Which check-ups do I need?
If you take PrEP, it is important to have regular check-ups.
Testing for an (acute) HIV infection
Before you start using PrEP, we must be sure that you do not have an HIV infection. That is why we take a blood test and ask you about any symptoms. These symptoms may include: a rash, fever, sore throat, severe headache, diarrhea, night sweats and weight loss.
It is necessary to rule out HIV, because if you start PrEP during an HIV infection, there is an increased risk of resistance developing.
Checking your kidney function
Sometimes it is necessary to monitor your kidney function while using PrEP. We test your urine for glucose and protein. We check the kidney function because there is a small risk of temporarily developing reduced kidney function when using PrEP.
Hepatitis B virus
It is important that you are protected against hepatitis B (through a vaccination or if you have recovered from a hepatitis B infection). If you have not yet received a vaccination, this is available through the GGD at no additional cost.
If it turns out that you have an active hepatitis B infection, you can only use PrEP daily. You will also receive a referral to the internist-infectiologist for PrEP care.
Hepatitis C virus
It is important to know if you have had hepatitis C. An old infection can reactivate while using PrEP. We regularly test for hepatitis C while using PrEP.
STI testing
We test for chlamydia and gonorrhea during all PrEP consultations. We also test your blood for syphilis and HIV.