HIV Prevention Clinic in Kathmandu — PrEP & Counselling PrEP ~99% Where Taken — Plus the Prevention Counselling & Monitoring
HIV prevention at Thamel Clinic — PrEP where ongoing risk warrants (~99% where taken), prevention counselling, and quarterly monitoring.
Medically Reviewed Content
Reviewed by: STD Specialist (MBBS, MD - Medicine)
NMC Registration:
Last medical review: June 1, 2026
This content follows evidence-based medical guidelines and is regularly updated to reflect current medical practices.
HIV Prevention in Kathmandu
- PrEP ~99% — where taken as prescribed.
- For ongoing risk — pattern that warrants it, not everyone.
- Quarterly monitoring — HIV test + STI screen + renal.
- Does not cover other STIs — condoms still apply.
HIV Prevention — the Proactive Approach
HIV prevention is proactive approach — interventions that prevent acquisition before exposure rather than treatment after: the PrEP ( pre-exposure prophylaxis — ~99% effective where taken as prescribed — for ongoing-risk patient), condoms and safer-sex, testing ( partner's and your own), and counselling that reduces risk.
PrEP is specific intervention for ongoing-risk pattern — multiple partners, serodiscordant relationship (a partner living with HIV), higher-risk exposure pattern — daily (or event-driven for specific pattern) prevention that reduces acquisition to ~1% where taken correctly.
The monitoring is part of prevention — quarterly HIV testing plus the STI screen plus renal monitoring (the PrEP drug affects kidneys — renal function checked periodically) — the PrEP is ongoing program, not one-off prescription.
PrEP — ~99% Where Taken Correctly
PrEP is pre-exposure prophylaxis — daily (or event-driven for specific pattern) medication that prevents the HIV acquisition ~99% where taken correctly. For ongoing-risk patient ( multiple partners, serodiscordant relationship, higher-risk pattern) it is specific prevention.
The honest framing: PrEP prevents HIV — it does not prevent other STIs ( chlamydia, gonorrhea, syphilis are still transmitted) — condoms and the STI screening remain part of complete prevention.
PrEP ~99%
Where taken as prescribed — specific HIV prevention.
For Ongoing Risk
Multiple partners, serodiscordant, higher-risk.
Daily or Event-Driven
The regimen for pattern.
HIV-Only Prevention
Does not cover other STIs — condoms apply.
The Monitoring — the Quarterly Program
PrEP is ongoing program, not one-off prescription: baseline testing (HIV negative confirmed before starting — initiation on an undetected positive produces resistance risk), then quarterly HIV test plus the STI screen plus renal function (the PrEP drug affects kidneys — monitored).
The monitoring is program — periodic testing confirming the PrEP is working (the HIV negative maintained), the STI screen catching other infections the PrEP does not cover, renal monitoring catching drug effect.
Baseline HIV Test
Negative confirmed before starting.
Quarterly HIV Test
The maintenance confirmed.
Quarterly STI Screen
The other infections the PrEP does not cover.
Renal Monitoring
The drug effect on kidneys — checked.
Who PrEP Is For
PrEP is for ongoing-risk pattern: multiple partners with unprotected sex, serodiscordant relationship (a partner living with HIV — the PrEP protecting negative partner), the MSM or higher-risk pattern, sex-work context — ongoing exposure where prevention is warranted.
The honest framing: PrEP is not for everyone — low-risk or monogamous pattern does not warrant daily medication plus monitoring — indication is ongoing-risk assessment.
Multiple Partners
The ongoing exposure where prevention applies.
Serodiscordant
A partner living with HIV — negative partner protected.
Higher-Risk Pattern
The MSM, sex-work context — warranted indication.
Not for Everyone
The ongoing-risk — not low-risk.
The Complete Prevention
The complete prevention is combination: the PrEP for the HIV where ongoing risk warrants, condoms for other STIs (the PrEP does not cover them), regular STI screening ( quarterly where on PrEP — catching infections the PrEP does not prevent), and counselling ( risk-reduction that reduces exposure overall).
The prevention framing is proactive care — intervention before infection — the PrEP plus condoms plus screening producing comprehensive prevention.
PrEP + Condoms
HIV plus other STIs — combination.
Regular Screening
The quarterly — infections the PrEP does not cover.
Counselling
The risk-reduction — exposure reduced.
Proactive Care
The prevention before infection.
Prevention Services & Costs
| Service | What It Includes | Cost (NPR) |
|---|---|---|
| Consultation | Risk assessment and PrEP candidacy | Rs. 450 |
| PrEP | Where ongoing risk warrants — daily/event-driven | Per case |
| Baseline + monitoring | HIV test, STI screen, renal — quarterly | Lab rate |
| Condoms/counselling | The complete prevention | Included |
Transparent pricing; confirm when booking.
Why Thamel Clinic for HIV Prevention
- PrEP where warranted — ongoing-risk assessment first.
- Monitored program — quarterly testing and renal check.
- Complete prevention — PrEP + condoms + screening + counselling.
- Honest scope — the HIV prevention, other-STI limits stated.
- Confidential — private consultations and results.
Frequently Asked Questions
What is PrEP?
The pre-exposure prophylaxis — ~99% effective at preventing HIV where taken correctly.
Is PrEP for everyone?
No — for ongoing-risk pattern (multiple partners, serodiscordant, higher-risk); low-risk does not warrant it.
Does PrEP prevent other STIs?
No — HIV only; condoms still apply.
What monitoring is needed?
Quarterly HIV test + STI screen + renal function — ongoing program.
Is it confidential?
Yes — private consultations and results.
Still have questions? Contact us or book an appointment for personalized guidance.
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Last Updated: October 19, 2026 |Clinic: Thamel Clinic |Licensed: Registered