STUDENTS' HEALTH SERVICE

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Sexual health and contraception

Contraception

You can see a nurse prescriber in a routine appointment to get advice and prescriptions for contraception.

If you are considering a coil (IUD/Intrauterine Device) then you should make a pre-fit counselling appointment with Dr Goodfellow, Dr Grant, Dr Mobbs, Dr Percival or Dr Murray.

If you are considering a contraceptive implant (Implanon) you should make a pre-fit counselling appointment with Dr Mobbs, Dr Grant, Dr Percival, Dr Murray, Nurse Morle or Nurse Windatt.

If you need Emergency Contraception (missed pill, split condom etc) then it is important you are seen as soon as possible as it is more effective if taken within 24 hours. Nurses usually issue emergency contraception. Please let Reception staff know that you need to be seen the same day/urgently. Alternatively, you can also purchase the emergency contraceptive pill over the counter from your local pharmacy.

Sexual Health

The Students’ Health Service is unusual for a General Practice in that we offer a specialist sexual health service. We can test for a wide range of sexually transmitted disease including (but not limited to) chlamydia, gonnorhoea, hepatitis and HIV. We are happy to do testing even if you have no symptoms but feel that you have been at risk.

There are 3 types of sexual health appointment – symptomatic, asymptomatic (ie you do not have any symptoms but feel that you may have been at risk) and a NAATS test appointment, which tests for chlamydia and gonorrhoea. The information below is designed to help you assess which type of appointment is most appropriate to your needs.

Do you have any of the following symptoms?

Women

• Unexplained abdominal pain
• Pain when passing urine or going more frequently
• Any unusual / new lumps or ulcers
• Vaginal discharge which is unusual for you (most women have a clear or white discharge, if this changes or becomes smelly you should seek advice)
• Pain when having sex
• Bleeding after sex
• Bleeding between periods or on pill taking days (COC)

Men

• Discharge from your penis
• Any unusual / new lumps or ulcers
• Pain in your genitals
• Passing urine more frequently than normal or pain when passing urine

If the answer to these questions is no we can offer you an appointment with a Healthcare Assistant who will explain to you how to take urine or vaginal samples for testing. The testing is for chlamydia and gonorrhoea only. As this is a 5 minute appointment, if you arrive late you will not be seen.

If you answer yes, you will be offered an appointment with the nurse or duty doctor as appropriate.

Do any of the following risk factors apply to you?

• Are you, or have you ever had a sexual partner who is gay or bisexual?
• Have you, or have you had a sexual partner who injects drugs?
• Have you, or any sexual partner, lived in a country with high prevalence of HIV infection, e.g. Africa, Central/South America, Caribbean?
• Have you ever had a blood transfusion or organ transplant?
• Have you ever paid for sex or been paid for sex?

If any of the above apply, you will be offered an appointment in the Sexual Heath Clinic which will include a full sexual health risk assessment, including blood testing if necessary.

Other Bristol services

Bristol Sexual Health Service

Bristol Sexual Health Service
Tower Hill, Bristol, BS2 0JD

http://www.bristolsexualhealth.nhs.uk/

For an appointment with the Bristol Sexual Health Service telephone 0117 3426900

Pregnancy Advisory Service

If you think you may be pregnant then please come in to see us. Sometimes pregnancy is accidental and unwanted and you may wish to be referred to the Pregnancy Advisory Service to discuss termination of pregnancy.

You can self-refer to the Pregnancy Advisory Service, their number is 0117 9276362 and they are available 24/7. This service is available in Bristol, you will need to let PAS know your Bristol address and also our address as your registered General Practice.

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