How PrEP Follow-Up Works in Germany

Taking PrEP isn't just about swallowing a pill — it also means attending regular medical check-ups. This ongoing monitoring isn't a bureaucratic hurdle; it's an important part of how PrEP is used safely.

Why monitoring matters

PrEP contains two antiviral agents: tenofovir disoproxil fumarate (TDF) or tenofovir alafenamide (TAF), combined with emtricitabine. TDF can affect kidney function in some people, which is why kidney values are checked regularly. It's also important to confirm that no undiagnosed HIV infection is present — before starting and throughout.

What gets checked at follow-up appointments

At a typical PrEP monitoring appointment, you can expect:

• HIV test (at baseline and at every follow-up)
• Kidney function (creatinine, eGFR)
• STI screening (usually chlamydia, gonorrhoea, syphilis)
• Hepatitis B status (at baseline, as the TDF component also affects hepatitis B)
• Blood pressure and general wellbeing

The exact scope depends on the provider and your individual situation.

How often appointments happen

In most cases, follow-up every three months is recommended — especially at the start. For people with stable kidney function and a steady routine, the interval may be adjusted over time.

Where monitoring can take place

PrEP monitoring can happen at a GP, a specialist practice, a sexual health clinic, or through digital providers. What matters most is that it happens regularly and results are documented.

Digital providers like alloCare allow you to manage many of these steps conveniently and discreetly online — including consultations, prescriptions, and lab monitoring.

What if you miss an appointment?

Try not to. Missing follow-ups increases the risk of undetected STIs or changes in kidney function going unnoticed. If a check-up isn't possible at the scheduled time, book a replacement as soon as you can.