Comprehensive HIV Care & PrEP in Wichita Falls: How an Infectious Disease Specialist Can Help
Reviewed by Dr. Shehzadi Nagra, MD — Board Certified in Infectious Disease by the American Board of Internal Medicine
HIV is no longer the disease it was a generation ago. With modern antiretroviral therapy (ART), people living with HIV can achieve an undetectable viral load, live long and healthy lives, and — when consistently undetectable — cannot transmit HIV to sexual partners (this is the CDC-endorsed principle known as U=U: Undetectable = Untransmittable).
At the same time, highly effective prevention tools like PrEP (Pre-Exposure Prophylaxis) have transformed HIV prevention, significantly reducing the risk of getting HIV through sex or injection drug use when taken as prescribed (CDC).
Whether you are newly diagnosed, currently in care and looking for an HIV specialist in Wichita Falls, searching for a PrEP doctor in Wichita Falls, or exploring HIV treatment in Wichita Falls, our infectious disease practice provides expert, confidential, and judgment-free care tailored to your needs.
Why See an Infectious Disease Specialist for HIV Care?
HIV management has become highly specialized. While primary care providers play an important role, infectious disease (ID) physicians receive dedicated fellowship training specifically in HIV pathophysiology, antiretroviral pharmacology, drug resistance, and management of opportunistic infections. The CDC and HHS both recommend that HIV care be provided by, or in close consultation with, a clinician experienced in HIV medicine.
Here's what that means for you:
- Individualized ART selection — choosing a regimen based on your kidney/liver function, other medications, lifestyle, pregnancy status, and resistance testing
- Drug resistance monitoring — interpreting genotype/phenotype resistance testing when a regimen isn't working
- Management of co-infections — including hepatitis B/C, tuberculosis, and sexually transmitted infections, which are common alongside HIV
- Opportunistic infection prevention and treatment — for patients with lower CD4 counts
- Long-term monitoring — for cardiovascular, bone, kidney, and metabolic health, since ART and HIV itself can affect multiple organ systems
- Coordination of injectable, long-acting therapy for patients who prefer not to take daily pills
- A safe, stigma-free environment to discuss your health, relationships, and prevention needs
Modern HIV Treatment: More Options Than Ever
Today's antiretroviral therapy is dramatically simpler and better tolerated than in the past. Most people can be treated with a single pill, once a day — such as Biktarvy — and some now have the option of an injectable regimen given just once every one or two months, such as Cabenuva.
For patients who struggle with pill fatigue, adherence challenges, or simply prefer a more discreet option, long-acting injectable HIV medication administered right in our office may be a suitable alternative to daily oral therapy for eligible patients — and we manage this process from start to finish, including the required lead-in dosing and injection scheduling.
HIV Prevention: PrEP Available at Our Practice
One of the most important services we offer is PrEP (Pre-Exposure Prophylaxis) — medication for HIV-negative individuals who are at risk of HIV exposure through sex or injection drug use.
According to the CDC, PrEP is recommended for individuals who:
- Have a sexual partner with HIV (especially if that partner has a detectable viral load)
- Have had a bacterial STI in the past 6 months
- Do not consistently use condoms with partners of unknown HIV status
- Inject drugs and share needles/equipment
- Have requested PrEP for any personal risk-reduction reason (CDC guidance emphasizes that clinicians should prescribe PrEP based on patient request without requiring extensive risk disclosure)
PrEP Options We Offer
- Oral daily PrEP — a single daily pill combining two antiretroviral medications
- Long-acting injectable PrEP — an injection given once every 2 months after an initial lead-in period — such as Apretude — ideal for patients who don't want to remember a daily pill
What to Expect When Starting PrEP With Us
- Baseline testing — HIV test, kidney function, hepatitis B status, and STI screening
- Shared decision-making — choosing between oral and injectable options based on your lifestyle and preferences
- Follow-up every 3 months (oral) or every 2 months (injectable) per CDC guidelines, including repeat HIV testing and kidney monitoring
- Ongoing support — sexual health counseling, STI screening, and adherence support
We Help You Navigate Insurance and Cost — So Price Is Never a Barrier
One of the biggest obstacles to starting or continuing HIV treatment or PrEP isn't medical — it's financial and administrative. Our practice takes this burden off your shoulders.
Our team actively helps patients access care through:
- Insurance prior authorization support — we handle the paperwork required by insurers for ART and PrEP medications, including injectables such as Cabenuva and Apretude
- Manufacturer patient assistance programs (PAPs) — many pharmaceutical companies offer copay cards or free drug programs for eligible patients, insured or uninsured
- Ryan White HIV/AIDS Program connections — for eligible patients, this federal program can cover medications, care visits, and other support services regardless of ability to pay
- In-house benefits coordination — our staff will verify your specific insurance plan's coverage for HIV treatment or PrEP, and identify the fastest path to getting you started without a lapse in care
Our goal is to help ensure that cost or insurance complexity never prevents a patient from accessing appropriate HIV treatment or prevention care. We can also help you understand PrEP insurance coverage and the next steps for getting started.
Confidential, Compassionate Care
We understand that seeking HIV care or starting PrEP can feel intimidating. Our practice is committed to providing:
- A judgment-free, confidential environment
- Same-practice continuity — one team managing your testing, treatment, medication access, and long-term monitoring
- Culturally competent care for all patients, regardless of sexual orientation, gender identity, or background
Schedule a Consultation
Whether you are living with HIV and looking for expert, ongoing specialist care, or you want to explore whether PrEP is right for you, our infectious disease team is here to help — from your first test to long-term medication management and everything in between, including the insurance paperwork.
Contact our office todayIndividual treatment plans, insurance coverage, and program eligibility vary. This page is for educational purposes only and does not replace individualized medical advice. Talk to Dr. Nagra's office to determine the best HIV treatment or prevention strategy for your specific situation. Source guidance: CDC HIV Basics, CDC PrEP Guidelines, and USPHS/DHHS HIV Treatment Guidelines.
