Who should take PrEP?

• A. Partner who has HIV
• B. People who have never had sexual activity
• C. People in a monogamous relationship with condom use
• D. People who are HIV positive

Answer: (A)

PrEP is an HIV prevention approach for people who are HIV-negative but at high risk of exposure. In a relationship where one person has HIV, the other partner remains at ongoing risk of acquiring HIV from exposure. Taking PrEP helps prevent infection in that HIV-negative partner, especially if the HIV-positive partner’s viral load is not fully suppressed or condom use isn’t consistent. The HIV-positive partner belongs on antiretroviral therapy to keep their viral load as low as possible, rather than on PrEP. So, in this scenario, the partner who does not have HIV and is at risk should consider taking PrEP, used alongside regular HIV testing and other prevention strategies, to substantially reduce the chance of transmission.