Take Charge

of Your Sexual Health!

 
 
 
 

 

1. HIV vs AIDS: What are the differences?

 

Did you know? While HIV and AIDS are commonly associated, they are not the same! There are many myths and misconceptions about the differences between them, the modes of transmission, possible treatments and the life one may lead upon infection.

 

Human Immunodeficiency Virus (HIV)Acquired Immunodeficiency Syndrome (AIDS)
A virus that attacks the cells in a person’s immune system, eventually weakening it. If HIV is left untreated, it can eventually lead to AIDS.A condition of a compromised immune system that cannot respond properly and starts to fail.

 

When left undetected and untreated via antiretroviral therapy, HIV leads to AIDS.

 
 
How is HIV transmitted?
  1. Through contact of infected blood
  2. Sharing of used needles
  3. Seminal (body) fluids
  4. Breast milk
 
 
HIV is NOT transmitted through…
  • Mosquito or insect bites
  • Sharing of food and drinks
  • Sex with a person living with HIV who is on treatment and is of undetectable viral load
  • Saliva, tears, or sweat contact
  • Sexual activities or kissing that do not require the exchange of bodily fluids
  • Working or being in the same room as someone who has HIV
  • Sharing toilets, swimming pools, gyms and water fountains
 

Sex with HIV-infected peoples who are actively being treated for it via antiretroviral therapy and have an undetectable viral load also cannot lead to HIV being transmitted. This is known as U=U or Undetectable = Untransmissable, which we will cover below!

 

 

2. STI Window Periods?

 
I’ve been hearing the term “Window Period”, what exactly is that?

Knowing when to test is just as important as testing? Different sexually transmitted infections (STI) take different times to develop. This timing, the Window Period, can vary depending on the type of STI and it refers to the time between a possible exposure to a successful detection of the STI.

 

 
 What are the various Window Periods?
  • Chlamydia and Gonorrhea 0-3 days after exposure
  • HIV 14 days after exposure (with a 4th gen test)

*If you think you may have contracted HIV, start Post Exposure Prophylaxis (PEP) within 72 hours. PEP can reduce your chance of becoming HIV positive by up to 80%.

  • Genital Herpes14 days after exposure
  • HIV, Syphilis and Hepatitis 30 days after exposure

*It is recommended to test again at the 90 day mark

 

 
 
Why do different STIs have varying Window Periods?

The HIV tests look for antibodies produced by the body as a result of the HIV infection, which the human body usually takes about 1 to 3 months to produce. After suspected exposure to HIV, a test may be taken about 1 month after the date but a repeat test after a period of about 3 months is recommended. 

However, using a 4th generation test, you can be tested for HIV 14 days after possible exposure. Instead of testing for antibodies, this test detects the presence of HIV antigens.

After 90 days, or about 3 months, if you test negative for all your STIs, it means you are clear and safe. However, this is only if you have not had unprotected sex in the last 90 days. Getting tested after every possible exposure or once every 3 to 6 months is recommended.

 

 

 

3. The good news about HIV Treatment: U=U!



Recent advancements in HIV medication means your treatment combinations can be as easy as…
  • 1 complete pill a day consisting of 3 drugs 
  • OR a combination that only consists of 2 drugs
 
 
Better medications, better tolerance, lower toxicity and fewer pills also means lower cost in the long run! 

What are the benefits of modern HIV Treatment?

✅ Fewer drug-related adverse events

✅ Fewer dietary restrictions

✅ Smaller, easier to take pills

✅ No strange smells

✅ Achieve undetectable viral loads (UDVL) faster

 

 

What is U=U?

Undetectable = Untransmittable (U=U) means that if an individual living with HIV has an Undetectable Viral Load (UDVL), the virus is NOT transmittable through sex and in the absence of breastfeeding, risk of HIV transmission from mother to infant is reduced to 0%.

*If you plan to breastfeed your child, please consult your doctors before doing so.

According to Professor Paul Anantharajah Tambyah (NUH), with modern treatment, undetectable viral loads can be achieved and maintained effortlessly.

 

 

 
 
What’s the process of achieving UDVL like?

Source: @projectx.sg on Instagram

 
Break the Stigma!

Everyday, people living with HIV continue to face huge amounts of stigma, much of it stems from fear. With modern HIV treatment, individuals living with HIV can have healthy and fulfilling lives without passing the virus on to anyone else. Break the cycle of hurt, spread the message of U=U!

 

 

 

4. Possible Exposure? Stay Negative with PEP!

 
 
Are there treatments to help reduce my chances of contracting HIV after a possible exposure?

Yes! Post-Exposure Prophylaxis (PEP) is a short-term medication that is taken 72 hours after a potential high-risk HIV exposure. Prophylaxis refers to the treatment administered to prevent the infection, usually in the form of pills.

When it comes to seeking treatment using PEP, it is crucial that you call or visit the A&E within 72 hours. Here, you will take a blood test, receive a confirmation via your results, receive medication, and begin your PEP prescription.

 

 

 
 
Who is PEP for?
  • I had sex with someone with HIV and the condom broke
  • I was sexually assaulted

*If you were sexually assaulted and wish to seek support from Project X, you may call or text

9060 9906, Mondays to Fridays, 3pm-11pm.

 

 

 
 
How does PEP work?

PEP can reduce your chances of becoming HIV positive should you be exposed to HIV. It is more effective the sooner you start the treatment and take the medication.

 

 

 
 
Is PEP safe? Are there any side effects?

“When taken as directed, PEP can work effectively” Dr Brenda Mae Salada (NUH). Yes, PEP is safe! But some side effects include stomach aches, fatigue. PEP is meant to be taken for at least 28 days after which a follow-up test will be administered. You will also undergo a HIV test 4-6 weeks after exposure, followed by another 3 months later. If PEP fails, you may experience early HIV symptoms such as a fever or rash. Take an HIV test if symptoms persist and seek treatment immediately.

 

 

 
 
Where can I get PEP?
ClinicCostLGBTQ Friendly24 Hours

BePrep Clinic at NUSHW

(referral from A&E)

$ ✔
Sengkang Hospital$ ✔
Changi General Hospital$ ✔
Tan Tock Seng Hospital$$ ✔
DSC Clinic$$  
Kensington Family Clinic$$$  
Tanjong Pagar Medical Clinic$$$✔ 
Dr. Tan Medical Center$$$✔ 
Dr. Tan & Partners$$$$✔ 
Anteh Dispensary$$$$  
M Lam Clinic$$$$  
SHIM Clinic$$$$  

*$ ($500-$1000), $$ ($1000-$1500), $$$ ($1500-1900), $$$$ ($1900 onwards)

**The above information is valid and accurate as of Nov 2022.

 

 

 

5. What about treatments to prevent HIV? There’s PrEP!

 
 
What if I am keen to take preventive measures against HIV but am sexually active?

For that, we have Pre-Exposure Prophylaxis (PrEP)! PrEP refers to anti-HIV medication taken consistently before coming into contact with HIV. 

As summarised below, it is important to note that PrEP is NOT a substitute for condoms and other safe-sex practices, does NOT protect against other STIs and is NOT a reason for your sexual partner(s) to pressure you into condomless sex.

 

 

Source: @projectx.sg on Instagram

 
 
Who is PrEP for?
  • Individuals who are HIV negative but are at risk of getting HIV (eg. through sex or injecting drug use)
  • Individuals who had anal or vaginal sex without the use of condoms in the past 6 months AND…
    • Have sex partner(s) who do not use condoms consistently
    • Have been diagnosed with a STI in the past 6 months
    • Engage in sexual activities under the influence of alcohol or drugs
  • Individuals who received PEP in the past 6 months
  • Individuals considering pregnancy with a HIV positive partner

*PrEP can protect your infant from HIV transmission during conception, pregnancy and the breastfeeding period.

 

 

 
Are there people who shouldn’t take PrEP?

Yes, PrEP is NOT suitable for
  • Individuals who are HIV positive
  • Individuals with severe kidney impairment
  • Individuals who are likely to forget to take the pills
 
 
 
 
Is PrEP safe? Are there any side effects?

Yes! When used as prescribed by a licensed healthcare provider, PrEP is safe, effective and affordable. However, PrEP users may experience some initial side effects such as:

  • Headaches
  • Nausea
  • Vomiting
  • Rashes
  • Loss of appetite
  • Fatigue
  • Stomach Pain

These side effects will usually go away within the first month of taking PrEP.

 

 

Other information about PrEP…

Source: @projectx.sg on Instagram

Getting PrEP prescribed to you consists of a number of steps. It can only be administered to you by a healthcare provider after assessing your suitability for the medication, firstly, via a health screening, and a required HIV test to ensure that you are HIV negative. A prescription lasts for about 3 months or 90 days at most. After the end of the 30 days, your prescription will be reassessed if you still require PrEP. 

Are you a sex worker and in need of PrEP? Give us a call at 9060 9906!   

 

6. Sex Work is Work!

 

While sex work is not inherently violent, sex workers can face extremely high levels of violence in the form of stigma, discrimination and criminalisation of sex work.

 
How can I be apart of destigmatising sex work?

Conversations are half the battle. We need to change values to promote respect and responsibility for sex workers and this can occur in our every conversations! We can respond to prejudice and bias in conversations by…

 

  • Interrupting – speak up against biased remarks
    • Try saying: “I don’t like that” or “That phrase is hurtful”
  • Questioning – ask questions to find out why the speaker made the offensive comment and how you can best address the situation
    • Try asking: “Why do you say that?” or “What do you mean?” or “Tell me more.”
  • Speaking up – explain why a term or phrase is offensive. Encourage the person to choose a different expression. Sometimes ignorance may be due to a lack of exposure.
    • Try saying: “Do you know what you’re saying?”
  • Echoing – if someone else speaks up against hate, thank them and reiterate their anti-bias message. One person’s voice is a powerful start – many voices together create change.
    • Try saying: “Thanks for speaking up, Wany. I agree that what they said was offensive.”

 

Know your Rights. Protect Yourself.

  • Practice consent
  • Familiarise yourself with Project X’s legal resources
  • Test regularly
  • Practice safer sex
  • Warning lists – be informed of blacklisted clients
  • Connect with other sex workers
    • At our drop-in centre to share experiences, strategise and address workplace violence
  • Join our Telegram group
  • Follow us on our social media to keep up with current discussions
 
 
 
 

We are here for you.

We are stronger together!

 
 
 
 
 
 

Take Charge of Your Sexual Health!

1. HIV vs AIDS:
What are the differences?

Did you know? While HIV and AIDS are commonly associated, they are not the same! There are many myths and misconceptions about the differences between them, the modes of transmission, possible treatments and the life one may lead upon infection.

Human Immunodeficiency Virus (HIV)

A virus that attacks the cells in a person’s immune system, eventually weakening it. If HIV is left untreated, it can eventually lead to AIDS.

Acquired Immunodeficiency Syndrome (AIDS)

A condition of a compromised immune system that cannot respond properly and starts to fail.

When left undetected and untreated via antiretroviral therapy, HIV leads to AIDS.

How is HIV transmitted?

1. Through contact of infected blood

2. Sharing of used needles

3. Seminal (body) fluids

4. Breast milk

HIV is NOT transmitted through…

  1. Mosquito or insect bites
  2. Sharing of food and drinks
  3. Sex with a person living with HIV who is on treatment and is of undetectable viral load
  4. Saliva, tears, or sweat contact
  5. Sexual activities or kissing that do not require the exchange of bodily fluids
  6. Working or being in the same room as someone who has HIV
  7. Sharing toilets, swimming pools, gyms and water fountains
Sex with HIV-infected peoples who are actively being treated for it via antiretroviral therapy and have an undetectable viral load also cannot lead to HIV being transmitted. This is known as U=U or Undetectable = Untransmissable, which we will cover below!

2. STI Window Periods?

I’ve been hearing the term “Window Period”, what exactly is that?

Knowing when to test is just as important as testing? Different sexually transmitted infections (STI) take different times to develop. This timing, the Window Period, can vary depending on the type of STI and it refers to the time between a possible exposure to a successful detection of the STI.

What are the various Window Periods?

Chlamydia and Gonorrhea – 0-3 days after exposure

HIV – 14 days after exposure (with a 4th gen test)

*If you think you may have contracted HIV, start Post Exposure Prophylaxis (PEP) within 72 hours. PEP can reduce your chance of becoming HIV positive by up to 80%.

Genital Herpes – 14 days after exposure

HIV, Syphilis and Hepatitis – 30 days after exposure

*It is recommended to test again at the 90 day mark

Why do different STIs have varying Window Periods?

The HIV tests look for antibodies produced by the body as a result of the HIV infection, which the human body usually takes about 1 to 3 months to produce. After suspected exposure to HIV, a test may be taken about 1 month after the date but a repeat test after a period of about 3 months is recommended. 

However, using a 4th generation test, you can be tested for HIV 14 days after possible exposure. Instead of testing for antibodies, this test detects the presence of HIV antigens.

After 90 days, or about 3 months, if you test negative for all your STIs, it means you are clear and safe. However, this is only if you have not had unprotected sex in the last 90 days. Getting tested after every possible exposure or once every 3 to 6 months is recommended.

3. The good news about HIV Treatment: U=U!

Recent advancements in HIV medication means your treatment combinations can be as easy as…

1 complete pill a day consisting of 3 drugs

OR a combination that only consists of 2 drugs

What are the benefits of modern HIV Treatment?

Fewer drug-related adverse events

Fewer dietary restrictions

Smaller, easier to take pills

No strange smells

Achieve undetectable viral loads (UDVL) faster

What is U=U?

Undetectable = Untransmittable (U=U) means that if an individual living with HIV has an Undetectable Viral Load (UDVL), the virus is NOT transmittable through sex and in the absence of breastfeeding, risk of HIV transmission from mother to infant is reduced to 0%.

*If you plan to breastfeed your child, please consult your doctors before doing so.

According to Professor Paul Anantharajah Tambyah (NUH), with modern treatment, undetectable viral loads can be achieved and maintained effortlessly.

What’s the process of achieving UDVL like?

Break the Stigma!

Everyday, people living with HIV continue to face huge amounts of stigma, much of it stems from fear. With modern HIV treatment, individuals living with HIV can have healthy and fulfilling lives without passing the virus on to anyone else. Break the cycle of hurt, spread the message of U=U!

4. Possible Exposure? Stay Negative with PEP!

Are there treatments to help reduce my chances of contracting HIV after a possible exposure?

Yes! Post-Exposure Prophylaxis (PEP) is a short-term medication that is taken 72 hours after a potential high-risk HIV exposure. Prophylaxis refers to the treatment administered to prevent the infection, usually in the form of pills.

When it comes to seeking treatment using PEP, it is crucial that you call or visit the A&E within 72 hours. Here, you will take a blood test, receive a confirmation via your results, receive medication, and begin your PEP prescription.

Who is PEP for?

I had sex with someone with HIV and the condom broke

I was sexually assaulted

*If you were sexually assaulted and wish to seek support from Project X, you may call or text

Who is PEP for?

PEP can reduce your chances of becoming HIV positive should you be exposed to HIV. It is more effective the sooner you start the treatment and take the medication.

Who is PEP for?

“When taken as directed, PEP can work effectively” Dr Brenda Mae Salada (NUH). Yes, PEP is safe! But some side effects include stomach aches, fatigue. PEP is meant to be taken for at least 28 days after which a follow-up test will be administered. You will also undergo a HIV test 4-6 weeks after exposure, followed by another 3 months later. If PEP fails, you may experience early HIV symptoms such as a fever or rash. Take an HIV test if symptoms persist and seek treatment immediately.

Where can I get PEP?

ClinicCostLGBTQ Friendly24 Hours

BePrep Clinic at NUSHW

(referral from A&E)

$ ✔
Sengkang Hospital$ ✔
Changi General Hospital$ ✔
Tan Tock Seng Hospital$$ ✔
DSC Clinic$$  
Kensington Family Clinic$$$  
Tanjong Pagar Medical Clinic$$$✔ 
Dr. Tan Medical Center$$$✔ 
Dr. Tan & Partners$$$$✔ 
Anteh Dispensary$$$$  
M Lam Clinic$$$$  
SHIM Clinic$$$$  

*$ ($500-$1000), $$ ($1000-$1500), $$$ ($1500-1900), $$$$ ($1900 onwards)

**The above information is valid and accurate as of Nov 2022.

5. What about treatments to prevent HIV? There’s PrEP!

What if I am keen to take preventive measures against HIV but am sexually active?

For that, we have Pre-Exposure Prophylaxis (PrEP)! PrEP refers to anti-HIV medication taken consistently before coming into contact with HIV.

As summarised below, it is important to note that PrEP is NOT a substitute for condoms and other safe-sex practices, does NOT protect against other STIs and is NOT a reason for your sexual partner(s) to pressure you into condomless sex.

Source: @projectx.sg on Instagram

Who is PrEP for?

Individuals who are HIV negative but are at risk of getting HIV (eg. through sex or injecting drug use)

Individuals who had anal or vaginal sex without the use of condoms in the past 6 months AND…

  • Have sex partner(s) who do not use condoms consistently
  • Have been diagnosed with a STI in the past 6 months
  • Engage in sexual activities under the influence of alcohol or drugs

Individuals who received PEP in the past 6 months

Individuals considering pregnancy with a HIV positive partner

*PrEP can protect your infant from HIV transmission during conception, pregnancy and the breastfeeding period.

Are there people who shouldn’t take PrEP?

Yes, PrEP is NOT suitable for

Individuals who are HIV positive

Individuals with severe kidney impairment

Individuals who are likely to forget to take the pills

Is PrEP safe? Are there any side effects?

Yes! When used as prescribed by a licensed healthcare provider, PrEP is safe, effective and affordable. However, PrEP users may experience some initial side effects such as:

Headaches

Nausea

Vomiting

Rashes

Loss of appetite

Fatigue

Stomach Pain

These side effects will usually go away within the first month of taking PrEP.

Other information about PrEP…

Source: @projectx.sg on Instagram

Getting PrEP prescribed to you consists of a number of steps. It can only be administered to you by a healthcare provider after assessing your suitability for the medication, firstly, via a health screening, and a required HIV test to ensure that you are HIV negative. A prescription lasts for about 3 months or 90 days at most. After the end of the 30 days, your prescription will be reassessed if you still require PrEP.

Are you a sex worker and in need of PrEP? Give us a call at 9060 9906!

6. Sex Work is Work!

While sex work is not inherently violent, sex workers can face extremely high levels of violence in the form of stigma, discrimination and criminalisation of sex work.

How can I be apart of destigmatising sex work?

Conversations are half the battle. We need to change values to promote respect and responsibility for sex workers and this can occur in our every conversations! We can respond to prejudice and bias in conversations by…

Interrupting – speak up against biased remarks

  • Try saying: “I don’t like that” or “That phrase is hurtful”

Questioning – ask questions to find out why the speaker made the offensive comment and how you can best address the situation

  • Try asking: “Why do you say that?” or “What do you mean?” or “Tell me more.”

Speaking up – explain why a term or phrase is offensive. Encourage the person to choose a different expression. Sometimes ignorance may be due to a lack of exposure.

  • Try saying: “Do you know what you’re saying?”

Echoing – if someone else speaks up against hate, thank them and reiterate their anti-bias message. One person’s voice is a powerful start – many voices together create change.

  • Try saying: “Thanks for speaking up, Wany. I agree that what they said was offensive.”

Know your Rights. Protect Yourself.

Practice consent

Familiarise yourself with Project X’s legal resources

Test regularly

Practice safer sex

Warning lists – be informed of blacklisted clients

Connect with other sex workers

At our drop-in centre to share experiences, strategise and address workplace violence

Join our Telegram group

Follow us on our social media to keep up with current discussions

We are here for you.
We are stronger together!

Abuse

Alert

Are you in a crisis & need immediate assistance? Do you need someone to talk to? Project X is here & we can help.
Call our Helpline at +65 9060 9906

Visit Get Help page to learn more

Kheng Leng

Social Worker | [email protected]

Social Worker
[email protected]

Kheng Leng is a Registered Social Worker with the Singapore Association of Social Workers. Prior to joining Project X, she worked extensively with youths-at-risk and on issues of intergenerational poverty in Singapore. She is experienced in pioneering innovative social services such as setting up a Collective Impact initiative to support the lower-income families at Spoooner Road and operationalising the first boarding campus for lower-income families at Spooner Road and operationalising the first boarding campus for lower-income youths at =Dreams.

Kheng Leng firmly believes that every person deserves to live their potential. She hopes to develop the social work services at Project X and provide our community with right resources and opportunities at whatever stage of their lives.

Kheng Leng holds a Bachelor of Social Sciences (Highest Distinction) from the National University of Singapore.

Vanessa Ho

Executive Director | [email protected]

Executive Director
[email protected]

Vanessa has been full-time with Project X since 2011, and as a result, has had many opportunities to meet and connect with sex workers in Singapore and around the world. Under her leadership, the organisation has grown from a small group of volunteers to one where there are three paid staff and a team of over 60 volunteers. Correspondingly, she has increased the annual operating budget of the organization five times, and is now recognized as the leading organization that empowers and assists women in the sex industry.

Vanessa has written and spoken extensively about sex work, human trafficking, rape culture, and LGBTQ rights in Singapore. She believes that if people can speak about sex, gender and sexuality in open and in non-judgmental ways, society will become a safer place for everyone.

Vanessa holds a Bachelor’s Degree in Economics from the University of Warwick, and a Masters Degree in Gender, Society and Representation from University College London.