What Happens After a Telemedicine Visit for HIV Testing & PrEP Consultation

Audience: adult

After a telemedicine visit for HIV testing and pre-exposure prophylaxis (PrEP) consultation, you will typically receive guidance on next steps to protect your health. This may include instructions for completing an HIV test, often through a local lab or at-home testing kit. Your healthcare provider may discuss PrEP options if you are at risk for HIV, explaining how to take it safely and what monitoring is needed. Follow-up appointments are often scheduled to review test results and adjust care plans. It's important to watch for any symptoms or concerns and communicate with your provider as needed. Telemedicine offers a convenient way to start HIV prevention and testing but may require in-person visits for lab tests or physical exams. Always seek urgent care if you experience serious symptoms or exposure risks.

Red flags — go in person / ER

• High fever, severe rash, or swollen lymph nodes after potential HIV exposure — seek urgent medical care.
• New or worsening symptoms such as unexplained weight loss, night sweats, or persistent fatigue — contact your healthcare provider promptly.
• Difficulty swallowing, breathing problems, or severe allergic reactions after starting PrEP — get emergency care immediately.

What telemedicine can do

• Initial consultation for HIV risk assessment and PrEP eligibility.
• Providing information about HIV testing options and PrEP medication.
• Reviewing test results and discussing next steps.
• Counseling on HIV prevention and safer sex practices.

What telemedicine cannot do

• Performing physical exams or blood draws (requires in-person visit).
• Immediate emergency care for severe symptoms or reactions.
• Administering injectable medications or vaccines.
• Confirmatory HIV testing that requires laboratory analysis.

What to Expect Immediately After Your Telemedicine Visit

Your healthcare provider will likely give you instructions on how to complete HIV testing. This might involve visiting a local lab, pharmacy, or using an approved home test kit. If you are a candidate for PrEP, your provider will explain how to start the medication and what tests are needed before and during treatment.

Understanding Your HIV Test Results

Test results usually take a few days to a week, depending on the testing method. Your provider will contact you with results and discuss what they mean. If your test is positive, you will be guided on next steps, including confirmatory testing and treatment options.

Starting and Managing PrEP

If PrEP is recommended, you will receive advice on how to take it daily and the importance of regular follow-up visits. These visits help monitor your kidney function and ensure you remain HIV-negative while on PrEP.

When to Seek In-Person Care

Some aspects, like blood tests and physical exams, may require in-person visits. If you experience symptoms such as fever, rash, unexplained weight loss, or signs of acute HIV infection, seek medical attention promptly.

Follow-Up and Ongoing Support

Regular follow-ups help track your health and adherence to PrEP. Your provider may also offer counseling on safer sex practices and answer any questions you have about living with or preventing HIV.

How to prepare for your tele-visit

• Ensure you have a private, quiet space for your telemedicine visit.
• Have a list of any medications you are currently taking.
• Prepare to discuss your sexual health and risk factors openly and honestly.
• Know where you can access HIV testing locally or have a home test kit ready if applicable.
• Have a pen and paper or device ready to take notes during the visit.

After your tele-visit

• Complete the recommended HIV test as instructed by your provider.
• Follow the prescribed schedule for PrEP medication if started.
• Attend follow-up appointments for monitoring and test result discussions.
• Report any side effects or new symptoms to your healthcare provider.
• Maintain safer sex practices and communicate openly with partners about HIV prevention.

FAQs

How will I get my HIV test after a telemedicine visit?

Your provider will guide you on options, which may include visiting a local lab, pharmacy, or using an approved home testing kit. Instructions will be provided during or after your visit.

What if my HIV test is positive?

If your test is positive, your provider will arrange confirmatory testing and discuss treatment options. Early treatment can improve health outcomes and reduce transmission risk.

Is PrEP safe to take?

PrEP is generally safe and effective when taken as prescribed. Your provider will monitor your health regularly to manage any side effects and ensure it is working well for you.

Can I start PrEP without an in-person visit?

Telemedicine can initiate the conversation and prescription for PrEP, but some tests and exams usually require in-person visits to ensure safety and effectiveness.

What should I do if I miss a dose of PrEP?

If you miss a dose, take it as soon as you remember. If it is close to the next dose, skip the missed one and continue your regular schedule. Consult your provider for personalized advice.

Sources

1. HIV Testing and Counseling — Centers for Disease Control and Prevention (CDC).
2. Pre-Exposure Prophylaxis (PrEP) — National Institutes of Health (NIH) HIVinfo.
3. HIV/AIDS — World Health Organization (WHO).
4. Telehealth: What You Need to Know — MedlinePlus, U.S. National Library of Medicine.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Telemedicine guidance does not replace in-person evaluation when needed. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition or treatment.