Chemsex Consultation

Chemsex refers to the use of psychoactive substances in a sexual context, with the aim of facilitating, prolonging, or intensifying sexual encounters.

Most people who engage in chemsex do so occasionally and experience no harm. However, chemsex is associated with a number of risks:

• Substance addiction and overdose
• Sexually transmitted infections (STIs) and blood-borne infections
• Mental health issues
• Impact on sexuality

The use of psychoactive substances can also impair the ability to give clear, free, and mutual consent to sexual activity.

The specialised team offers inclusive, comprehensive, and multidisciplinary care to anyone who has questions or concerns about their substance use during sex. Relatives can also seek information and advice.

The first appointment provides an opportunity to discuss the situation and identify the person’s needs before proposing individualised support, which may include:

• Harm reduction consultations, providing tools to reduce risks associated with substance use

• Sexology consultations
• Addiction consultations with Unit in Primary Care Medicine and the Adult Psychiatry Service at HUG (CAAP Grand-Pré)
• Community support with Checkpoint Geneva (peer support and support groups)

In person consultations are preferred, but video consultations can be organised.

• E-mail: chemsex@hug.ch
• Telephone hotline (Monday – Friday, 9am – 6pm): 079 55 35 432

Cost 
This consultation is covered by basic health insurance (LAMal), after deduction of the deductible and the patient’s share (10% of costs, up to a maximum of CHF 700 per year). An evaluation with a social worker is available in case of financial or healthcare access difficulties.

The “chemsex” consultation is funded by Fondation Privée des HUG.