Sure - We really enjoy having fun yet want to be as responsible with ourselves and our partners as possible. It is incumbent upon us to provide as much safety for ourselves and partners as possible while realizing that nothing is 100% safe and that engaging in the lifestyle increases the risk of infections regardless the orientation or sexual practices of others. For example, there are some who say they practice safe sex yet opt to not use condoms for oral sex etc… so to answer your questions: 1. It was a no brainer to take DoxyPEP. Being in healthcare allows us to see the choice as a very straight forward one and having a PCP who gives us the prescription and having insurance to cover it makes it an obvious choice for us. It provides some more peace of mind. Again, with the realization that nothing is ever 100% but the convenience makes it better. It’s only two pills after the encounter. And really - why not. Better to be proactive than forced to be reactive.
2. We always play together and always take it together the day after the encounter regardless of how much play one of us may have had with the partner(s) as we still have sex with each other so we remain protected.
3. We have been on PREP since we started in the life style. For us, it was the need to be proactive in protecting ourselves and realizing that there are some stereotypes in the lifestyle that provide some people a false sense of security. Additionally, we knew that it would be likely that at some point we may get carried away and condoms would not always be present. PEP was only recently cleared and started it once it was cleared and the studies were reassuring. So now we use both lines of defense. 4. I am on the every other month injection plan for PREP. I was on the daily pill then it became even easier when changed to the injection once it was available and again, the studies were very reassuring. We are fortunate that for us, it is an easy process with our insurance, pharmacy provider (Acreedo), and our physician as we get the injection when we do our STI testing. Quick and no hassle. He has not had a single reaction. The injection has the best protection for women as well when compared to the pill so again a no brainer. PEP is also very easy. We do not take our sexual health lightly. While HIV treatment has thankfully advanced dramatically, there are still some side effects of therapy and if treatment has to be held because of serious illness the consequences of dropping the CD4 count can be worrisome. Bacterial infections can have devastating consequences for women even if one tests and treats regularly. For example a sore throat from an STI can be brutal, but even worse is pelvic inflammatory disease for woman which can be not only very painful but debilitating. Having the discipline to take these preventative measures pays off greatly. These are personal choices and it helps us engage and have fun with others who may think differently but there is no imposition on our part.
5. He has not has any side effects whatsoever and our physician (and us) are both amazed and grateful.

I hope that helps.

We do take it after an encounter. Our PCP is great about us having a prescription with refills on hand all the time and of course PREP we are always on.