Building on recent debates within feminist economic geography concerning the personal and everyday dimension of austerity, the paper explores a domain of social reality that has remained unexplored so far within geographical research on the impact of austerity: sexual health. The paper focuses on the consequences of austerity policies and the rationalities behind them on the lived experience of sexual health services for gay, bisexual and trans (GBT) users living with HIV in England, showing how the discourses accompanying austerity policies are incorporated and reproduced by the subjects who ‘live’ these services (as providers or users) within their own personal narratives.