At Home PrEP Test (Comprehensive) – Includes Hep B, HIV, Creatinine, Chlamydia, Gonorrhea, Herpes, Syphilis, & Trich, with Blood, Urine, Rectal & Throat Collection

Pre Exposure Prophylaxis PrEP Drug Monitoring Test

4U Health offers PrEP testing options right where you are — in the comfort of your own home! Visit 4uhealth.com to choose from four convenient online PrEP monitoring tests to find the one that best fits your needs.

Some common locations to get in-person PrEP lab testing across the country include your primary care doctor, Planned Parenthood, your local county department of health, or urgent care facilities.

CLIA Lab Testing

This, like all 4U Health at-home lab tests, provides actionable CLIA-certified results. This means your hospital-grade test result is useful for both initial and ongoing lab clearance for PrEP prescription monitoring.

Antibody/Antigen HIV Test

Blood tests for HIV known as antibody/antigen tests, like this test, are highly accurate in detecting the presence of the HIV virus. These tests have been extensively studied and have shown excellent sensitivity and specificity.

The sensitivity of a test refers to its ability to correctly identify individuals who have the infection (true positives), while specificity refers to its ability to correctly identify individuals who do not have the infection (true negatives).

HIV antibody/antigen tests have high sensitivity and specificity, typically ranging between 99.5-99.9%. This means that they are very reliable in accurately detecting HIV infections.

However, it’s important to note that no test is 100% perfect, and there is always a small possibility of false-positive or false-negative results. Factors such as the timing of the test (wait at least two weeks following exposure or treatment) and sample collection technique (follow sample collection instructions closely) most commonly can affect test sensitivity and specificity. For the most accurate negative results, we recommend you retest after 4 weeks from your possible exposure date to confirm your negative HIV status. If there are any concerns about positive results, we recommend you consult with a healthcare professional and have your test repeated.

Hepatitis B Surface Antigen and Creatinine Finger Prick Test

Blood tests for Hepatitis B, like the surface antigen test, are highly accurate in detecting the presence of the Hepatitis B virus. These tests have been extensively studied and have shown excellent sensitivity and specificity.

The sensitivity of a test refers to its ability to correctly identify individuals who have the infection (true positives), while specificity refers to its ability to correctly identify individuals who do not have the infection (true negatives).

Hepatitis B surface antigen tests typically have high sensitivity and specificity, generally ranging between 95-100%. This means they are very reliable in accurately detecting Hepatitis B infections.

In addition to the Hepatitis B test, this finger prick test also measures Creatinine levels, which is an accurate method to screen kidney function. Monitoring Creatinine helps assess how well your kidneys are filtering waste from your blood, providing crucial information about your overall kidney health.

However, it’s important to note that no test is 100% perfect, and there is always a small possibility of false-positive or false-negative results. Factors such as the timing of the test (wait at least four weeks following exposure or treatment) and sample collection technique (follow sample collection instructions closely) can affect test sensitivity and specificity. For the most accurate negative results, we recommend you retest after 6 months from your possible exposure date to confirm your negative Hepatitis B status. If there are any concerns about positive results, we recommend you consult with a healthcare professional and have your test repeated.

Additional STI Tests

This comprehensive panel includes tests for Chlamydia, Gonorrhea, Herpes, Syphilis, and Trichomoniasis. These tests are designed to accurately detect the presence of these infections.

Each test has been developed to provide reliable results with high sensitivity and specificity. Generally, these tests have sensitivity and specificity rates ranging from 95-100%, ensuring accurate detection of the respective infections.

As with any medical test, factors such as timing and proper sample collection can impact results. It’s recommended to wait the appropriate time after potential exposure before testing. If results indicate a positive finding, consulting a healthcare professional for follow-up testing and treatment is essential.

Accurate Pre Exposure Prophylaxis PrEP Testing

All 4U Health PrEP tests meet national standards and are as accurate as services provided in a doctor’s office or hospital. We only work with the highest quality CLIA certified laboratories and health experts. Your at home Pre Exposure Prophylaxis PrEP Comprehensive STD Test complies with state and federal regulations. And our clinicians provide medical oversight throughout the entire process.

We recommend sharing your certified PrEP lab test monitoring results with your healthcare provider to maintain your eligibility or qualify for HIV prevention medication.

Pre Exposure Prophylaxis PrEP Testing

Yes, you can use this test to qualify for or maintain your eligibility for Pre Exposure Prophylaxis PrEP HIV prevention medication. The 4U Health at-home Comprehensive PrEP screen is designed to provide actionable results that meet the necessary lab clearance requirements for starting or continuing PrEP.

After you collect your at-home sample, it is sent to a certified lab for analysis. The entire process typically takes 2 to 5 days from the time the lab receives your sample, allowing you to receive your results quickly and efficiently.

Your results will include essential markers that your healthcare provider needs to assess your suitability for PrEP, ensuring that you meet the required health standards. It is important to share these results with your healthcare provider to confirm your eligibility and ensure safe and effective use of PrEP medication.

By maintaining regular testing with 4U Health’s at-home PrEP screens, you can stay updated on your health status and confidently continue your journey in HIV prevention.

Pre Exposure Prophylaxis PrEP Lab Test for Providers

Yes, 4U Health’s PrEP medical clearance lab tests can be ordered individually online by medical providers. Physicians, telemedicine groups, pharmacies, and pharmaceutical companies are encouraged to contact help@4uhealth.com for information on custom panels, volume discounts and to learn how this innovative PrEP test can complement their HIV prevention programs.

Pre-Exposure Prophylaxis PrEP Guidelines

Pre-Exposure Prophylaxis, commonly known as PrEP, is a preventive approach aimed at lowering the risk of HIV infection in individuals who are at high risk and are currently HIV-negative. This strategy involves taking specific antiretroviral medications as part of a comprehensive health plan.

The Centers for Disease Control and Prevention (CDC) has developed guidelines that explain the rationale behind PrEP, define the populations that may benefit from it, and outline the management of patients undergoing PrEP therapy. Effective management involves essential laboratory testing both prior to starting PrEP and during its use.

According to CDC recommendations, individuals considering PrEP should undergo initial laboratory evaluations to identify any health risks that might make the use of PrEP unsuitable. Ongoing monitoring every three months is crucial, involving tests to confirm that the individual remains HIV-negative and to check for any potential side effects.

In 2021, the CDC issued updated guidelines that introduced important changes regarding how to evaluate HIV status for those who have recently used PrEP versus those who have not. For comprehensive details and to determine the appropriate tests for specific situations, refer to Figures 4a and 4b in the updated guidelines.

You can find the latest CDC guidelines here: CDC PrEP Guidelines 2021.

Recommended Laboratory Tests Before Starting PrEP

Prior to initiating PrEP, patients should undergo a baseline laboratory evaluation that includes tests for HIV, Hepatitis B virus (HBV), Hepatitis C virus (HCV), and sexually transmitted infections (STIs).

A laboratory-confirmed HIV negative result obtained using an HIV-1/2 antigen/antibody immunoassay should be secured within one week of starting PrEP. Additionally, tests for syphilis, chlamydia, and gonorrhea (CT/NG) are advised for individuals prescribed PrEP. Screening for CT/NG should utilize a nucleic acid amplification test (NAAT) and include the appropriate specimen types based on exposure history (e.g., urogenital, throat, or rectal).

While HBV triple screening (HBsAg, anti-HBc, anti-HBsAg) is recommended, it is not necessary to wait for these results before beginning PrEP. HCV testing should be considered for patients with specific risk factors, such as men who have sex with men (MSM), transgender women (TGW) who have sexual relationships with men, and individuals who inject drugs (PWID) or have never been tested for HCV.

Other important baseline tests include a creatinine test to assess renal function for those taking tenofovir DF-emtricitabine or tenofovir alafenamide-emtricitabine. A lipid panel is also recommended for those on tenofovir alafenamide-emtricitabine.

Monitoring Laboratory Tests During PrEP

The CDC advises follow-up testing at clinically relevant intervals for patients on either oral or injectable PrEP.

All patients on oral PrEP should have repeat HIV testing three months after starting the medication. STI testing (e.g., syphilis, CT/NG) is also recommended at this interval for individuals exhibiting symptoms and for asymptomatic MSM and TGW. After six months, STI testing should be conducted for all patients, and kidney function should be assessed for those aged 50 and above or those with an estimated creatinine clearance (eCrCl) of less than 90 ml/min at the start of PrEP. At the twelve-month mark, tests for eCrCl and lipid levels are recommended for all patients, while HCV testing is suggested only for MSM, TGW, and PWID.

For those receiving cabotegravir injections, HIV-1 RNA testing should occur one month after the first injection and at each subsequent bimonthly visit (beginning with the third injection at month three). Every four months, HIV and STI screening should be performed for MSM and TGW. For heterosexually active adults, this testing should occur every six months, while all patients receiving cabotegravir injections should have HIV and STI testing annually. Regular monitoring of renal function, HBV, lipids, and liver function is not typically required during cabotegravir injection treatment.

Pre Exposure Prophylaxis PrEP for HIV Prevention Monitoring Test

Test Now or Later: This at-home finger prick pre exposure prophylaxis PrEP monitoring test kit comes with a guaranteed expiration date of at least 5 months. This is excellent news if you plan to purchase multiple tests for future rechecks. Our current lot of kits expires on March 31, 2025.

Gift a Free HIV Pre Exposure Prophylaxis PrEP Lab Test

All 4U Health at-home Pre Exposure Prophylaxis PrEP screening tests are eligible for gifting. The recipient of your PrEP clearance test gift will simply open the kit, register it, and follow the finger prick collection instructions. Within a few days of sending it to the lab, your significant other, friend, or family member will receive secure electronic, HIPAA-compliant PrEP HIV screening clearance results, all thanks to your generosity.

PrEP Drugs Online

Looking to obtain a PrEP drugs online? Email us at help@4uhealth.com, and we’ll connect you with an online medical provider who can assist you in getting your HIV prevention drugs by doing your medical clearance with this at-home kit.

Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Clearance Lab Test Insurance Coverage

4U Health does not accept private or federal insurance. All PrEP clearance tests are paid for upfront, ensuring you receive no surprise medical bills. We offer four at-home PrEP clearance tests, ranging in price from $89 to $259.

Why Get an HIV Pre-Exposure Prophylaxis (PrEP) Clearance Test Without Insurance?

Getting a PrEP clearance test without insurance gives you complete control over your healthcare with transparent, upfront pricing. By paying directly, you avoid hidden fees, lengthy insurance claims processes, and potential delays. 4U Health provides affordable options, allowing you to prioritize your health. Best of all, you’ll receive quick, secure results without the hassle of leaving home.

Private Pre Exposure Prophylaxis PrEP Lab Testing

Rest assured, HIPAA security standards protect your data every step of the way during your HIV pre-exposure prophylaxis PrEP lab test clearance process. Keeping your confidential information secure is our top priority. We only share your data when necessary to deliver our products and services, or where legally obligated. Your results are securely protected and available for review in your online portal—always secure, but easily accessible only to you.

Protecting customer privacy is of utmost importance to us. Certain positive results from your HIV pre exposure prophylaxis PrEP lab test are required by law to be reported to state health departments, similar to any STI testing process, whether through 4U Health or traditional in-person healthcare providers. This reporting is solely for monitoring and tracking the prevalence of infections. If you receive positive results for chlamydia, gonorrhea, hepatitis C, HIV, HPV, syphilis, or trichomoniasis from a 4U Health at-home PrEP STD test, our network of labs may share this information with your state health board, as mandated by state laws. Beyond this requirement, your STI status remains fully confidential.

What is PrEP for HIV?

HIV pre exposure prophylaxis PrEP is a medication that people who are HIV-negative can take to reduce their risk of contracting HIV. It works by preventing the virus from establishing a permanent infection if exposed.

Can you take PrEP if you have HIV?

No, not typically. HIV pre exposure prophylaxis PrEP is generally not intended for people who are already HIV-positive. PrEP (pre-exposure prophylaxis) is primarily designed for individuals who are HIV-negative but at risk of contracting the virus. It cannot be used to treat an existing HIV infection effectively. If you are HIV-positive, you will need antiretroviral therapy (ART), which is the appropriate treatment for managing HIV.

What should I do if I’ve been recently exposed to HIV?

If you think you have been exposed to HIV within the last 72 hours, PrEP is not the right solution. You should speak with a healthcare provider about PEP (post-exposure prophylaxis), which is a different medication taken after potential exposure to help prevent HIV infection from taking hold.

How does PrEP work to prevent HIV?

PrEP works by using HIV medications to block the virus from replicating in the body. When taken daily, it is highly effective at preventing HIV transmission through sexual contact or injection drug use. The medication builds up in your bloodstream and provides a protective barrier against HIV infection.

Does PrEP prevent HIV?

Yes, when taken as prescribed, PrEP is highly effective in preventing HIV. It reduces the risk of getting HIV from sexual activity by about 99%, and approximately at least 74% from injection drug use.

Can you still get HIV while on PrEP?

While PrEP is highly effective when taken daily, no prevention method is 100% foolproof. It is possible, though rare, to get HIV while on PrEP, especially if doses are missed. Consistent use of PrEP medication, as directed by your healthcare provider, is essential for its effectiveness.

Can someone on PrEP transmit HIV?

If a person is HIV-negative and consistently taking PrEP, they are very unlikely to contract or transmit HIV. However, PrEP does not treat or prevent other sexually transmitted infections (STIs), so safe sex practices are still recommended.

Can I get HIV from someone on PrEP?

If the person taking PrEP is HIV-negative and adheres to their daily regimen, the risk of HIV transmission is extremely low. PrEP effectively prevents HIV from establishing a permanent infection, but it is important to ensure they are taking the medication consistently.

What happens if you take PrEP while HIV-positive?

PrEP is primarily designed for HIV-negative individuals. If someone with HIV takes PrEP, it will not treat the infection on its own. People living with HIV should be on a different medication regimen specifically for managing HIV.

How effective is PrEP against HIV?

When taken daily as prescribed, PrEP reduces the risk of getting HIV through sexual activity by about 99% and through injection drug use by at least 74%. It is a highly effective method of HIV prevention.

Can HIV be detected while on PrEP?

Yes, HIV tests can still detect HIV even if you are taking a HIV pre exposure prophylaxis PrEP medication. It is important to undergo regular HIV testing while on PrEP to ensure you remain HIV-negative and meet your PrEP lab screening requirements.

How long does PrEP delay an HIV test?

PrEP does not delay or interfere with HIV testing. If someone taking PrEP contracts HIV, a standard HIV test will still be able to detect the virus.

What is HIV PrEP medication?

HIV pre exposure prophylaxis PrEP medication consists of antiretroviral drugs that prevent HIV from establishing a permanent infection in the body. The most common medications used for PrEP are Truvada and Descovy, which are taken daily.

What are some common PrEP medications in the United States?

The most common HIV pre exposure prophylaxis PrEP medications in the United States include:

1. Truvada (tenofovir disoproxil fumarate/emtricitabine): This is the first FDA-approved PrEP medication and has been widely used since its approval in 2012.
2. Descovy (tenofovir alafenamide/emtricitabine): Approved for PrEP in 2019, Descovy is a newer option preferred by some patients due to potentially fewer side effects related to kidney function.
3. Apretude (cabotegravir): This long-acting injectable form of PrEP was approved by the FDA in 2021 and is administered as an injection every two months, providing an alternative for individuals who may struggle with daily pill adherence.

What are the most common side effects of HIV pre exposure prophylaxis PrEP medications?

The most common side effects of PrEP medications can include:

1. Nausea: Some individuals may experience mild nausea, especially when starting the medication.
2. Headache: Headaches can occur but are usually temporary.
3. Fatigue: A feeling of tiredness or lethargy may be experienced in some cases.
4. Diarrhea: Mild digestive issues, including diarrhea, can occur but typically resolve over time.
5. Changes in kidney function: Regular monitoring is recommended, as some individuals may experience changes in kidney function, particularly with Truvada.

Most side effects are mild and tend to improve over time. It is important to discuss any concerns with your healthcare provider to ensure proper management and monitoring while on PrEP.

HIV Pre Exposure Prophylaxis PrEP References

• Centers for Disease Control and Prevention. US Public Health Service. Preexposure prophylaxis for the prevention of HIV infection in the United States—2021 Update: a clinical practice guideline. 2021.
• Murnane PM, Celum C, Mugo N, et al. Efficacy of preexposure prophylaxis for HIV-1 prevention among high-risk heterosexuals: subgroup analyses from a randomized trial. AIDS. 2013;27(13):2155-2160. doi:10.1097/QAD.0b013e3283629037.
• Grohskopf LA, Chillag KL, Gvetadze R, et al. Randomized trial of clinical safety of daily oral tenofovir disoproxil fumarate among HIV-uninfected men who have sex with men in the United States. J Acquir Immune Defic Syndr. 2013;64(1):79-86. doi:10.1097/QAI.0b013e31828ece33.
• World Health Organization. Guidance on oral pre-exposure prophylaxis (PrEP) for serodiscordant couples, men and transgender women who have sex with men at high risk of HIV: recommendations for use in the context of demonstration projects. 2012.
• Centers for Disease Control and Prevention. Sexually transmitted infections treatment guidelines, 2021. Accessed June 25, 2024.
• TRUVADA (emtricitabine and tenofovir disoproxil fumarate) tablets [Medication Guide]. Foster City, CA: Gilead Sciences Inc; Revised: April 2024.
• Apretude — cabotegravir kit. (2023). Available here.
• Descovy — emtricitabine and tenofovir alafenamide tablet. (2022). Available here.
• Preventing HIV with PrEP. (2024). Available here.
• Truvada — emtricitabine and tenofovir disoproxil fumarate tablet, film coated. (2023). Available here.
• Who can and cannot take pre-exposure prophylaxis (PrEP). (2023). Available here.

Disclaimer: This list of pre exposure prophylaxis PrEP FAQs is intended for informational purposes only and is not a substitute for professional medical advice. Decisions regarding test selection, interpretation, diagnosis, and patient management should be made by a qualified healthcare professional based on their clinical judgment and the patient’s specific circumstances. Patients who purchase their own tests should share and review their results with a licensed medical provider.

HIV Pre Exposure Prophylaxis PrEP Test Questions

So you still have unanswered questions. No worries, we’d love to hear from you. Reach us by e-mail, phone or chat and we will do our best to provide answers so you can determine if this is the best test for you or your partner.

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