Integrated care

The HIV treatment center in Amsterdam offers as much care as possible under one roof.

The clinic has its own lab for blood draws and you can be tested for STDs and hepatitis. This is possible during the periodical consultation but also in the interim. In addition to HIV care, we also treat STDs, hepatitis and AIN. We also offer the vaccinations against hepatitis A and B.

Quick navigation | AIN | STD care | Sexual health | Hepatitis

AIN (Anal intraepithelial neoplasia)

What and why

AIN is a change in the mucous membrane in and around the anus. Agitated cells in this mucous membrane can be the predecessor of anal cancer. AIN can disappear on its own, but in people who are HIV positive, the chance of this is probably smaller. AIN is caused by HPV. The transmission of HPV is very easy through physical (sexual) contact, but also through fingers or towels.

At the HIV treatment centre Amsterdam

At the HIV treatment centre we can diagnose AIN as well as perform treatment. We make the diagnosis using High Resolution Anoscopy (HRA). This is a strong microscope that makes it possible to trace anomalous cells on a micro-level. Through this, we can detect the pre-stages of anal cancer and anal cancer itself in an early stage. If we see anomalous areas, we will take tissue samples to be able to make a diagnosis. If there are indeed anomalous cells, treatment will start. After the treatment, you will have follow-ups with your normal internist or nurse. You can also be vaccinated against HPV at the HIV treatment centre.

More information

AIN (Information in Dutch)

STD care

What and why

There are various sexually transmitted diseases that still frequently occur in the Netherlands. Every year, 100,000 people contract an STD. Considering that STDc can be transmitted through unprotected sexual contact, just like HIV, we recommend STD testing in addition to the HIV test. Just like HIV, it is better to quickly detect other STDs. Most STDs can be treated, but if you walk around with them too long, they can have more serious consequences.

At the HIV treatment centre

We offer integrated STD care in addition to your HIV treatment. You can always be tested for STDs, even if you don’t have symptoms. This is possible during the regular consultation but also in the interim. If you are diagnosed with an STD, we will prescribe the necessary medications.

More information

What are STD’s?

Sexual health

What and why

Many people who are HIV positive have problems regarding sexuality and intimacy. The problems may not have to do with HIV, but the diagnosis can create uncertainty about sex in the beginning. It helps to talk about it. The symptoms may be physical or psychological, such as erectile dysfunction, pain during intercourse, being afraid of getting an STD, doubts about how to date or how you can be intimate with your partner again. The experience shows that it is often a combination of multiple factors.

At the HIV treatment centre

Most people don’t find it easy to talk about sexuality. The HIV treatment centre hopes to create an open atmosphere where you feel safe and not inhibited about discussing a sexual problem with someone on the treatment team. Together we will decide if a referral to a separate appointment on sexual health would be helpful. This consultation is provided by a specialist nursing consultant from our team who is trained in this area. During the discussion with the consultant, you can find out what the possible causes of your problem or symptom may be. The experience has been that patients are often relieved when they can talk openly about their sexuality, so sex can become a pleasure again. A short term appointment is usually possible, and takes about an hour. Sometimes a few appointments are enough, sometimes a referral to another caregiver is necessary.

Hepatitis

What and why

Hepatitis is a collective name for a number of inflammatory symptoms of the liver. New viruses are always being discovered that could inflame the liver. Hepatitis A, hepatitis B and hepatitis C are the most well-known types.

There is no treatment for hepatitis A, this variation must run its course. If you have had hepatitis A, you are protected for the rest of your life. You can be vaccinated against hepatitis A.

If you have had hepatitis B and recovered, you are protected for the rest of your life. You can also be vaccinated and be protected in that way.

If you have had hepatitis B and it doesn’t clear up on its own, this is chronic hepatitis B that must be treated.

Hepatitis C infections can lead to chronic infection after the acute phase. Sometimes the virus will go away on its own. The treatment has undergone huge developments in recent years. This has improved from medicines with many side effects and a moderate chance of recovery to tablets that have much fewer side effects and a chance of recovery of nearly 100%. After recovery, you can become infected again.

The duration of the treatment is dependent on the degree of fibrosis (scarring on the liver) and varies between 8 weeks and 16/20 weeks of medication use.

At the HIV treatment centre

The HIV treatment centre has vaccinations available against hepatitis A and B. We will discuss this during the HIV treatment and vaccinate if necessary.

With chronic hepatitis B, you must have follow-ups and be treated. Depending on the results of testing, we will set up a treatment plan. The treatment is done using tablets.

For acute hepatitis C, you can start medication after 3 months if the infection appears to be chronic.

To check fibrosis (scarring of the liver), the HIV treatment centre uses a fibroscan. Scar tissue in the liver can occur in all patients with a (chronic) liver disease, such as is the case with hepatitis B and C. The formation of fibrosis in the liver can make it smaller (shrunken) and cause the liver to no longer function well. The latter is called liver cirrhosis. Using a fibroscan, we can test in a simple and painless manner whether there are signs of scarring in the liver. The degree of fibrosis is necessary in the determination of the correct treatment of hepatitis C.