Injectable PrEP
Protection that does not depend on remembering
Daily PrEP works, and it works well, but only if the pill actually gets taken. For plenty of people that is the hard part. A schedule that shifts, a bottle you would rather not leave on the counter, a roommate or a family member you are not out to. Injectable PrEP takes all of that off the table.
It is one injection given here in the office, repeated every two months after the first couple of doses. Between visits there is nothing to carry, nothing to hide, and nothing to remember.
What getting started looks like
We start with a conversation and a round of lab work, including an HIV test, since injectable PrEP is for people who are HIV negative. If your labs are clear, you get your first injection, a second one a month later, and then settle into a shot every two months.
The visits are short, but you are not being processed. Same practice, same clinician, same amount of time to ask whatever you want to ask. Dr. Colt has spent his career in sexual and gender health, so nothing you bring up here is going to be met with a raised eyebrow or a question about why.

HIV prevention on a two month schedule, handled in the office by a clinician who works in sexual health every day.

How is injectable PrEP different from the daily pill?
Both prevent HIV. The difference is how it reaches you. The pill is taken every day, the injection is given in the office every two months after your first two doses. If daily dosing has been hard to keep up with, or if keeping a bottle at home is a problem, the injection solves both.
Do I still need testing while I am on it?
Yes. You will have an HIV test before each injection, plus periodic STI testing and lab work depending on your history. We handle all of it here, and results come back to you from someone who can actually explain them.
Does the injection hurt?
It is an intramuscular injection, so expect some soreness at the site for a day or two. Most people find it very manageable and stop thinking much about it after the first couple of visits.
Do I have to be a member?
No. Members get PrEP care as part of their Direct Primary Care membership, and we also see non members on a per service basis. Because the injection has to be given in person, this one happens at the office in Oneonta rather than by telehealth.
