{"id":150824,"date":"2022-04-08T08:50:19","date_gmt":"2022-04-08T07:50:19","guid":{"rendered":"https:\/\/www.dcklinieken.nl\/?post_type=treatment&#038;p=150824"},"modified":"2022-11-03T09:58:35","modified_gmt":"2022-11-03T08:58:35","slug":"ain","status":"publish","type":"treatment","link":"https:\/\/www.dcklinieken.nl\/en\/hiv-care\/ain\/","title":{"rendered":"AIN"},"content":{"rendered":"<div class=\"care-page-block-with-sidebar\" >\n    <div class=\"container\">\n        <div class=\"wrapper gutter-md-32 content-holder\">\n            <div class=\"col-md-3 sticky-sidebar-holder sticky-desktop\">\n                <a class=\"sidebar-close-btn\" href=\"javascript:void(0)\"><span\n                        class=\"material-icons\">close<\/span> close<\/a>\n                <div class=\"sidebar is-cp\">\n                    <a class=\"sidebar-toggle-btn\" href=\"javascript:void(0)\"><span class=\"material-icons\">sort<\/span><\/a>\n                                        <h2 class=\"h3\">Table of content<\/h2>\n                                            <ul class=\"table-of-content\">\n                            <li>\n                                <div class=\"triangle\"><\/div>\n                            <\/li>\n                        <\/ul>\n                                    <\/div>\n\n                                                 <!-- END : Overwrite files check -->\n                \n                <div class=\"appointment-container\">\n                                                                        <a class=\"btn btn-primary\"\n                               href=\"tel:0880100944\">088 0100 944<\/a>\n                                                                                                                                        <span>The HIV treatment centre has its own direct dial number. Feel free to call us or to make an appointment.<\/span>\n                                                            <\/div>\n            <\/div>\n            <div class=\"col-md-9 main-content-holder\">\n                <div class=\"main-content content\">\n                                            <div class=\"type-care-page treatment\">\n                            <div class=\"icon-holder\">\n                                <svg fill=\"currentColor\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                                     xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" viewBox=\"0 0 500 500\"\n                                     style=\"enable-background:new 0 0 500 500;\" xml:space=\"preserve\"><path d=\"M419.4,338.9c-39,0-71.5,27.7-78.9,64.5H56.8c-13.3,0-24.2-10.8-24.2-24.2c0-13.3,10.8-24.2,24.2-24.2h72.5\n                                        c30.3,0,55.5-21,62.4-49.2c40.5-4.1,76.6-25.7,99.2-59.4c2.5-3.7,3.3-8.3,2.1-12.7c-1.1-4.2-3.9-7.6-7.8-9.7c0,0,0,0,0-0.1l51-102\n                                        c13.2-26.4,3.7-58.9-21.6-74.1l-24.4-14.6c0-0.2,0-0.3,0-0.5c0-17.8-14.4-32.2-32.2-32.2S226,14.9,226,32.7s14.4,32.2,32.2,32.2\n                                        c5.6,0,10.9-1.6,15.5-4.1l24.5,14.7c10.9,6.6,15,20.6,9.3,32l-51,102c-7.6-3.8-16.9-1.7-22.1,5c-13.5,17.3-34.2,27.6-56.7,27.6\n                                        s-43.3-10.3-56.7-27.6c-5.3-6.7-14.5-8.8-22.1-5l-51-102c-5.7-11.4-1.6-25.5,9.3-32l24.5-14.7c4.6,2.6,9.8,4.1,15.5,4.1\n                                        c17.8,0,32.2-14.4,32.2-32.2S114.9,0.5,97.1,0.5S64.9,14.9,64.9,32.7c0,0.2,0,0.3,0,0.5L40.6,47.9C15.3,63,5.8,95.6,19,121.9l51,102\n                                        c0,0,0,0,0,0.1c-3.8,2-6.6,5.5-7.7,9.7c-1.1,4.3-0.4,8.9,2.1,12.6c21.5,32.1,55.4,53.2,93.5,58.7c-5.3,10.4-16.1,17.7-28.6,17.7\n                                        H56.8c-31.1,0-56.4,25.3-56.4,56.4s25.3,56.4,56.4,56.4h283.6c7.5,36.8,40,64.5,78.9,64.5c44.5,0,80.6-36.1,80.6-80.6\n                                        S463.9,338.9,419.4,338.9z M419.4,467.8c-26.7,0-48.3-21.7-48.3-48.3c0-26.7,21.7-48.3,48.3-48.3c26.7,0,48.3,21.7,48.3,48.3\n                                        C467.7,446.1,446.1,467.8,419.4,467.8z\"><\/path>\n                                    <\/svg>\n                            <\/div>\n                                                            <span><strong>AIN<\/strong> is a treatment and is part of specialism                                    \n                                        \n                                                                                <a href=\"https:\/\/www.dcklinieken.nl\/en\/hiv-care\/\"><strong>hiv care<\/strong><\/a>\n                                    \n                                                                                                                                                                                    <\/span>\n                                                    <\/div>\n                                        \n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-ain\">What is AIN?<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>AIN (anal intra-epithelial neoplasia) is defined as a change in the mucous membrane in and around the anus. With AIN there are abnormal cells in the mucous membrane. These abnormal cells can transform into anal cancer in 10-30% of cases. For this reason, AIN is treated as a precursor of anal cancer.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-origin-of-ain\"><br>Origin of AIN<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>AIN is caused by the Human Papilloma Virus (HPV), the same virus that causes cervical cancer in women. The virus is probably present or was present in every sexually active person.<\/p>\n\n\n\n<p><br><\/p>\n\n\n\n<p>In HIV-positive (and HIV-negative) men who have sex with other men, AIN (and thus potentially anal cancer) occurs more often than in heterosexual men. Despite a properly customised medication, we can assume that the resistance of HIV-positive men is not capable of clearing HPV adequately enough.<\/p>\n\n\n\n<p><br><\/p>\n\n\n\n<p>In HIV-positive (and HIV-negative) men who have sex with other men, AIN (and thus potentially anal cancer) occurs more often than in heterosexual men. Despite a properly customised medication, we can assume that the resistance of HIV-positive men is not capable of clearing HPV adequately enough.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnosis-and-treatment\"><br>Diagnosis and treatment<\/h2>\n\n\n\n<div class=\"timeline-block block normal-timeline \" >\n    <div class=\"container\">\n                <div class=\"wrapper history-items \">\n                                    <!-- History item -->\n                                                <div class=\"col-12  \">\n                            <div class=\"history-item \">\n                                <div class=\"year\">\n                                    <h3>Diagnosis<\/h3>\n                                <\/div>\n                                <div class=\"history-content\">\n                                                                        <p>The screening for AIN is a preventive testing done to prevent complications around anal cancer.<\/p>\n<p>Any aberrations become evident through High-Resolution Anoscopy (HRA). This is a strong microscope that enables the detection of aberrant cells at the micro level. This allows precursor stages of anal cancer and anal cancer itself to be detected early on.<\/p>\n<p>We distinguish 4 different stages: no aberration, AIN 1, 2 or 3.<\/p>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                                <!-- \/\/ History item -->\n                                                                    <!-- History item -->\n                                                <div class=\"col-12  \">\n                            <div class=\"history-item \">\n                                <div class=\"year\">\n                                    <h3>Treatment<\/h3>\n                                <\/div>\n                                <div class=\"history-content\">\n                                                                        <p>If we diagnose AIN 2 or 3, the recommendation is to start treatment. There is not yet anal cancer, but definitely a precursor stage of it.<\/p>\n<p>The treatment involves heat therapy. The areas of mucous membrane containing AIN 2 or 3 are burned away. This is done with an electric \u2018pen\u2019 that radiates heat. You are locally anaesthetised with lidocaine spray and an injection.<\/p>\n<p>Sometimes a treatment with a cream, nitrogen or trichloroacetic acid is preferred. This is associated with your personal circumstances.<\/p>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                                <!-- \/\/ History item -->\n                                                                    <!-- History item -->\n                                                <div class=\"col-12 last-row \">\n                            <div class=\"history-item \">\n                                <div class=\"year\">\n                                    <h3>Check-ups<\/h3>\n                                <\/div>\n                                <div class=\"history-content\">\n                                                                        <p>After a screening and\/or treatment, you remain under the supervision of your anoscopy team.<\/p>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                                <!-- \/\/ History item -->\n                                                        \n        <\/div>\n\n    <\/div>\n<\/div>\n\n\n\n\n\n                                    <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n    \n<div class=\"container\">\n    <div class=\"specialists-appointment appointment-container care\">\n                                    <a class=\"btn btn-primary\"\n                   href=\"tel:0880100944\">088 0100 944<\/a>\n                                                                <span>The HIV treatment centre has its own direct dial number. Feel free to call us or to make an appointment.<\/span>\n                        <\/div>\n<\/div>\n\n\n\n<section class=\"usp-block-section\" >\n    <div class=\"usp-block-content bg-light-blue extended\">\n                <div class=\"container\">\n            <div class=\"usp-block-content__container\">\n                <h3 class=\"h2\"><\/h3><h2>The benefits of the HIV treatment centre<\/h2>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"usp-list\">\n        <div class=\"container\">\n            <div class=\"owl-carousel\">\n                                                            \n                        <div class=\"usp-list__item\">\n                            <div class=\"usp-list__icon\">\n                                <i class=\"material-icons\">&#xe192;<\/i>                            <\/div>\n                            <div class=\"usp-list__label\">\n                                <p>During our 30-minute consults, we take the time to really listen to you.<\/p>\n                            <\/div>\n                        <\/div>\n\n                                            \n                        <div class=\"usp-list__item\">\n                            <div class=\"usp-list__icon\">\n                                <i class=\"material-icons\">&#xe7fd;<\/i>                            <\/div>\n                            <div class=\"usp-list__label\">\n                                <p>We are flexible: a clinic with a low threshold, evening consultations and short waiting lists.<\/p>\n                            <\/div>\n                        <\/div>\n\n                                            \n                        <div class=\"usp-list__item\">\n                            <div class=\"usp-list__icon\">\n                                <i class=\"material-icons\">&#xe88a;<\/i>                            <\/div>\n                            <div class=\"usp-list__label\">\n                                <p>Collaboration with Amsterdam UMC and various medical expertises: all under one roof.<\/p>\n                            <\/div>\n                        <\/div>\n\n                                    \n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"usp-block-end\"><\/div>\n<\/section>\n\n\n\n<div class=\"faq-url-block block \" >\n    <div class=\"container\">\n        <div class=\"wrapper\">\n            <div class=\"col-md-7\">\n                <div class=\"collapse-container  wrapper \">\n                                            <h2 class=\"h2\">Frequently asked questions<\/h2>\n                                                            <div class=\"collapse\">\n                                                                                    <div class=\"collapse__item\">\n                                    <button aria-expanded=\"false\" class=\"collapse__title\">\n                                        <span class=\"text\">Where do I have to report for my appointment?<\/span>\n                                        <span class=\"collapse__icon\"><\/span>\n                                    <\/button>\n\n                                    <div class=\"collapse__content editor-content\">\n                                        <!-- wp:paragraph -->\n<p>Upon entering, report to the second counter. Please ensure that you arrive 10 minutes before your appointment.<\/p>\n<!-- \/wp:paragraph -->\n                                        <form action=\"#\" method=\"post\">\n                                            <fieldset class=\"faq-rating\">\n                                                <legend>Was the answer to the above question helpful?<\/legend>\n                                                <div class=\"ratings\">\n                                                    <button type='button' class=\"rating\" aria-pressed=\"false\" data-type=\"helpful\" data-id=\"150869\">Yes<span class=\"count\">(0)<\/span><\/button>\n                                                    <button type='button' class=\"rating\" aria-pressed=\"false\" data-type=\"unhelpful\"  data-id=\"150869\">No<span class=\"count\">(0)<\/span><\/button>\n                                                <\/div>\n                                            <\/fieldset>\n                                        <\/form>\n                                    <\/div>\n                                <\/div>\n                                                            <div class=\"collapse__item\">\n                                    <button aria-expanded=\"false\" class=\"collapse__title\">\n                                        <span class=\"text\">Will my treatment at the DC Klinieken be reimbursed?<\/span>\n                                        <span class=\"collapse__icon\"><\/span>\n                                    <\/button>\n\n                                    <div class=\"collapse__content editor-content\">\n                                        <!-- wp:paragraph -->\n<p>DC Klinieken has contracts with all healthcare insurers for 2020. This means that all treatments within the basic insurance will be reimbursed. However, do bear in mind your excess. There are also treatments that might be reimbursed by your supplementary insurance. Read your supplementary policy to find out whether this is the case.<\/p>\n<!-- \/wp:paragraph -->\n                                        <form action=\"#\" method=\"post\">\n                                            <fieldset class=\"faq-rating\">\n                                                <legend>Was the answer to the above question helpful?<\/legend>\n                                                <div class=\"ratings\">\n                                                    <button type='button' class=\"rating\" aria-pressed=\"false\" data-type=\"helpful\" data-id=\"120163\">Yes<span class=\"count\">(5)<\/span><\/button>\n                                                    <button type='button' class=\"rating\" aria-pressed=\"false\" data-type=\"unhelpful\"  data-id=\"120163\">No<span class=\"count\">(1)<\/span><\/button>\n                                                <\/div>\n                                            <\/fieldset>\n                                        <\/form>\n                                    <\/div>\n                                <\/div>\n                                                            <div class=\"collapse__item\">\n                                    <button aria-expanded=\"false\" class=\"collapse__title\">\n                                        <span class=\"text\">What can I go to the HIV treatment centre for?<\/span>\n                                        <span class=\"collapse__icon\"><\/span>\n                                    <\/button>\n\n                                    <div class=\"collapse__content editor-content\">\n                                        <!-- wp:paragraph -->\n<p>You can make an appointment with us for the testing and treatment of HIV and for PrEP medication. During the HIV consultations, you will be informed about vaccinations, AIN and hepatitis, and you can schedule an appointment for that.<\/p>\n<!-- \/wp:paragraph -->\n                                        <form action=\"#\" method=\"post\">\n                                            <fieldset class=\"faq-rating\">\n                                                <legend>Was the answer to the above question helpful?<\/legend>\n                                                <div class=\"ratings\">\n                                                    <button type='button' class=\"rating\" aria-pressed=\"false\" data-type=\"helpful\" data-id=\"150845\">Yes<span class=\"count\">(1)<\/span><\/button>\n                                                    <button type='button' class=\"rating\" aria-pressed=\"false\" data-type=\"unhelpful\"  data-id=\"150845\">No<span class=\"count\">(0)<\/span><\/button>\n                                                <\/div>\n                                            <\/fieldset>\n                                        <\/form>\n                                    <\/div>\n                                <\/div>\n                                                                                                <\/div>\n                <\/div>\n            <\/div>\n            <div class=\"col-md-4 col-md-offset-1 md-base-mt-lg\">\n                                    <h3 class=\"h2\">Useful links<\/h3>\n                                            <ul class=\"useful-links\">\n                                                                                            <li>\n                                    <i class=\"material-icons\">&#xe879;<\/i>                                    <a href=\"https:\/\/www.dcklinieken.nl\/en\/hiv-zorg\/\" target=\"_self\">HIV care<\/a>\n                                <\/li>\n                                                                                <\/ul>\n                                                                                                    <\/div>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<script type=\"application\/ld+json\">\n    {\n        \"@context\": \"https:\/\/schema.org\",\n        \"@type\": \"FAQPage\",\n        \"mainEntity\": [\n                                {\n                \"@type\": \"Question\",\n                \"name\": \"Where do I have to report for my appointment?\",\n                \"acceptedAnswer\": {\n                    \"@type\": \"Answer\",\n                    \"text\": \"Upon entering, report to the second counter. Please ensure that you arrive 10 minutes before your appointment.\"\n                }\n            },                        {\n                \"@type\": \"Question\",\n                \"name\": \"Will my treatment at the DC Klinieken be reimbursed?\",\n                \"acceptedAnswer\": {\n                    \"@type\": \"Answer\",\n                    \"text\": \"DC Klinieken has contracts with all healthcare insurers for 2020. This means that all treatments within the basic insurance will be reimbursed. However, do bear in mind your excess. There are also treatments that might be reimbursed by your supplementary insurance. 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At the HIV treatment centre, the AIN diagnosis is made and the treatment administered.<\/p>\n","protected":false},"featured_media":0,"template":"","acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.3 (Yoast SEO v21.9.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>AIN - DC Klinieken<\/title>\n<meta name=\"description\" content=\"AIN means a change in the mucous membrane in and around the anus. Abnormal cells in the mucous membrane can be a precursor to anal cancer.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dcklinieken.nl\/en\/hiv-care\/ain\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AIN\" \/>\n<meta property=\"og:description\" content=\"AIN means a change in the mucous membrane in and around the anus. 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