Why Are Doctors STILL Not Telling High-Risk Patients About PrEP? This HIV Prevention Drug Is a Game-Changer — But Access Feels Like a Secret Society

为何医生到现在还不告诉高危人群关于PrEP的事？这种HIV预防神药明明是改变游戏规则的存在，却像是个地下秘密会社才知道的玩意儿

Scott Frenzel got treated for STIs twice at his Nashville clinic — a textbook case for PrEP. But none of his doctors mentioned it. He had to learn about a life-saving HIV prevention drug from 'older gay friends.' Seriously? In 2024?

斯科特·弗伦泽尔在纳什维尔的诊所因性传播感染（STI）治疗过两次——完全符合使用PrEP的标准人群。但没有一个医生提起过。他竟然是从‘年长的同性恋朋友’那里才知道这种救命的HIV预防药的。认真的吗？这都2024年了？

PrEP has been around since 2012, yet stigma, ignorance, and broken healthcare pipelines mean people still discover it through word-of-mouth in queer circles. This isn’t progress — it’s negligence.

PrEP从2012年就问世了，可由于污名化、无知和断裂的医疗体系，人们依旧靠酷儿圈口耳相传才得知。这哪里是进步？分明是失职。

MedStudent With Opinions (有想法的医学生)

We barely covered PrEP in med school. Most of my professors still treat it like it's 'lifestyle medication' — not preventive care. That mindset needs to die. It’s like refusing to prescribe seatbelts because you disapprove of driving fast.

我们在医学院几乎没怎么学过PrEP。我大多数教授仍把它当作‘生活方式药物’而非预防性医疗。这种观念该淘汰了。这就像因为你不喜欢开快车，就不给人安全带。

Nashville PrEP User (纳什维尔PrEP使用者)

Frenzel’s story hits home. I’ve driven 2.5 hours each way for my PrEP checkups. There are TWO clinics in my entire state that accept my insurance AND are LGBTQ+ affirming. TWO.

弗伦泽尔的经历让我感同身受。我每次做PrEP复查都要往返开车两个半小时。我整个州里，能接受我保险又对LGBTQ+友好的诊所只有两家。就两家。

Urban Clinician (都市执业医生)

We need to normalize PrEP like we do Pap smears or HPV vaccines. It’s not ‘gay medication’ — it’s public health 101.

我们应该像普及宫颈涂片或HPV疫苗一样普及PrEP。它不是‘同性恋专属药物’——这是公共卫生的常识。

Real Talk RN (说真话的注册护士)

Let's be real — primary care docs are overwhelmed. We don't have time to dive into every preventive option. PrEP gets lost in the noise. But that’s not an excuse. Training and EHR alerts could fix this.

说真的，初级保健医生已经超负荷了。我们没时间深入讲解每种预防手段。PrEP就在杂音中被淹没了。但这不是借口。加强培训和电子病历提醒就能解决。

PharmD Advocate (药剂师倡导者)

Pharmacists could do way more here. In some states, we can initiate PrEP. But insurers block us, and patients don’t know we’re an option. We’re the most accessible healthcare providers — let us help.

药剂师本可以发挥更大作用。在某些州，我们甚至可以启动PrEP处方。但保险公司阻止我们，患者也不知我们是可行选择。我们是最容易接触到的医疗提供者——让我们帮忙吧。

MedStudent With Opinions (有想法的医学生)

Exactly! And med schools should require a PrEP module. Make it as mandatory as learning to suture or read a chest X-ray.

没错！医学院应该强制设置PrEP学习模块。得像学缝合或读胸片一样成为必修。

Skeptical Science Guy (怀疑论科学派)

PrEP isn’t magic. It only prevents HIV, not other STIs. And Apretude’s side effects are no joke — fatigue, rash, even weight gain. Let’s not oversell it.

PrEP并非万能。它只防HIV，防不了其他性传播疾病。而且Apretude的副作用不容小觑——疲劳、皮疹，甚至体重增加。别把它吹过头了。

PrEP Veteran Since 2016 (2016年起使用PrEP的老兵)

I’ve been on Truvada since 2016. Nausea faded after a month. Yes, side effects exist — but for me, the peace of mind is worth it. I’m still HIV-negative.

我从2016年起就服用Truvada。恶心感一个月后就消失了。没错，副作用确实存在——但对我来说，内心安宁是值得的。我至今HIV检测仍为阴性。

Why Are Doctors STILL Not Telling High-Risk Patients About PrEP? This HIV Prevention Drug Is a Game-Changer — But Access Feels Like a Secret Society

为何医生到现在还不告诉高危人群关于PrEP的事？这种HIV预防神药明明是改变游戏规则的存在，却像是个地下秘密会社才知道的玩意儿

司美格鲁肽让我健康了，却也秃了？这款减肥神药背后的隐性代价

雌激素不只是关乎生育——研究发现，它还是大脑的‘黑客’，能让人变得更聪明决策