does not mean abstinence, but competence. In a scene that is strongly influenced by physicality, desire, and performance, knowledge can increase safety and thus pleasure.
Safer sex PrEP use: conclusion without moralizing
Is safer sex still an issue when using PrEP? Yes, but differently than before. Safer sex with PrEP is no longer a rigid set of rules, but a flexible concept. It is not about prohibitions or compulsory exercises, but about informed decisions, regular testing, and treating yourself and others with respect. PrEP has not abolished safer sex, but redefined it. Those who take safer sex with PrEP seriously make their own decisions in a self-determined, pleasurable, and responsible manner.