SEXUAL HEALTH
Embracing sexual health is a vital aspect of overall well-being, and it holds particular significance within the LGBTQIA+ community. At the intersection of sexual orientation, gender identity, and expression, the diverse experiences and needs of individuals within this community necessitate comprehensive and inclusive sexual health resources. Access to accurate information, affirmative care, and supportive services plays a crucial role in promoting physical, emotional, and relational well-being. Recognizing the unique challenges faced by LGBTQIA+ individuals, it is imperative to foster an environment where sexual health resources are readily available, affirming, and tailored to meet the specific needs of each person. By prioritizing access to sexual health resources, we empower individuals to make informed decisions, enhance their sexual well-being, and cultivate healthy, fulfilling relationships. Let us celebrate and champion the importance of sexual health within the vibrant tapestry of the LGBTQIA+ community.
Getting Informed
Before Scheduling STI Test
Before scheduling your STI test appointment, it's important to keep the following information in mind. Typically, there should be a minimum of one week between engaging in unsafe sex and getting an STI test. However, there are situations where it is advisable to come earlier:
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If you have had non-consensual sex.
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If you have had sexual contact with someone who may be HIV-positive within the past 72 hours.
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If you are experiencing any symptoms or have received a warning.
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If you are currently taking antibiotics, it is recommended to wait at least one week after completing the treatment before getting an STI test.
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If you have a steady partner, it is recommended for both of you to make appointments for testing. Taking these factors into consideration will help ensure you receive appropriate and timely testing for your sexual health.
Free Tests and Check-ups
Centrum Seksuele Gezondheid
(Sexual Health Center), Westeinde 128
(next to GGD Haaglanden), 2512 HE Den Haag
Make an appoint-
ment by phone:
(070) 353 66 88
On working days between 8:30am and 12:00pm
or between 1:30pm and 4:00pm.
Do you have STD-related symptoms or have you been alerted by a partner?
Then you can call the hotline to make an appointment: (070) 353 66 88, on working days between 8:30 am and 10:15 am.
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Have a list of symptoms and be prepared to answer questions regarding your sexuality, gender identity, and nationality to assess risk level. Due to staff shortages and high demand, availability may vary.
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The Hague, Center for Sexual Health in The Hague
Centrum Seksuele Gezondheid (Centre for Sexual Health) provides services related to sexual health, including testing and treatment for STIs. They have a confidential and inclusive approach and do not check residency status. There may be a waiting list, but it is typically faster and easier for individuals under 25 years old.
Leiden, GGD
no online appointments possible
(088) 208 33 88
on working days between 9:00 and 12:00
Parmentierweg 49, 2316 ZV Leiden
Leiden, LUMC
no online appointments possible
(088) 208 33 88
on working days between 9:00 and 12:00
Albinusdreef 2, 2333 ZA Leiden
Mental Health Emergency Contacts
Testlab: Free Online STD testing
Please note that this resource is only available to men who have sex with men, often trans-men will be redirected to the GGD.
Request an STD test online:
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You can get tested for STDs and HIV for free through the GGD’s Testlab
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You can be helped quickly
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Not every GGD offers the Testlab service
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First, you fill in the questionnaire at https://mantotmantestlab.nl/?lang=EN
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You can also access your test results online
Three locations near The Hague and Leiden:
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Reinier de Graaf Gasthuis
Department Bloedafname: ground floor, corridor C
Reinier de Graafweg 5, Delft
Monday–Friday 7:00 am–5:30 pm, Thursday 7:00 am–8:30 pm, Saturday 8:30 am–10:30 am -
Gezondheidscentrum Voorhof
Aart van der Leeuwenlaan 10A, Delft
Monday–Friday 7:00 am–12:00 pm -
Langeland Ziekenhuis
Toneellaan 1, Zoetermeer
Monday–Friday 7:00 am–4:30 pm
Urgent Testing
Offers:
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Result after 90 minute: from 225 EUR
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Results after 1-2 business days: 110 EUR
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Only one in the Netherlands where the results are available in 2 hours! (In Amsterdam, Rotterdam, The Hague, Utrecht and Eindhoven)
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Anonymous STI testing and treatment also possible
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Cash payment possible
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BIG registered doctors
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Open evening and weekends
The Hague SOA Kliniek
085-0703483
Regentesselaan 113,
2562 CR Den-Haag
Leiden SOA Test
085-0703483
Vondellaan 35A,
2332 AA Leiden
Bloedwaardentest
Bloedwaardentest is a service that offers blood tests to provide insights into various aspects of your health, including sexual health. By analyzing your blood sample, they can provide information and guidance on factors such as hormone levels, vitamin 30 deficiencies, and more. For more information, visit their website at https://www.bloedwaardentest.nl
Inclusion Health Care
Inclusion Health Care offers testing services for sexual health, including STI testing, with results available in less than 90 minutes. The starting price for testing is 25 EUR with Dutch health insurance. If the matter is not urgent, they may refer you to GGD (Municipal Health Service). For more information, reach out to Inclusion Health Care directly for specific details and to inquire about their services.
Hepatitis, HIV, and PrEP
Taking care of your health includes considering vaccinations against hepatitis A and B. The GGD offers vaccination services for these diseases, and it's worth asking a GGD worker about the free hepatitis B vaccination. You can conveniently make an appointment online at mantotman.nl/onlinevaccination or contact the GGD directly. Men who have sex with men and sex workers are at a higher risk for hepatitis B and can receive the vaccination free of charge. If you have HIV, it is recommended to receive double vaccinations. Keep in mind that the prevalence of hepatitis A and B may vary in different countries, so if you have already been infected, vaccination may not be necessary. Please note that the hepatitis A vaccination is not provided free of charge.
Moving on to HIV and PrEP, it's important to know that PrEP pills are a preventive measure against HIV. By taking these pills every day (pre-exposure prophylaxis), you can significantly reduce the risk of HIV transmission. However, it's essential to remember that PrEP does not protect against other sexually transmitted infections (STIs).
When it comes to the cost of PrEP, if prescribed by your GP, the monthly supply can range from 7 to 30 euros. You will need to cover the costs of the necessary tests, unless you choose to get tested for free at the GGD with your GP's approval. Registering at the GGD is also an option, but keep in mind that waiting lists may apply. The GGD offers a monthly PrEP package for 7.50 euros, including regular tests. It's worth noting that GGDs are actively working to ensure access to PrEP for refugees, so don't hesitate to inquire about it.
In case of emergencies, there is PEP (post-exposure prophylaxis), which consists of pills that need to be taken for four weeks, once a day. PEP is different from PrEP and should be initiated as soon as possible, preferably within 72 hours after exposure to HIV.
To prevent STIs and HIV, it's important to understand how these infections can be transmitted. They can spread through blood, semen, pre-cum, vaginal fluids, or when there is genital contact or oral contact. While many people prefer sex without condoms or lickpads, practicing safe sex remains the most effective method. If it doesn't feel safe, it's best not to engage in sex without a condom.
For anal sex, using condoms with enough lubricant is crucial. Avoid using extra-thin condoms to prevent tearing and ensure you have the right size. It's recommended to use condoms with a new partner for at least three months or get tested before engaging in sexual activities.
Additionally, it's essential to be aware that sharing sex toys, using the same lubricant, using saliva from the throat, or sharing drug paraphernalia can also lead to STI transmission.
Taking care of your sexual health is vital, and by being informed and proactive, you can protect yourself and your partners. Stay safe, get tested regularly, and seek professional advice when needed.
Getting PrEP: Your Options and Resources
If you're considering PrEP, there are various avenues to access this HIV prevention medication. One reliable source of information is www.mantotman.nl, where we gathered most of this information from. Let's explore the different options available:
PrEP through the GGD
Obtaining PrEP through the GGD (Municipal Health Service) is the most cost-effective option. The GGD provides free check-ups and tests every three months, while you only pay €7.50 per month for the medication. You can conveniently collect your pills during your visit to the GGD. However, it's important to note that waiting lists at the GGD can be long. Occasionally, spots become available, so it's worth inquiring about the possibilities directly with the GGD.
Please note that the price of PrEP pills can vary, ranging from €7.50 to over €60 per month, depending on the pharmacy and manufacturer. It's worthwhile discussing with your GP the option of obtaining PrEP from a different pharmacy if it offers a more affordable price. PrEPnu maintains a price list that can assist you in comparing prices (https://prepnu.com/price/).
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If your GP doesn't prescribe PrEP
Not all GPs are knowledgeable about or comfortable prescribing PrEP. If your GP cannot or does not want to help, you can ask for a referral through Zorgdomein to another GP who is experienced in providing PrEP. Alternatively, you can seek advice from the GGD.
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At another GP
With a referral from your current GP, you can visit another GP who specializes in PrEP care. You have the option to solely receive PrEP-related services from this GP. You will need to cover the cost of STI tests through your "own risk" initially, but once that amount is met, your health insurance will cover subsequent tests. As always, you will be responsible for purchasing the PrEP medication, and the price will depend on the pharmacy you choose.
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PrEP through your GP
Another route is obtaining PrEP through your general practitioner (GP). After an initial check-up, your GP will provide a prescription for you to pick up the medication from the pharmacy. Your GP will conduct regular tests for sexually transmitted infections (STIs) and HIV every three months, as well as monitor your kidney function. The cost of these check-ups and consultations is covered by your health insurance and deducted from your "own risk" (eigen risico). However, you are responsible for purchasing the pills.
You can find a list of PrEP-friendly GPs at www.prepnu.com/doctors/. However, please note that this list may not include all GPs who prescribe PrEP. It is recommended to first explore the possibility of receiving PrEP services from your current GP.
PrEP-friendly GPs
Through another online GP
PrEP care is also available through online GPs. Your own GP can provide a referral to access these services. You will only consult the online doctor for PrEP, check-ups, and STI tests, while remaining registered with your current GP. Initial costs for STI tests will be your responsibility, but once your "own risk" is met, subsequent tests will be covered by your health insurance. You will need to purchase the PrEP medication, and the price will depend on the pharmacy you choose.
Additional Resources for PrEP
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PrEPzorg (https://prepzorg.nl/)
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PrEP-poli (https://www.prep-poli.nl/)
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OneDayClinic (http://www.onedayclinic.nl/en)
Remember, taking control of your sexual health includes making informed decisions and accessing the resources that best suit your needs. Don't hesitate to seek further guidance and support from healthcare professionals and organizations