By vgreene, 2 March, 2020 For women: Assess pregnancy intent; if affirmative: Follow couples' guidance
By vgreene, 2 March, 2020 Adult MSM/bisexual males; includes transgender persons: Consider use of PrEP for all those at risk of acquiring HIV sexually5
By vgreene, 2 March, 2020 Counsel pts on how to safely d/c and restart PrEP both when starting PrEP and when d/c’ing PrEP as HIV infxn protection wanes 7-10 days after ceasing daily PrEP use
By vgreene, 2 March, 2020 Perform HCV testing as part of baseline lab eval; consider annual retesting for those w/ ongoing risk of HCV exposure
By vgreene, 2 March, 2020 F/U q3mo for HIV test [IA],2 med adherence counseling, risk redux support [IIIA], ADR & STI assessment; test (incl oral + rectal) for bacterial STIs (gonorrhea, chlamydia, syphilis) q3mo if high risk for recurrent STI (recent STI or multiple partners)
By vgreene, 2 March, 2020 PrEP may be indicated if: neg HIV test,2 no s/sx of acute HIV infxn [IA], normal renal fxn,3 no contraindicated meds; documented HBV/vaccine status4