The PrEP and the reconfigurations of sexuality and HIV prevention among men who have sex with men.

This article discusses the actance of Pre-Exposure Prophylaxis (PrEP) in the sociotechnical network of HIV prevention and in the sexual experiences of men who have sex with men (MSM) living in the Metropolitan Region of Recife (MRR). It is based on ethnographic research and analyzes 41 interviews with young MSM. PrEP is present in the sociability and bodies of the sexual partners of many of the interviewees, whether they use it or not. Some elements contributed to the decision to use it: pleasure in condomless anal sex (CAS); recurrent failure to use the condom; circulation of information about PrEP; and previous sexual practices with someone who used it. Among non-users, CAS is usually mediated by serosorting, presumed by the healthy appearance and "knowledge" of the sexual partner. Knowledge is also present in CAS among those "on PrEP", as an alternative for preventing other sexually transmitted infections (STIs). When risk management takes into account partners who are also "on PrEP", justified by periodic exams, it enhances sexual health. Those "on PrEP" are stigmatized for not complying with prior norms: "safe sex is done with a condom". Nevertheless, biopolitics operates and the test as a subjectivizing technology seems to start producing a new sexual morality, in which those 'on PrEP' can become a new class of healthy gay men.