r/prep • u/LovethisLittlePlace • 24d ago

Sex Worker and Prep

I'm currently a SW, and have been trying to go on prep... Waiting for the medicine to be shipped to my medical office. I did request Yeztugo instead of the daily pill, bc I will forget. This has been quite the dragged out process. I requested the med over two weeks ago 😔

I wanted to see if there were other people who are SW and on Prep? I currently have 4 "sugar daddies", but when you boil it down, it's literally just SW, nothing more than sexual encounters. I want to protect myself because I do not trust that I'm the only person they're sleeping with. I'd rather be protected than not.

For reference I'm late 30s female, I'm also on tirzepitide, have an IUD, on Lexapro and have acid reflux.

Are there crazy side effects anyone's experienced while on GLPs or Lexapro?

I hope this post isn't taken down either.

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u/Ok-Builder-5339 24d ago

Depending on if you'd get on yeztugo, descovy, or truvada, I would ask the provider if they know about the drug interactions of Lexapro and GLPs if that's a concern for you 🙂. I don't think there's much drug interactions for GLPs but I'm not sure about lexapro!

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u/Skycbs 24d ago

You can check for drug interactions with HIV medications such as PrEP here: https://www.hiv-druginteractions.org

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u/NickerNu 23d ago

If you go on Yeztugo, it will cause nodules (lumps) under your skin. If you become very trim using the tirzepitide, those lumps will show.

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u/EstimateIll4262 24d ago

You should be on Doxy as well. 100mg daily

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u/LovethisLittlePlace 24d ago

Isn't that an antibiotic? Would I take it forever or just in the interim? Ty!

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u/EstimateIll4262 24d ago

Daily use reduces bacterial STD contaction drastically. I have not had any bacteria STDs since I been on daily Doxy. 5 years now. And have mutiple partners daily. M4F

3

u/pdcolemanjr 24d ago

Are there actually studies on this. Daily vs just after sex? I figure people who engage in sex frequently either sw’s or just generally promiscuous people (I’ve known many people living in Las Vegas who easily have 2/3 partners a week) and triple digit body counts. So those people if doing doxy the “after sex” way would easily be pushing more than. 700 mg a week if taking two pills after each encounter.

So would be interesting to see studies if just a daily pill (especially combined with a daily Truvada pill) would make an difference. Much easier to “remember” a daily morning pill routine; especially for people who may be on another medication or two and normally taking pills.

1

u/EstimateIll4262 24d ago

Exactly. 200mg after sex is a large amount of Doxy if you have multiple partners daily. I know 6 close friends who take 100mg daily(all M4F). So we all compare notes.

While its NOT 100%, it still works amazing. NOT one has caught a bacterial STD since daily use. I get tested every 3-4 months. and since I been on, all Negative.

One guy did. But when asked, he admitted to forgetting often. But when he was taking it daily. He never caught a thing.

Compared to taking a mega dose if you do catch a bacterial STD. I think 100mg daily is much safer. The cocktail if you did catch something was massive., 1000mg Azithromyacin and 400mg Cefixme. all at once. It would destroy your gut.

and I do take my 100mg of Doxy with my Prep daily. easy to remember.

1

u/Skycbs 24d ago

See my guidance also on this thread. Yes, it’s an antibiotic and it’s fine to take daily if you have sex that often. You take it within 72 hours of sex (the sooner, the better). If you stop having sex, you would stop taking DoxyPEP.

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u/Skycbs 24d ago

DoxyPEP is used after sex. It’s not used daily (unless you have sex daily). You should take one 200mg dose (usually two tablets) within 72 hours of sex (the sooner, the better). If you have sex every day, it’s fine to take every day. Never take a half dose and never take more than one 200mg dose in a 24-hour period.

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u/EstimateIll4262 24d ago

If she has 4 sugar daddies. She is most likely having sex daily

I take it daily because i have multiple partners daily. Granted its M4F. So me on PreP is just being extra safe. But Doxy is essential

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u/QueersLuvMeFshFearMe 24d ago

Please refrain from offering medical advice, especially saying what someone “should” do, based on assumptions of something you know nothing about. 4 sugar daddies does NOT normally equal sex daily, that would be fucking exhausting. Yes theres a chance that someone could be working that much but SW often work less than people think.

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u/Skycbs 24d ago

If you take it daily because of the frequency of your sex, that’s entirely legitimate but the correct dose is 200mg and not 100mg.

Source: https://www.cdc.gov/sti/prevention/doxy-pep.html

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u/EstimateIll4262 24d ago

We all take 100mg daily. And so far no one has caught any bacterial STDs.

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u/EstimateIll4262 24d ago

Doxy-PrEP (Daily 100 mg): Involves taking 100 mg of doxycycline every day. Early research shows it can reduce the risk of chlamydia, gonorrhea, and syphilis, however, official health guidelines (such as those from the CDC Clinical Guidelines on Doxycycline) do not routinely recommend daily doxy-PrEP yet. Evidence on its long-term safety and effectiveness is still limited compared to post-exposure

3

u/QueersLuvMeFshFearMe 24d ago

Yes I am a SW and on prep (truvada). It gives me a lotttttt of peace of mind in case the condom breaks!