Canadian and US guideline recommendations for trans women are based on studies conducted mostly in cisgender men who have sex with men MSM. Recommended treatment is similar to that for other flu-like ailments:. Learn how to stop the bites from itching. Advocates and researchers have identified a number of concerns with PrEP for people who inject drugs because they fear it may be prioritized over access to and scale-up of other harm reduction programs and HIV treatment services. Note that accessing PrEP can be challenging for many reasons. Testing includes ultrasound and a sample of uterine fluids amniocentesis to look for Zika virus. After demonstrating high effectiveness, the study continued as an open-label extension where all participants were offered PrEP, knowing that they were taking PrEP and that it is effective.
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