Healthcare Worker Navigates Stigma Around PrEP Use in Conservative Environment
A non-binary healthcare worker assigned female at birth shares their experience starting pre-exposure prophylaxis (PrEP) after multiple condom breaks, highlighting the social stigma and workplace challenges associated with HIV prevention for those who do not fit traditional male gay narratives. The writer, who has multiple partners and no hormone replacement therapy or gender-affirming surgery, faced judgment from colleagues and providers despite being open about their private life. They noted that their generalist did not inform them about injectable PrEP options, despite the writer’s own knowledge of prescribing criteria. The advice column emphasizes that PrEP is a valid, effective health measure with few side effects, and that others’ opinions should not override personal health decisions. The writer argues that being on PrEP is an asset in healthcare settings, as it reduces the need for post-exposure prophylaxis (PEP) in occupational exposure scenarios. The piece underscores the broader need to normalize PrEP use beyond the typical men who have sex with men demographic, especially in conservative cultures where stigma persists.