Matthew is a 19-year-old nonbinary youth who is finally ready to engage in sexual activity and would like to sort out options to keep themselves safe while they explore their sexual interests, namely, Pre-exposure Prophylaxis (PrEP.) Our PHRESH Interviewer is going to discuss some options for them and set up an appointment to start taking PrEP.

Interviewer:  Hi, Matt!  What’s made you think about taking PrEP?

Matt:  Well, I am ready to start exploring different sexual activities, so I want to be safe. That’s why I want to start taking PrEP.

Interviewer:  What are some things you know about PrEP?

Matt: I know that it can possibly prevent getting infected with HIV…

Interviewer: And you’re currently not taking PrEP, right?

Matt: No.

Interviewer: Ok, what other things about PrEP are you trying to gain? Like are you looking to gain more knowledge about it?

Matt: Yes

Interviewer: Ok, so you know what PrEP stands for right? It’s Pre-Exposure Prophylaxis, what that means is- well the pill is called Truvada, and while that has been a treatment for those who have contracted HIV in the past, on the flipside, it is now being used to help prevent HIV infection in folks who are HIV-negative. Are you aware that there are other ways to take PrEP besides the pill?

Matt: I was not aware of that. What other ways?

Interviewer:  One of the things we also have is Apretude, which is injected intramuscularly, or in one of the larger muscles in your body

Matt: Like in your butt cheek?

Interviewer: (Laughs) Yes, like in your butt cheek. The shot is once a month, and you’re good for 30 days. It’s for people who have busy schedule and can’t remember to take a pill everyday—

Matt: I take medication regularly every night, so that won’t be a problem taking it in pill form.

Interview: Oh ok cool, I just want to let you know you have other options, you know, just in case.  I will always recommend PrEP as an option for safer sex methods. Since you’re ok with taking the pills, when would you normally take them?

Matt:  At night, around 9pm

Interviewer: And when was the last time you were tested?

Matt: Probably July…what was [last] Friday, the 5th?

Interviewer: Yes. It was the 5th. Ok Matt, thanks so much! Let’s touch base again soon after you’ve decided about when you’ll start PrEP.

Matt: Ok, Thanks!