Chemsex and PrEP

Chemsex is a term that refers to recreational drug use, typically among gay and bisexual men, that is intended to enhance sexual pleasure. The term is commonly used to refer to the taking of crystal meth, GHB/GBL, and mephedrone in combination with sexual activity. Chemsex often occurs in private settings, such as private residences, bathhouses, and sex clubs, and it may involve more than two participants.

In recent years, chemsex has become increasingly associated with transmission of HIV and other sexually transmitted infections (STIs), due to high-risk behaviors that may occur during such events. For this reason, it is important for individuals who engage in chemsex to practice safe sex. This includes using condoms, lubricant, and dental dams, getting tested regularly for HIV and other STIs, and avoiding shared injection drug use.

In addition to practicing safe sex, the use of pre-exposure prophylaxis (PrEP) can help to further reduce the risk of HIV transmission among those who engage in chemsex. PrEP is a medication that, when taken daily, can reduce the risk of HIV transmission by more than 90%. PrEP is available with a prescription from a medical provider and is covered by most insurance plans.

For individuals engaging in chemsex, the use of PrEP can provide additional protection against HIV transmission and is an important part of a comprehensive approach to safer sex. It is important to note, however, that PrEP does not protect against other STIs and that continued safe sex practices are still necessary.