While reading articles on HIV Prevention I kept seeing this term; “TasP” & I had NO idea what we were talking about.

Turns out that TasP means ‘Treatment as Prevention’.

HIV Prevention increases by up to 96% when employing TasP in your regimeHIV Prevention; a hot topic for a long time but now coupled with TasP, PrEP, PEP and many more acronyms can be overwhelming, confusing and intimidating. Sexual health is a never ending practice and we need to have a solid understanding of what we are doing and what we need to be doing.

I hope this helps.

I will go on record and state that we are surrounded by a whole bunch of acronyms and it is really hard to keep track. Nonetheless I read on!

Why I am bringing this up is because in Episode 103: Ass for Sale, UrbanGuyTO makes a very poignant statement a proposed best scenario that could look like;

  • PrEP on PrEP
  • PrEP on TasP

An equation where all parties are regularly on their medications, are being tested on a regular basis and in active in their sexual health.

I know that was a complicated sentence to get through but here is a bit of a break down for you.

TasP is when an HIV+ person with a suppressed viral load, commonly known as ‘undetectable‘ engages in sexual contact with an HIV- that is testing regularly. Both parties need to be actively engaged with their health professionals with their focus on sexual health.

This does not include dudes that call themselves negative because they have never gone to get tested, as we have discussed before.

HIV PREVENTION begins with testingSo that person that is HIV+ undetectable, their chance of transmitting the virus is 96% less and now imagine mixing that statistic with an HIV- person on PrEP.

The chances of transmission are reduced drastically.

Please remember we are talking about HIV transmission and not any other Sexually Transmitted Infections.

One of the best things about TasP is your own health as an HIV+ individual. By maintaining an undetectable or suppressed viral load you reduce the stresses on your body from the HIV virus which improves your quality of life as well as life expectancy.

If you want to read more about this, I invite you to read the article that was brought to my attention, thanks to a reader.


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About author


turnipHed is the Chief Editor at TURNIPSTYLE, Presenter & Producer of THE VOICE OF TURNIPSTYLE. The lifestyle magazine and podcast for [GBTQ+] Men.

  • Veritable Virgo#1

    20 Mar 2016 (Sunday)

    Like usual, I’m the first to respond to your post. I applaud all the efforts in getting clear, sensible and accurate information about PrEP, TasP as well as what is now probably considered “old-school” (condom use) prevention messages out to your audience.

    One of my greatest concerns (as I previously stated on Twitter) is what happens when existing Prevention & Education (P&E) funding is cannibalized and used to push an ever-increasing set of TasP programs. In the US the CDC seems to be leading the way for this change, and their mandates will eventually filter down to and impact the funding resources for state health programs for HIV/AIDS.

    While treatment of HIV is essential to our collective efforts to get out ahead of the AIDS epidemic, access to HIV medications is far from universal. There are still too many people who either lack access (this includes both affordability and availability), and those who for many other reasons (poverty, language barriers, undocumented status, stigma) do not get these messages. P&E programs often face the same uphill battles.

    Let’s not forget, that in the US that while the Affordable Care Act (“Obamacare”) has vastly increased the numbers of citizens with access to affordable health insurance that the decision to expand Medicaid and offer insurance marketplaces (and therefore affordable plans) rests with each state. Some states that disagree with the policies of the Obama Administration have interfered with or rejected these benefits; a decision that directly affects the ability of their citizens to access affordable HIV care and the very medications we’re discussing for PrEP and TasP programs. The fallback would be the state’s ADAP programs which are funded by the Ryan White AIDS Programs despite many years of budget cuts and ineffective funding formulations.

    Then there’s the concern about drug resistance, and drug toxicity when you introduce PrEP drugs like Truvada and those that will eventually follow into the world of a person who is HIV- and deem “high risk” for infection based on a set of criteria. If the drugs are toxic to someone who is HIV+ the same is true for someone who is HIV-. One of the leading concerns, I believe, is renal damage. Blood testing is essential in order to monitor this and keep ahead of any problems that may arise. The other issue (drug resistance) is harder to monitor and is dependent on the person taking the medication being truthful. In the end a missed dose is a missed dose, and this translates into higher rates of transmission and an increase in drug resistance. With Truvada being the only FDA approved PrEP drug currently, an uptick in drug resistance to this medication (and probably the drug class it belongs to) would not be good for the entire HIV+ community or their “at-risk” HIV- counterparts at this point in time.

    So while I believe PrEP and TasP have a place in our HIV/AIDS toolbox, I also strongly believe that we must not abandon the time-tested prevention messages which include the proper use of condoms. We must have open, honest and supportive discourse with those at risk. We must also continue working to remove stigma from the equation as it often leads some to make poor decisions that ultimately fail to protect their health and that of others.

    Thank you both for providing a forum for these discussions!!!

    • turnipHed#2

      20 Mar 2016 (Sunday)

      I have a couple of responses, firstly thank you so much for sharing here and in such great detail! This will help get the ball rolling better for a conversation.

      My brain is mush right now but did you read the piece I did on Genvoya after I interviewed my pharmacist?

      We touch on Renal issues as well as Bone Density in that chat, and it seemed to have been pretty negligable. 1-2% at most were affected.


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