Change language Risico op HIV gehad: PEP-behandeling!Have you run a risk of getting HIV? PEP treatment!

Have you run a risk of getting HIV? PEP treatment!

Have you run a risk of becoming infected with HIV? For example because you got fucked without a condom? In that case, start with the PEP treatment as soon as possible! That will reduce the chances that HIV will establish itself in your body. It is best to start the treatment within two hours, but in any case you need to start it within 72 hours of the risky event. To get it, go to the GGD, to an Emergency Room or an HIV treatment centre. Get tested for HIV after three months and again after six months to find out for certain whether or not you have become infected.

What is PEP?

  • PEP is a four-week course of treatment with HIV medications.
  • If you have very recently run a risk of getting HIV, for example because you fucked without a condom, the treatment with PEP will reduce the chances that HIV will establish itself in your body.
  • PEP greatly reduces your chances of getting HIV, but there is no guarantee that you will remain HIV negative.
  • 72 hours after an infection with HIV, the virus will have established itself in your body. By that point, there is no point in starting PEP any more.
  • A treatment with PEP is free if you have Dutch health insurance.
  • PEP is the abbreviation for Post Exposure Prophylaxis, which means the prevention of infection after having been exposed to HIV.

PEP as soon as possible

Getting treated with PEP will reduce the chances that HIV will establish itself inside your body. Be alert:

  • You need to start with the PEP treatment as soon as possible after you have run a risk. The earlier you start, the more successful the treatment will be.
  • A PEP treatment should start preferably within two hours but in any case within 72 hours after risky sex.

Here is where you can go for PEP

Go to a medical institution near you for a PEP treatment:

  • The availability of PEP varies per region: in some regions you can go to the GGD, while in other regions you can go to the Emergency Room of a hospital.
  • During office hours, it is best to contact the GGD in your region. For an up-to-date list of addresses and telephone numbers, see: www.ggd.nl.
  • Outside of normal office hours and in the weekend, it is best to go to the Emergency Room of your local hospital. Call beforehand to see if you can get a PEP treatment there.
  • If that Emergency Room cannot help you, try the Emergency Room of the nearest university hospital or HIV-treatment centre.
  • The doctor who is on duty at that moment will apply a protocol to determine whether you are eligible to receive PEP.
  • If possible, bring your sex partner along with you. A blood test can determine if he has HIV and how much of the virus is present in his blood.

During and after the treatment with PEP

If you have received treatment with PEP, your doctor – presumably – will have informed you about the required steps:

  • To ensure a successful treatment with PEP it is very important that you take the HIV medications every day at the right times.
  • A treatment with PEP may cause side-effects in some men. Those are temporary in nature but they can still make it hard for you to finish the treatment. If you do experience side-effects, it can be good to look to your family, your friends or your doctor for support.
  • To see whether or not you were infected with HIV, your blood will be tested for HIV after three months and again after six months. The test results will only be reliable if you have not run any new risks of getting HIV in the meantime.
  • Use condoms consistently if you want to avoid getting HIV. Would you like to know if it makes sense for you or your sex partner to get PEP? Do the risk check!

Have you run a risk in terms of HIV?

You run a risk of getting infected with HIV if blood, sperm or precum (preseminal fluid) from a sex partner who has HIV enters your body. That can happen:

  • if you fuck without a condom: the risk in terms of HIV is greatest if you are the one who gets fucked. But you also run a risk of getting HIV if you fuck someone without a condom.
  • if your condom breaks or slides off while fucking. if someone's sperm enters your mouth.
  • if someone's blood, sperm or precum (preseminal fluid) enters your anus, for example from someone's cuticles or fingers.

Using condoms and plenty of lube is the best protection against HIV and other STIs.

What to do if you have run a risk of getting HIV

Have you run a risk of getting HIV but are not (or no longer) eligible for PEP? Keep these things in mind:

  • Be alert to the flu-like symptoms that go along with an HIV infection and get yourself tested for HIV as soon as you notice those. Don't only get tested with a rapid HIV test, since that method of testing is less reliable when it comes to showing recent HIV infections.
  • Get yourself tested for HIV in any case six weeks after you have run a risk of getting HIV. Tests will normally show a new HIV infection by then.
  • Just to be sure, get yourself tested again for HIV and other STIs three months after that.

If you have been infected with HIV, you will be extremely contagious – especially in the beginning – for anyone you have sex with. That makes it extra important to keep using condoms.

Health and Social Support Services for Sex Workers in Europe

www.services4sexworkers.eu is a website that presents a directory of services available for sex workers in 25 European countries, and legal information regarding sex work, migration and access to health.

An European network of 26 organisations in 25 EU countries, which works with and for sex workers since 1993, and advocates for sex workers' rights.

www.services4sexworkers.eu informs sex workers, health and social workers about respectful and non-discriminatory support available across Europe.


"I give blowjobs without a condom, I didn't know I could contract an STI that way"