Swingers absolutely should know about PrEP and have it as an available option.
I don't know why people think it's overkill for straight people. Apparently they are unaware that 1 in every 5 new HIV diagnosis in the US is a heterosexual woman.
And the idea that you are risking Kidney, Liver, and heart problems being on PrEP is nonsense. These issues come up in less than 0.2% of all people taking PrEP, and people on PrEP are monitored for them. Both of the medications used for PrEP are considered safer than Asprin. The few kidney issues that have cropped up have been identified and everything returns to normal once the person switches medication. PrEP is not associated with liver issues, because the medication is not processed through the liver. The only association between PrEP and the liver is that Truvada is also used to treat Hepatitis B, so if someone has HEP B and they decide to stop taking Truvada, it can lead to flare-up of the HEP B. In fact, PrEP could potentially help PROTECT the liver. A study in Japan last year showed that people on PrEP had a lower rate of HEP B infection, which suggests that PrEP may also offer some protection against HEP B. The increase in weight associated with Descovy is less than 2 lbs when it does happen, and the occasional increase in LDL Cholesterol is similarly small. The current draft updates the CDC is working on for PrEP Protocols includes Cholesterol monitoring for those on Descovy, and those patients can be switched to Truvada.
PrEP is safe. It is effective. And it has the potential to end the HIV epidemic. And considering that community STI rates drop when PrEP uptake is high, it also has the potential to dramatically lower STI Rates across the board.
