STI test LGBTQ+

Men having sex with men or men and women (persons with dicks having sex with persons with dicks and persons with vaginas)

Men who have sex with men - or with both men and women - are, on average, at increased risk for STIs such as gonorrhea, syphilis, chlamydia and HIV. This is due in part to the vulnerability of mucous membranes during anal sex and the fact that some infections can go undetected. This is why we recommend regular STI screening, even without symptoms. You can come to us for reliable tests, discreetly taken and medically assessed.

For HIV prevention, we also offer PrEP care to: a preventive medication that protects you from HIV in high-risk contacts. PrEP is safe and effective if properly supervised. We provide medical screening, kidney function monitoring, HIV and STI testing, and guidance on starting and stopping PrEP. We also discuss alternatives such as PEP (emergency medication after high-risk contact) and vaccinations against hepatitis A and B.

Our care is tailored to your situation - whether you have a steady partner, changing contacts, or sex in specific locations. We work without judgment, respecting your identity and choices. Because sexual health is a right, not a luxury.

Sexual health for men who have sex with men

Sexual health is not only about risk, but also about pleasure, trust and respect. Men who have sex with men - or with both men and women - are, on average, at increased risk for STIs such as gonorrhea, syphilis, chlamydia and HIV. This is mainly due to the vulnerability of mucous membranes during anal sex, and the fact that some infections can go undetected. Oral sex can also pose risks, especially with contact with semen or blood. Regular STI screening is therefore essential - even without symptoms.

Protection begins with knowledge and choice. Condoms offer good protection in anal and oral sex, if used correctly. PrEP (pre-exposure prophylaxis) is an additional option for HIV prevention: a daily or sex-focused pill that protects you from HIV. We offer medical guidance on starting, monitoring and stopping PrEP. PEP (emergency medication after risk contact) is also available through GP or GGD.

In addition to physical protection is consent an essential part of healthy sex. Sex should be voluntary, reciprocal and pleasurable. We encourage you to communicate openly about desires, boundaries and expectations - with your partner as well as with your health care provider. Because pleasurable sex starts with safety and trust.

We also offer advice on:

• Sex Techniques and how to perform them safely
• Vaccinations Against hepatitis A and B, HPV and mpox
• Mental health and stress within the queer community
• Chemsex and substance use in sexual context

Our care is discreet, inclusive and tailored to your situation. Whether you have a steady partner, alternating contacts, or have sex in specific locations, we are there for you with respect, expertise and without judgment.

Sexual health for women who have sex with women

On average, women who have sex with women (ESL) are at lower risk for STIs than other groups, but that does not mean the risk is zero. STIs such as chlamydia, genital warts, herpes and HPV can be transmitted through mucosal contact, such as during oral sex, sharing sex toys or through fingers. Especially if toys are not cleaned or protected with a condom, infection can be passed on - often unnoticed.

Bisexual women who also have sex with men are at increased risk for STIs such as chlamydia, gonorrhea and syphilis, and can then pass them on in woman-woman contacts. Therefore, it is important to be alert for symptoms, but also to test regularly - especially after being alerted by a sex partner.

Protection is possible and important:

• Use condoms or dental flaps with oral sexi
• Clean or use condoms on sex toys
• Get vaccinated against HPV and hepatitis B
• Discuss with your partner the importance of safe sex

In addition to physical health, also consent and fun essential. Sex should be voluntary, reciprocal and enjoyable. We encourage you to communicate openly about desires, boundaries and expectations. Because sexual health is not just about avoiding risk, but also about experiencing connection, pleasure and respect.

USPs

Sexual health for trans and non-binary individuals

Sexual health is for everyone - including trans and non-binary individuals. Yet many people from this group experience barriers in care, such as lack of understanding, stigmatization or lack of knowledge of health care providers. We offer care that matches your body, identity and experiences. Whether you are a trans man, trans woman or non-binary person: you deserve care that takes you seriously, without judgment.

Trans persons - depending on their bodies, hormone use and sexual acts - may be at risk for STIs such as chlamydia, gonorrhea, syphilis, herpes and HIV. The risk does not depend on your identity, but on what you do, with whom, and how. That's why we don't look at pigeonholes, we look at behavior. Together we discuss which tests fit your situation, whether you have sex through the vagina, penis, anus or mouth - and with any partners.

Protection is possible and important:

• Use condoms, swabs or gloves During penetration, oral sex
• Clean or protect sex toys
• Get vaccinated against hepatitis B, HPV and mpox
• Consider PrEP if you are at risk for HIV - this also works for trans people, but the dosage and guidance may vary depending on your body and hormone use. We can give you the right guidance on this.

Protection is also important after a vaginoplasty, phalloplasty or other surgery. We give tailored advice on condoms, lubricants and safe techniques. And we also discuss topics such as fertility, contraception and sexual pleasure - because that is also part of sexual health.

Consent and enjoyment are central. Sex should be voluntary, enjoyable and tailored to your needs and boundaries. We provide space for questions, doubts and experiences - in a safe, respectful environment.

Our care is discreet, inclusive and tailored to your unique situation. You don't have to adapt to the system - we adapt to you.

Our care is supported in part by Dr. Peter Leusink, family physician and specialist doctor in trans care. Thanks to his years of experience, we offer medical guidance that is not only expert, but also truly tailored to the needs of trans and non-binary individuals.

Delivery, testing and results