Sexual health

Sexually transmitted infections

Chlamydia and Gonorrhoea Screening

Chlamydia is the most common Sexually Transmitted Infection (STI) in those under the age of 25.

Most people who have it will have no symptoms, and without a test will not know they have it.

Those with symptoms may notice increased vaginal discharge, painful urination, pain with sex, irregular bleeding or discharge from the penis.

It is easily treated with antibiotics, but left untreated it can cause long term complications. It is passed on by having sexual contact (vaginal/oral/anal) with someone with the infection, or via sharing sex toys.

For testing females take a vaginal swab and males provide a urine sample.

The test kits are freely available in the practice from display boxes in the waiting room, on windowsills along both corridors and from the office.

An appointment is not required for this test. Postal kits have been withdrawn so you will need to return this test to one of the sample boxes in the practice.

Under 25’s are recommended to have annual testing and with any change in partner.

Asymptomatic Sexual Health Appointments

Bristol City Council has unfortunately withdrawn GP funding for asymptomatic screening for blood borne Sexually Transmitted Infections.

They have agreed to fund HIV testing for a small group of patients. http://www.nhs.uk/conditions/HIV/Pages/Introduction.aspx

You may be offered additional tests for Syphilis and Hepatitis if appropriate at the same time as the HIV test.

Please contact the office for an Asymptomatic Sexual Health appointment only if you fall into one of the following categories and are seeking HIV testing.

1) People diagnosed with a Sexually Transmitted Infection eg Genital Warts, Genital Herpes, Chlamydia, Gonorrhoea, Trichomonas, Hepatitis, NSU (Non specific urethritis)

2) People from a country with a high prevalence of HIV (>1%) *

3) Sexual partners of those from a high HIV prevalence country (>1%) *

4) Sexual partners of those known to be HIV positive

5) IV drug users

* Countries with HIV prevalence in adults above 1%:

Angola, Bahamas, Belize, Benin, Botswana, Burundi, Cameroon, Central African Republic, Chad, Congo, Republic of Cote d’Ivory /Ivory Coast, Democratic Republic of the Congo, Estonia, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Guyana, Haiti, Jamaica, Kenya, Lesotho, Liberia, Malawi, Mauritius, Mozambique, Namibia, Nigeria, Rwanda, Sierra Leone, South Africa, South Sudan, Swaziland, Tanzania, Thailand, Togo, Trinidad and Tobago, Uganda, Zambia

If you fall outside these categories you can still seek screening via – Unity Sexual Health Clinic (Tower Hill BS2 0JD) 0117 3426900

Symptomatic Sexual Health Appointments

Bristol City Council has unfortunately withdrawn GP funding that previously covered all symptomatic sexual health problems and Sexually Transmitted Infections.

They have agreed to fund a service for patients with the following problems-

Syphilis

HIV

Female Pelvic Inflammatory Disease

Epididymitis or Orchitis

Chancroid

Non specific urethritis

Trichomonas

Penile discharge

Balanitis

Testicular Pain

Sexual contacts of Gonorrhoea, Syphilis or HIV

Patients who have symptoms that are not attributable to these sexual health problems (eg Genital Warts or herpes) may be directed to Bristol sexual Health Clinic for assessment and treatment. 

Please contact the surgery if you need further advice.