The Situation
Prague is one of the most LGBTQ+-friendly cities in Central Europe, and its sexual health infrastructure reflects this. The community anchor is Dům Světla (the House of Light) — run by ČSAP (Czech AIDS Help Society) — which provides free anonymous testing, counselling, and PrEP navigation. The clinical centre for PrEP and HIV management is the HIV Centrum at Bulovka Hospital.
PrEP is partially reimbursed in Czechia through health insurance — when prescribed at an HIV Centrum, you pay a copayment of roughly 500–1,000 CZK/month (€20–40) rather than the unsubsidised full price. For PEP, Bulovka is the destination in Prague; regional university hospitals cover the rest of the country.
🗺️ The Czechia Guide Map
The Clinics
- > Testing in Czechia: Dům Světla & HIV Centres
- Dům Světla (ČSAP, Prague 2) — free, anonymous, three-site panel, LGBTQ+-aware. ČSAP checkpoints in Brno and Ostrava. HIV Centrum at Bulovka for clinical care.
- > Czechia Outside Prague: Regional Access
- Brno (ČSAP + FN Brno), Ostrava (ČSAP + FN Ostrava), Olomouc, Plzeň. Rural: nearest regional hospital for PEP; ČSAP for testing referrals.
Prevention
- > PrEP in Czechia: HIV Centres
- Partially reimbursed via HIV Centrum (Bulovka or ÚVN). Copay ~500–1,000 CZK/month. Three-monthly monitoring at the HIV Centrum.
- > Vaccines in Czechia: Mpox, HPV & Hepatitis
- Mpox free for gay and bisexual men via HIV Centrum and ČSAP. Hep A/B check insurance coverage via HIV Centrum. HPV free at 13 through school programme; adults pay ~10,500–15,000 CZK total.
- > DoxyPEP in Czechia: The Current Situation
- No national guideline. Off-label via HIV Centrum at Bulovka or ÚVN. ~200–400 CZK/month for the medication.
Emergencies
- > PEP in Czechia: Bulovka
- Nemocnice Na Bulovce, Budínova 2, Prague 8. Infekční klinika daytime / pohotovost out-of-hours. Regional FN hospitals outside Prague. Insurance covers it (doplatek applies).
Support
- > Mental Health in Czechia: Resources & Support
- 116 123 (crisis line), Dům Světla counselling, Prague Pride directory, private psychologist ~1,200–2,500 CZK/session.
- > Chemsex in Czechia: Services & Support
- Dům Světla, Sananim (sananim.cz), Prev-Centrum, K-centra network. Personal possession decriminalised — seek help freely.
Language
- > Czech Vocabulary: The Health System
- Pojišťovna, průkaz pojištěnce, pohotovost, infekční klinika, doplatek. Czech phrases for testing, PrEP, PEP, and emergency care.
The Golden Rules
Rule 1: Dům Světla First
For testing, referrals, and navigation — start at Dům Světla (aids-pomoc.cz, Prague 2). It is the most affirming and knowledgeable entry point to Czech gay sexual health.
Rule 2: PrEP via HIV Centrum, Not Your GP
Only the HIV Centrum at Bulovka or ÚVN can initiate the reimbursed PrEP pathway. Your GP cannot. Copay ~500–1,000 CZK/month. Three-monthly monitoring required.
Rule 3: PEP — Bulovka, Immediately
Go to Nemocnice Na Bulovce (Budínova 2, Prague 8). Daytime: infekční ambulance. Out-of-hours: pohotovost. Outside Prague: nearest fakultní nemocnice. 72-hour window is absolute.
Rule 4: Insurance Is Your Friend — Know Your Pojišťovna
Czech health insurance covers most care with copayments. Bring your průkaz pojištěnce (insurance card) to every appointment. EU/EEA visitors: bring your EHIC card.
General Education
- > Your Guide to Sexual Health (No Bullshit Edition) — the mindset
- > The Prevention Stack: All Eight Layers — all eight tools
- > PrEP Mechanics: Daily, On-Demand & Injectable — full PrEP guide
- > The Testing Protocol — what to test for and how often
- > The Vaccine Checklist — every vaccine explained
- > HIV in 2026: The Facts Without the Fear — the full HIV primer
- > U=U: Undetectable Equals Untransmittable — zero transmission on treatment
- > The STI Landscape: What You Need to Know — every infection, every route
- > Finding an LGBTQ+-Affirming Doctor — finding care that works
Bottom line: Dům Světla for testing and navigation. HIV Centrum at Bulovka for PrEP (~500–1,000 CZK/month copay). Bulovka pohotovost for PEP. Prague is genuinely welcoming — use it.