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Hormone therapy on PrEP?

Dr. Demetre: I’m about to start taking hormones for my transition, can I stay on PreP?
Dr. David: Got questions about PrEP? #AskTheHIVDoc has all the answers.
Dr. Demetre: From the perspective of drugs, there’s no interaction between PrEP, estrogen, or testosterone. There’s no reason to stop PrEP. On the other hand, there’s a really good reason to stay on it. If you’re taking testosterone or estrogen, it can make you maybe want to have more sex. So what a great reason to stay on PrEP. It will protect you regardless of what’s happening, so while you’re doing your transition, while you’re starting your hormones, PrEP is a really good idea to protect you from HIV. Also, remember, if you’re doing hormones, use hormones that only come from your physician or other provider. If you’re using hormones from another provider, make sure that you have clean syringes. It’s not all about sex. It’s also about making sure that you don’t, you inject safely if you’re using needles that aren’t from your doctor.

Considering taking PrEP, but have questions about if it would interact with your hormones? In this video Dr. Demetre confirms that there are no known drug interactions between PrEP and gender affirming hormones. In fact, available data on PrEP use among transgender women suggests that it is very effective in protecting against HIV when taken as prescribed.

Click here for more information on PrEP. 


#AskTheHIVDoc is a video series from Greater Than HIV featuring top HIV doctors providing answers to commonly-asked questions about HIV prevention, testing and treatment.

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