Tuesday, September 23, 2025

On PREP and PEP. Finally.

Dear Zach,

After years of thinking, months of being persuaded, and days of absolutely doing it, I am finally to be on PreP. I know this is not some sort of groundbreaking announcement, but at least I am glad that I am taking more precaution in protecting myself in having sex.

I wasn't convinced the method of taking prep daily. I don't see the point of taking daily as I am no longer a sex worker, and I do not have sex everyday. I only have bareback sex with both guys whom they are also on prep. So basically, the chances of getting HIV is technically zero.

I was in no intention to visit the clinic. But the tendonitis on the middle finger of my left palm has been bugging me for 2 weeks. The pain persists no matter what I did. So I got no choice to make a visit to the clinic. The doctor who specialized in PREP and PEP medicine was so happened to be on duty that day. Hence, I queried him about it.

He convinced me that PREP can be taken on-demand method - in other words, only take it when you intend to have sex 1 or few hours before, and continue taking it for the next 2 days. He said that recent studies have shown that on-demand method is proven to be as effective in protecting against the infection as taking it daily. I was surprised to know that. All this while, I have always thought it is a must to be taken daily. The doctor also mentioned that you can continuedly taking it as long as you intend to have bareback sex for days, or else you can just stop. Only take when needed. Same goes to PEP, aka deoxypep, it is designated to protect yourself from STD after having unprotected sex. Same method as taking PREP, but the duration is only one day shorter. I wasn't into taking PEP, however, syphilis can be a nasty work of art when comes to treating it, that was what the doctor said. It is better be safe than sorry.

The price for 1 bottle of PREP is RM75 for 30 days while PEP is RM60 for 30 days. They are relatively affordable and cost-saving if I were to use on-demand method. I was totally won over by it, and decided to grab 3 bottles each. These bottles are more than enough for me to last for almost a year if I plan it wisely when comes to having bareback sex. It is certainly not a hall pass to have free reign raw sex with anyone, but at least I can have raw sex with big dicks in peace now.     

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Maira Gall