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HIV PREVENTION

Stay protected with HIV PrEP

A doctor guides your preventive care: baseline checks, a PrEP schedule that fits your routine, and regular follow-up testing, all discreetly online.

€35one-off consultation
  • Written consultation, no video call
  • Reviewed for safety and interactions
  • Full refund if not approved
Private consultationNo video call, no waiting room
Reply in under 2 hoursOn average, from an EU-licensed doctor
€35 one-offNo subscription
Understanding the condition

What it is

PrEP (pre-exposure prophylaxis) is a medicine taken by people who do not have HIV to lower their chance of getting it.

It needs checks before you start, including an HIV test and kidney function, and regular tests while you take it. A doctor reviews whether it suits you.

STEP BY STEP

How it works

01

Answer online

A short questionnaire about your symptoms.

02

Doctor review

A licensed EU doctor reads your answers and replies in under 2 hours on average.

03

E-prescription

If treatment is suitable, your prescription is issued electronically and dispensed at any EU pharmacy.

What the doctor may consider

Treatment options

The doctor chooses based on your answers and health. Some options are practical advice, some are prescription medicines.

PrEP tablets

Taken on the schedule your doctor advises, if suitable for you.

Baseline tests

The tests you need before starting, and where to take them.

Follow-up

Regular checks and support in the private in-app chat.

Pricing

One consultation, one clear price

You pay for the doctor's consultation. If a prescription is issued, the medicine is paid at your own pharmacy.

  • Consultation reviewed by an EU-licensed doctor
  • Private follow-up in the in-app chat
  • Full refund if the doctor does not approve
One-off

Sexual health

  • Consultation reviewed by an EU-licensed doctor
  • Electronic prescription if approved
  • Private follow-up chat
Start consultation

Full refund if a review is not approved

Clinical guide

What to know before your consultation

HIV PrEP explained

PrEP (pre-exposure prophylaxis) is medicine taken by people without HIV to lower their chance of getting it through sex. The option the doctor may consider is emtricitabine with tenofovir disoproxil, a combination tablet authorised in the EU for PrEP. It works only when taken as advised and does not protect against other sexually transmitted infections, so condoms and regular testing still matter. PrEP always comes with checks before you start and regular follow-up tests.

Who PrEP online suits

The online pathway is for people who do not have HIV and have a higher chance of exposure, for example through condomless sex with partners whose HIV status is unknown or not suppressed. Before starting, you need a recent negative laboratory HIV test, your hepatitis B status and a kidney result. It is not suitable with reduced kidney function, symptoms that could be an early HIV infection, pregnancy, or below the pathway's minimum age. A possible exposure in the last few days needs emergency post-exposure treatment (PEP) the same day, not PrEP.

Side effects and safety checks

Some people have nausea, diarrhoea or headache, especially at the start. The medicine can affect kidney function and bone density, so kidney tests are repeated during treatment and the doctor asks about bone and kidney conditions. In people with hepatitis B, stopping it can cause a serious flare of hepatitis, which is why hepatitis B status is checked first. Taking PrEP during an unrecognised HIV infection can lead to drug resistance, so get tested urgently if you develop fever, rash, sore throat or swollen glands.

Other ways to prevent HIV

Condoms protect against HIV and most other sexually transmitted infections. Regular HIV and STI testing for you and your partners also helps, and people with HIV whose treatment keeps the virus undetectable do not pass it on through sex. Sexual-health clinics and HIV units offer PrEP, PEP and specialist care in person. If the doctor decides PrEP is not appropriate for you, they explain why and suggest another prevention strategy or in-person service, and your consultation fee is refunded.

What the evidence shows

The European Medicines Agency has authorised emtricitabine with tenofovir disoproxil for PrEP in people at high risk of sexually acquired HIV, in combination with safer sex. In a study of men who have sex with men summarised by the EMA, 3.9 per cent of those taking it acquired HIV compared with 6.8 per cent on placebo, and in a study of heterosexual couples the figures were 0.8 and 3.3 per cent. Protection depends strongly on taking it as prescribed. The World Health Organization recommends oral PrEP for people at substantial risk of HIV.

Your PrEP consultation

You answer a questionnaire about your reasons for PrEP, recent exposures, HIV and STI tests, hepatitis B and C, kidney and bone health and every medicine you take, and you upload a recent negative HIV test. An EU-licensed doctor reviews your answers and results in the private chat, may ask for more tests and, if appropriate, prescribes PrEP with a clear schedule. You collect and pay for it at a pharmacy of your choice in the EU.

Regular tests and renewals

PrEP needs an HIV test, STI screening and a kidney check at least every three months, and prescriptions are renewed through a new consultation with your latest results. Tell your doctor if you plan to stop, want to change how you take it, become pregnant or start new medicines. If you have hepatitis B, never stop without medical advice. Get tested urgently if you develop flu-like symptoms, and seek same-day care after any possible exposure while you were not protected.

FAQs

Your questions answered

HIV PrEP9 questions
Who is PrEP for?
Adults without HIV who have a higher chance of exposure. The doctor reviews your answers to see whether it suits you.
Yes. An HIV test and a kidney function test are needed before you start, and again at regular intervals.
PrEP does not replace PEP. If you had a possible HIV exposure in the last 72 hours, you may need post-exposure prophylaxis today, so go to an emergency department or health centre now. Flu-like symptoms after an exposure can also be a sign of early HIV and need urgent testing before PrEP is considered.
You upload a negative HIV test from the last 7 days, and the doctor reviews your kidney function, hepatitis B status, STI screening and other medicines. Pregnancy, known kidney disease or reduced kidney function mean specialist in-person care instead. If something is missing, the doctor tells you which test to take before PrEP can be prescribed.
Some people have nausea, headache or an upset stomach in the first weeks, which usually settles. Less often it can affect the kidneys or bone density, which is why kidney function is checked regularly. If you have hepatitis B, stopping PrEP suddenly can cause a flare of the liver infection, so talk to the doctor before you stop.
No. PrEP lowers the chance of getting HIV, but it does not protect against chlamydia, gonorrhoea, syphilis or other infections, or against pregnancy. Condoms still help with these. Regular STI testing is part of your follow-up while you take PrEP.
While you take PrEP, you need an HIV test, STI screening and a kidney function check at least every 3 months. You arrange the tests, share the results in the private chat, and the doctor decides whether to continue. Do not keep taking PrEP without this follow-up.
The consultation is €35, one-off, with no subscription. If a prescription is issued, the medicine is paid at your pharmacy.
You receive a full refund, and the doctor explains why in your account.
Sexual health7 questions
We offer six focused consultation pathways. Choose the one that best matches your symptoms or situation:
Every sexual-health pathway is a €35 one-off consultation. Sexual health is not included in a subscription. A doctor's review arrives in less than 2 hours on average; this is an average, not a guaranteed response time. Medication is paid for separately at the pharmacy if prescribed.
The most common are PDE5 inhibitors (sildenafil, tadalafil, vardenafil, avanafil). In specific cases topical alprostadil is used. The doctor selects the most suitable option based on your history, current medication, and lifestyle.
These are medications with decades of clinical use and generally well tolerated. But they are contraindicated if you take nitrates or have severe cardiovascular disease. That's why the questionnaire explicitly asks about cardiac medication. It's not a formality.
Yes. Topical alprostadil is a second-line option. In resistant cases, the doctor may recommend an in-person urology referral to evaluate other causes (hormonal, vascular, psychological).
Fully. All communication happens through the private chat on your account. We send nothing by postal mail with the Hi-Doctor name visible; the prescription is digital.
Yes, it's one of the reasons we ask for a detailed cardiovascular history. Erectile dysfunction can be an early sign of cardiovascular disease, and sometimes an in-person check-up is advisable before treating it only pharmacologically.

Saying it is the first step

Answer the questionnaire and a licensed doctor reads it. You pay only if treatment is approved.

Start PrEP consultationNo charge unless a doctor approves your treatment.
All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work