I have experienced sexual violence

With your request and consent, we offer:

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Initial counselling

You will first be seen by an on-call midwife in the admissions department or a specially trained doctor who understands the impact of sexual violence and the severity of the trauma you may have experienced. You will be given clear information about the support available, allowing you to make decisions at your own pace. We will listen to your concerns, help you explore possible solutions, and advise you on further support options.

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Examination and collection of evidence

If you wish, we can carry out a medical examination and collect evidence. This helps assess your health, document and treat any injuries, and gather evidence that may be used later if needed. It is natural to feel anxious or uncomfortable before the examination. Our doctors and midwives are specially trained to ensure the process is conducted with sensitivity, dignity, and respect. Everything will be explained to you throughout the examination. You have the right to pause or stop the examination at any time. You may also ask a trusted person to be present.

During the examination, the doctor will:

• ask about your medical history
• assess any injuries
• discuss whether pregnancy prevention is needed (for example, emergency contraception)
• discuss whether treatment is needed to reduce the risk of HIV or other sexually transmitted infections (STIs)
• determine what evidence may be collected (for example, biological samples or clothing)
• collect urine and blood samples, if necessary, to test for the presence of substances

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Prevention of pregnancy

If there is a risk of pregnancy, we offer options for emergency contraception. These include emergency contraceptive pills and the insertion of a copper intrauterine device (IUD). Emergency contraception is most effective when used as soon as possible, ideally within 3–5 days. Both options are provided free of charge. Your doctor will help you choose the most suitable option.

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STD testing and HIV post-exposure treatment

There may be a risk of sexually transmitted infections following sexual violence. We will advise you on appropriate testing and whether preventive treatment is needed. Testing may include chlamydia, gonorrhoea, and trichomoniasis, using swabs or urine samples. With your consent, blood tests for HIV, syphilis, and hepatitis B will also be taken. Follow-up testing may be required, and your doctor will guide you through this.

In some cases, post-exposure prophylaxis (PEP) for HIV may be recommended. This treatment reduces the risk of HIV infection and should be started within 72 hours. Your doctor will advise you and arrange referral to an infectious diseases specialist if needed. The treatment course lasts 28 days.

If you have not been vaccinated against hepatitis B and vaccination is recommended, this should be started as soon as possible (no later than 6 weeks). You will be referred accordingly. All tests and treatment are provided free of charge.

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Follow-up counselling

Our counsellors are specially trained to support survivors of sexual violence. You may experience unfamiliar feelings such as vulnerability, fear, or isolation. These are normal reactions to trauma. You may find it helpful to talk to someone who understands.

After your initial visit, we will invite you for follow-up appointments with a gynaecologist. These visits provide an opportunity to discuss your wellbeing, receive support in restoring your daily routine, and process what has happened. If needed, you may be referred to a psychologist or another specialist. Support can also be offered to your loved ones.

Follow-up appointments can be arranged at times that suit you and continued for as long as needed. Even if you are unsure about counselling at first, many people find it increasingly helpful over time.

Read more: Coping after sexual violence

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Support when contacting the police

You may wish to consider reporting the incident to the police. This is entirely your decision—whether to report, and when, is up to you. Reporting may help prevent harm to others.

If you are in immediate danger, call the police right away.

During your visit, a doctor can explain how to contact the police and what to expect from the process. You may wish to bring a trusted person with you. We can also advise you on accessing legal support and refer you to appropriate support services.

You can seek help at any time—either by coming directly to the reception room of the Women's Health Clinic of West Tallinn Central Hospital (open 24/7), or by contacting the police first, who can refer you for medical care. You may also be referred by your GP or another specialist.

You have the right to receive medical care first and decide later whether to involve the police.