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Author Topic: Trouble getting prep prescribed in Ireland.  (Read 1451 times)

Lexilou

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Trouble getting prep prescribed in Ireland.
« on: 09 March 2025, 02:39:38 pm »
I need to get my Prep prescribed, I mentioned it to my doctor (who doesn’t know of this occupation), and she gave a mumbled response along the lines of I don’t need it and being slightly unaware of its actual purpose. And I was too embarrassed to push her any further.
Is there any other way of getting it legitimately prescribed to me without going back to her and spelling it out to her in black and white.
I’m in Ireland so healthcare may be different to the UK, I’m not sure.

Mirror

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Re: Trouble getting prep prescribed in Ireland.
« Reply #1 on: 09 March 2025, 03:56:18 pm »
I need to get my Prep prescribed, I mentioned it to my doctor (who doesn’t know of this occupation), and she gave a mumbled response along the lines of I don’t need it and being slightly unaware of its actual purpose. And I was too embarrassed to push her any further.
Is there any other way of getting it legitimately prescribed to me without going back to her and spelling it out to her in black and white.
I’m in Ireland so healthcare may be different to the UK, I’m not sure.

In England as far as I am aware Prep is prescribed by the GUM clinics, where do you go for STI/Sexual Health/GUM testing?

amy

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Re: Trouble getting prep prescribed in Ireland.
« Reply #2 on: 09 March 2025, 04:07:36 pm »
I need to get my Prep prescribed, I mentioned it to my doctor (who doesn’t know of this occupation), and she gave a mumbled response along the lines of I don’t need it and being slightly unaware of its actual purpose. And I was too embarrassed to push her any further.
Is there any other way of getting it legitimately prescribed to me without going back to her and spelling it out to her in black and white.
I’m in Ireland so healthcare may be different to the UK, I’m not sure.

Well do you need PrEP? Unless you're having unprotected vaginal and anal sex with scores of random men I can't see why you would - it's expensive medication with unpleasant side effects and it seems a bit unlikely that your doctor doesn't know what it is, which is likely the reason she doesn't understand why you're asking for it.

If you're using condoms then it's not that likely that you fit the bill (and nor would you here in the UK); if you're not then I'd a) consider whether the health risks you're taking are worth it (and not just in terms of HIV but other far more common STIs which will lose you work, cost you money and possibly affect your partner) and b) see if you can get it privately? That's with the caveat that I'm not sure how private healthcare works in Ireland, although I'm more familiar with the public provision :)

Lexilou

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Re: Trouble getting prep prescribed in Ireland.
« Reply #3 on: 09 March 2025, 05:04:52 pm »
Thanks for the quick replies, as far as I’m aware our gum clinics here will only prescribe to treat something existing, and not anything that would require ongoing script like prep. I’ve only gathered that from what I’ve read online, but I’m actually in for tests next Friday so I can ask them then. We do actually have private health insurance, but again i’m not sure who I’d have to see in regard to it.
As for the reason, no I don’t currently do it unprotected, and don’t do any anal whatsoever. But am considering, (well, have kind of decided) to start offering bareback to some clients after being asked repeatedly, and offered double my normal rate. We have given it a lot of thought and are aware of the risks, but I don’t see a lot of clients, mostly regulars, and they’re all from the same kind of circle. It’s a very different industry over here lol

xw5

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Re: Trouble getting prep prescribed in Ireland.
« Reply #4 on: 09 March 2025, 07:28:42 pm »
Pick one of you have a actively bisexual boyfriend who doesn't use condoms with other men or you have an IV-drug using boyfriend or you have a boyfriend who does both.

'The Ian formerly known as SW5'. What they said: "Indispensable", "You are our best resource", and (hours later!) "I'm afraid that you're being made redundant..."

amy

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Re: Trouble getting prep prescribed in Ireland.
« Reply #5 on: 09 March 2025, 07:44:30 pm »
As for the reason, no I don’t currently do it unprotected, and don’t do any anal whatsoever. But am considering, (well, have kind of decided) to start offering bareback to some clients after being asked repeatedly, and offered double my normal rate. We have given it a lot of thought and are aware of the risks, but I don’t see a lot of clients, mostly regulars, and they’re all from the same kind of circle. It’s a very different industry over here lol

There are plenty of people here who have worked all over Ireland many times, me included (I think in 2012-13 I spent more time there than in the UK :D), and I don't even do OWO or reverse oral, let alone unprotected PIV.

If you want to offer this service that's totally your call (and I agree with xw5; claiming a non-monogamous relationship with a bi man ought to get you through the door), but don't let pestering punters try to bullshit you it's something 'everybody' does or that it's necessary to get business or make money, in Ireland or anywhere else. It really isn't.

lora

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Re: Trouble getting prep prescribed in Ireland.
« Reply #6 on: 09 March 2025, 09:54:24 pm »
Also you say "we" have given it a lot of thought. I don't know if that is a typo but I don't think anyone else should be influencing you to make decisions regarding the services you are offering and the risks that you are taking with your health. 

Mirror

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Re: Trouble getting prep prescribed in Ireland.
« Reply #7 on: 10 March 2025, 05:37:43 am »
Thanks for the quick replies, as far as I’m aware our gum clinics here will only prescribe to treat something existing, and not anything that would require ongoing script like prep. I’ve only gathered that from what I’ve read online, but I’m actually in for tests next Friday so I can ask them then. We do actually have private health insurance, but again i’m not sure who I’d have to see in regard to it.
As for the reason, no I don’t currently do it unprotected, and don’t do any anal whatsoever. But am considering, (well, have kind of decided) to start offering bareback to some clients after being asked repeatedly, and offered double my normal rate. We have given it a lot of thought and are aware of the risks, but I don’t see a lot of clients, mostly regulars, and they’re all from the same kind of circle. It’s a very different industry over here lol

The problem with same kind of circle is if the members of that circle as a having sex with others in the 'same kind of circle, might only take one person to contract an STI then everyone is linked or exposed. I noticed in other posts you say  you aren't reliant on the income from your sex work, so what's driving this decision?  Also if clients were seriously and repeatedly asking for bareback intercourse,  I would be seriously considering replacing them.

Lexilou

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Re: Trouble getting prep prescribed in Ireland.
« Reply #8 on: 10 March 2025, 03:49:45 pm »
It’s not that they’re persistent or pressuring, My entire client base is lorry drivers, I no longer advertise so am not really subject to the typical type of punters. I did mean ‘we’, as I’m married so obviously it’s a subject that would affect both of us.
I see it as a way to double the profit by doing the same amount of work. The alternative is to start advertising again and engage with all the normal time wasting assholes, it would involve doing hotel work, double the amount of work, and an added risk of being found out. I live in rural west of Ireland.
As it is I only see a handful of clients, might be just 1 one week or 8/9 the next week. There’s zero time wasters, I know in advance what time I’m meeting them, where I’ve to go and what I’ll be wearing. It makes it very easy. I’m all too well aware of the possible risks, and I understand it’s not everyone’s preference but I’m ok with it. As long as I can take every other precaution, which is why I need to get on prep

amy

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Re: Trouble getting prep prescribed in Ireland.
« Reply #9 on: 10 March 2025, 05:55:50 pm »
But you're not taking precautions, are you? PrEP won't stop you getting chlamydia, gonorrhoea or syphilis, and assuming you don't plan to continue offering unprotected PIV when you do, you likely won't actually have any more money.

Lorry drivers travel all over the country and beyond; if they're regularly having unprotected sex with prostitutes (and you obviously know they are, or you wouldn't be seeking out this treatment) then you're going to pick something up reasonably fast.

Plus if you're constantly on antibiotics (as well as the PrEP) from the same old dose being passed around this 'circle' (and if you keep giving it to your husband you'll just pass it back and forth) you're going to be feeling pretty rough most of the time - is it really worth it?

As for persistent, your first post said:

am considering, (well, have kind of decided) to start offering bareback to some clients after being asked repeatedly

That sounds persistent to me?
« Last Edit: 10 March 2025, 06:04:28 pm by amy »

E_FitGirl

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Re: Trouble getting prep prescribed in Ireland.
« Reply #10 on: 10 March 2025, 07:22:58 pm »
Prep only protects you from HIV, you'll be at risk of all other STIs and HPV and genital herpes. It's probably easier to tell the nurse/healthcare worker that you are a sex worker that offers bare services, it's not illegal and they would then offer it to you. No one else apart from that clinic would know what you do.
 

Gazaro

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Re: Trouble getting prep prescribed in Ireland.
« Reply #11 on: 10 March 2025, 07:23:09 pm »
Girl don't do it! Double rate definitely doesn't cover the risks because you will constantly be out of work trying to cure different infections, there are around 2 dozens of them.
Plus you will be killing your kidneys with the Prep.

Deuxmoi

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Re: Trouble getting prep prescribed in Ireland.
« Reply #12 on: 10 March 2025, 07:24:52 pm »
You're also seriously risking messing up your ph balance

Lexilou

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Re: Trouble getting prep prescribed in Ireland.
« Reply #13 on: 14 March 2025, 05:05:50 pm »
So in case anyone is interested, I asked at the GUM clinic today at my checkup. They can prescribe it for me for 6 months. After that it has to be taken over by my GP, they can provide a referral for it to my GP and ask them to continue prescribing. So at that point my doctor is obviously going to know the full story.
So I’ve gone ahead with it, I’m going to try it for the 6 months.
I completely understand it’s not everyone’s cup of tea and I hope it doesn’t affect anyone’s opinion of me or offering any other advice if I need it.
I don’t have anyone really that I can talk to about this other than my husband, and obviously there are certain things I can’t really talk to him about.

I’d like to hear from anyone that is or has been on prep, and dealing with side effects etc.

lora

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Re: Trouble getting prep prescribed in Ireland.
« Reply #14 on: 14 March 2025, 11:12:29 pm »
I don't think it's a wise decision but I think it's your body so ultimately your choice. At the end of the day I offer CIM amd swallow which I'm sure lots of people with think is "gross".
  I have caught oral gonorrhea and oral chlamydia bit I still offer those services because they make me money. I know lots of my clients only book me because of those services so I consider it an acceptable risk.
  I would just make sure you get tested as often as possible and you husband too.  And be prepared to catch the bacterial STIs which are very common. I would imagine lorry drivers to be quite high risk IMO.
Good luck xx