Decision Making While Choosing Potential Sex Partners: Is PrEP Enough?
A young man on Grindr posted information on his profile page stating he is on PrEP. He explained how he rejects HIV positive men who disclose their status as part of his strategy to accompany the use of PrEP to protect himself from contracting the HIV virus. Yet he continues to seek out sex with men whose status he is unaware of, not asking questions, with the assumption all is well if the topic of HIV is not mentioned. Would it not make more sense to accept a potential sex partner who did indeed disclose their status, who is on treatment with an undetectable viral load? There are fewer risks in this scenario and he is not dealing with the unknown. How logical is this decision making process for him? More importantly, where does this leave the person living with HIV who decided to disclose their status and was rejected outright due to fear which has no basis? While it is understood that everyone is free to make decisions about potential sexual partners,is the decision to be on PrEP enough? Should there also be a more fully informed process, which includes some basic level of education and understanding of what it means to be living with HIV, on treatment, with an undetectable viral load to accompany the decision to use PrEP?