Should I continue to use condoms if I'm taking PrEP?

The short answer is: for maximum protection, yes. But the realistic answer is: it depends on what you want to prevent and your comfort level with risk.

Let's break that down.


Each tool has its role

You should see PrEP and condoms as two different tools with distinct functions:

  • PrEP: This is your extremely reliable protection against HIV, and only HIV.
  • The Condom: This is your protection against most other STIs (syphilis, gonorrhea, chlamydia) AND against HIV, in addition to being a form of contraception.

Ideally, using them together offers the most complete protection possible.

Your personal strategy

Many people choose PrEP precisely because consistent condom use is difficult. The final decision is yours and depends on your risk tolerance and communication with your partners.

If you choose not to use condoms consistently, the "trade-off" to stay healthy is to be extremely rigorous about your STI management strategy:

  • Regular screening: Your 3-month follow-ups are non-negotiable. They are there to quickly screen for and treat any new infection.
  • Discussion with partners: Open communication about screening and status remains essential.
  • Doxy-PEP: For some, Doxy-PEP can be an option to discuss to reduce the risk of bacterial STIs.