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For our communities
What genuine community-affirming PrEP care looks like, which providers deliver it, and what every queer person should know about HIV prevention.
Who PrEP is for
Over 500,000 people in the U.S. are on PrEP and the majority are LGBTQ+. Yet only about 23% of those who could benefit are actually taking it. That is the gap HeyPrEP helps close.
Gay and bisexual men account for about 70% of new HIV diagnoses in the U.S. PrEP reduces that risk by up to 99% when taken daily. No awkward conversations, no judgment required. Most online providers were built with this community in mind.
Find affirming providers →Trans women, especially Black and Latina trans women, face among the highest HIV rates of any group. Trans men who have sex with men are often invisible in the stats. Providers like FOLX, Plume, and Q Care Plus offer gender-affirming care that respects your full identity.
Trans-affirming providers →Black and Latino gay and bi men have the highest rates of HIV diagnosis but lower PrEP uptake. Access barriers, cost, and stigma all play a role. Programs through Mistr and Q Care Plus are specifically designed to close this gap.
Free access programs →PrEP is for anyone whose life and relationships could benefit regardless of identity. HeyPrEP lists community-affirming providers so you can define your own risk, as the CDC recommends. You do not have to explain yourself.
All providers →What affirming care actually means
Every platform puts a rainbow on their site in June. Genuine affirming care shows up in specific, checkable ways: intake language, how clinicians discuss risk, and whether you ever have to explain who you are.
What good looks like
✓Intake form asks about sexual practices, not assumed orientation
✓Gender identity and preferred pronouns are standard fields
✓Uses terms like MSM, serodiscordant, U=U without hedging
✓Does not ask you to prove why you want PrEP
✓Trans patients receive competent care on PrEP and HRT interactions
✓Clinicians treat PrEP as a routine health choice, not a risk confession
Red flags to watch for
✗Intake form assumes heterosexuality as the default
✗HIV risk framed as a moral category rather than health consideration
✗MSM treated as unusual disclosure requiring extra explanation
✗You feel judged or asked to justify wanting prevention
✗No gender identity or pronoun fields on the intake form
✗No visible community expertise or focus stated
Why this matters clinically
Research consistently shows patients who feel judged during care are less likely to adhere to treatment, including PrEP. Affirming care is not a nice-to-have. It is a clinical outcome.
Community affirmation ratings
Based on intake language, community focus, trans-competent care, and patient review signals.
PrEP Specialist
Community Focus
Community Founded
Trans-Centered
Largest Platform
Multi-Condition
U=U: Undetectable = Untransmittable
U=U is one of the most important advances in HIV prevention and still not widely understood. Here is the full picture.
0
HIV transmissions when undetectable
When a person living with HIV is on treatment and undetectable, they cannot transmit HIV to a sexual partner. Zero transmissions in major studies.
2+
Major studies confirming U=U
Some couples use PrEP as an extra layer of confidence, others rely on U=U. Both can be valid when informed and supported.
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Affirming care marker
A truly affirming provider includes U=U naturally in counseling. If they hedge on it, their HIV literacy may be outdated.
Terms a genuinely affirming provider uses
If a provider uses these terms naturally, without you having to explain them, that is a strong signal they know their stuff.
Men who have sex with men. A clinical term used without judgment to describe behavior rather than identity.
Undetectable equals Untransmittable. When someone with HIV is undetectable, they cannot transmit HIV sexually.
A couple where one partner has HIV and one does not. Also called magnetic or mixed-status couples.
Post-exposure prophylaxis. Emergency HIV prevention medication taken within 72 hours of potential exposure.
Treatment as Prevention. Treating HIV to an undetectable level to prevent transmission, the basis of U=U.
Healthcare that respects and supports identity, used by affirming providers as a baseline, not a specialty add-on.
Hormone replacement therapy / gender-affirming hormone therapy. Some PrEP providers also offer this, including FOLX and Plume.
Federally Qualified Health Center. Community health centers that often offer low-cost or free PrEP and are typically affirming.
Filter by community focus, trans-affirming care, and at-home testing to find your best fit.