Instructions
Please select a single sexual activity to see if you should be using PrEP

You put someone else’s flesh penis (not a sex toy) or a front hole/vagina in your mouth

You put your penis or front hole/vagina in someone else’s mouth

You put your flesh penis into someone else’s front hole/vagina

Someone else put their penis into your front hole/vagina (you were fucked).

Someone else put their penis into your ass (you were fucked up the ass).
Frequency
Are you giving oral sex regularly?


Frequency
Does giving oral sex only happen sometimes?


Frequency
Did giving oral sex happen only once in the past


Frequency
Has giving oral sex not happened, but you are thinking about it and are afraid of HIV exposure?


Based on this activity, you might not need PrEP, but you might want to consider PEP (Post-Exposure Prophylaxis) if this happens again and if it is considered a risk for HIV (ie. condoms were not used and the HIV status of your partner(s) is unknown.) You can find out more about PEP here: www.thesexyouwant.ca/PEP.
PrEP might be right for you if you think this activity could happen in the near future. A counsellor at ACT is available to talk about your concerns about HIV. Contact ACT for more info at 416-340-2437 or ask@actoronto.org or find someone to talk to at HIV411.ca.
We’re stumped, maybe you need to talk to someone. Contact ACT at 416-340-2437 or ask@actoronto.org or find someone to talk to at HIV411.ca.
Frequency
Are you receiving oral sex regularly?


Frequency
Does receiving oral sex only happen sometimes?


Frequency
Did receiving oral sex happen only once in the past


Frequency
Has receiving oral sex not happened, but you are thinking about it and are afraid of HIV exposure?


Frequency
Are you fucking someone regularly?


Frequency
Are you receiving front hole sex regularly?


Frequency
Are you receiving anal sex regularly?


Frequency
Does fucking someone only happen sometimes?


Frequency
Does receiving front hole sex only happen sometimes?


Frequency
Does receiving anal sex only happen sometimes?


Frequency
Did fucking someone happen only once in the past


Frequency
Did receiving front hole sex happen only once in the past


Frequency
Did receiving anal sex happen only once in the past


Frequency
Has fucking someone not happened, but you are thinking about it and are afraid of HIV exposure?


Frequency
Has receiving front hole sex not happened, but you are thinking about it and are afraid of HIV exposure?


Frequency
Has receiving anal sex not happened, but you are thinking about it and are afraid of HIV exposure?


Mechanics
Did they cum in your mouth or did you get blood or front hole/vaginal fluids in your mouth?



Based on this activity, you might not need PrEP. With oral sex, there is an insignificant risk that HIV can get into your blood stream from fluids other than the ones above.
Oral sex on its own is not usually enough risk to merit a prescription for PrEP. If you do this frequently, doctors would likely explore if you regularly experience open sores or cuts in your mouth or bleed from your mouth, to assess the risk for HIV. They will likely ask you about your partner’s HIV status and viral load for considering the risk for HIV. They will also likely have a discussion with you about getting tested for STIs and possibly HIV.
Mechanics
You received oral sex (eg. blow job). Based on this activity, you might not need PrEP. Doctors would likely also want to explore if you regularly experience open sores or STIs on your body where you have been orally stimulated. They may ask you about your partner’s HIV status and viral load for considering a possible PrEP prescription. It’s likely they will double-check if you have done anything else sexually so they can move onto focusing on potentially higher risk sexual acts. They may recommend you get tested for STIs.
Mechanics
OK, you fucked someone else. Yes, being a top is lower risk than being a bottom for HIV, but the activity you are describing is still a risk for HIV when no condom is used. The first question a healthcare professional will likely ask you is: Did you use condoms?



When condoms aren’t used, you will likely be asked to consider HIV and STI testing.

Click to go to the next step.
Did you fuck someone or a group of people you know?


Yes, a condom is always used (and usually does not break or come off). If you consistently use a condom every single time then you are already well-protected and considered low risk for HIV transmission. PrEP can still be used as an additional layer of protection. Be sure to inform your doctor of this if you would still like to take PrEP.
If the condom does break in the future, you should speak to someone within 72 hours about using PEP (Post-Exposure Prophylaxis). You should call a phone line, such as the AIDS and Sexual Health Infoline (416-668-2437) or the ACT Access Centre (416-340-2437) and then follow up with a doctor in an emergency room.
Mechanics
Someone fucked you. The first question a healthcare professional will likely ask is: Did they wear a condom?



When condoms aren’t used, you will likely be asked to consider HIV and STI testing.

Click to go to the next step.
Yes, a condom is always used (and usually does not break or come off). If you consistently use a condom every time then you are already well protected and considered low risk for HIV transmission. PrEP can still be used as an additional layer of protection. Be sure to inform your doctor of this if you would still like to use PrEP.
If the condom does break in the future, you should speak to someone within 72 hours about using PEP (Post-Exposure Prophylaxis). You should contact or visit an emergency room; such as St. Michael’s Hospital in downtown Toronto. For more information, call the AIDS and Sexual Health Infoline (416-668-2437) or the ACT Access Centre (416-340-2437).
Did you receive front hole sex from someone or a group of people you know?


Mechanics
You were fucked by someone else. The first question a healthcare professional will likely ask is: Did they wear a condom?



When condoms aren’t used, you will likely be asked to consider HIV and STI testing.

Click to go to the next step.
Did you receive anal sex from someone or a group of people you know?


Based on this activity, PrEP would be right for you, particularly in the case of condomless anal sex with strangers.
Do you know the HIV status of the person or each partner?


Based on this activity, PrEP would be right for you, particularly in the case of condomless anal sex.
Is the person HIV-positive (based on their last HIV test)?


Does the person engage in regular HIV testing?


Is their viral load(s) below 200?


Based on this activity, PrEP would be right for you, particularly in the case of condomless anal sex.
Based on this activity, if the partner’s viral load is above 200; or sometimes it’s been up and down, then PrEP would be right for you, particularly in the case of condomless anal sex. When condoms aren’t used all the time, you will likely be 6 asked to consider HIV and STI testing.
Based on this activity, you might not need PrEP. Evidence has shown that having a very low or undetectable viral load will not transmit HIV. Blips (little spikes) in HIV viral load also do not seem to transmit HIV. If your partner’s (or partners’) health change(s) or they are making changes in their HIV medications, PrEP may be worth revisiting, as they could experience a rise in HIV viral load under these circumstances. They will likely ask you to consider regular HIV and STI testing.
When condoms aren’t used all the time, you will likely be asked to consider HIV and STI testing.

Click to go to the next step.
When condoms aren’t used all the time, you will likely be asked to consider HIV and STI testing.

Click to go to the next step.
When condoms aren’t used all the time, you will likely be asked to consider HIV and STI testing.

Click to go to the next step.
Final cost
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