Please see details of where and when the locality clinics are on the Lothian Sexual Health website. This link can be shared with patients.
Lothian Sexual Health clinics are distributed throughout Lothian. They offer a range of sexual health services for men and women of all ages. The locality clinics offer several levels of sexual health care, with Howden Sexual Health Service providing specialist input (including HIV care, Menopause and Complex Sexual & Reproductive Health (SRH) clinics)
Most clinics are nurse led and can provide:
- Contraception including condoms and all methods of emergency contraception
- STI testing for all genders including for HIV
- Testing, support, advice and provision of PrEP
- Management of symptoms of STIs
- Treatment of STIs including gonorrhoea and syphilis – ideally cases of gonorrhoea in West Lothian should be referred to Howden (where cultures plates are available)
- Pregnancy testing/counselling/referral
- Cervical screening (opportunistically where the woman is attending for another reason: routine screening is offered in general practice)
- Implant insertion and removal. These can be booked online via Book an Appointment | Lothian Sexual Health
- IUD insertion and removal. These can be booked online via Book an Appointment | Lothian Sexual Health
If for any reason, the peripheral clinic is unable to provide the sexual health service needed, the patient will be guided to a service elsewhere.
LARC+ Drop-In Service
A contraception drop-in service is available every Tuesday evening at Howden Sexual Health. Patients can arrive between 4.00 PM to 5.30PM and the clinics runs until 7PM.
The following services are available at this clinic:
- Intrauterine device insertion/removal
- Implant insertion/removal
- Contraceptive injections
- Other priority contraception (for those unable to access this easily via primary care).
Howden Sexual Health + Drop-In Service
A new drop-in service is available every Friday morning at Howden Health Centre in Livingston from 8:30 AM to 11:00 AM. This is for anyone with an urgent sexual health issue. Some examples include:
- New symptoms of an STI
- Testing positive for an STI
- Having had sex with someone who has tested positive for an STI
- Need for emergency contraception.
CM & EG 26.9.2025
Who to refer:
- Men /women who require HIV PrEP
- Men who request vasectomy
- Women with complex contraceptive problems
- Women who request an abortion where a GP referral to gynaecology cannot be made (but please also note women can self-refer).
- Women who request IUD/S or contraceptive implant insertion or removal where this cannot be provided locally.
- Women /men who have been sexually assaulted
Who not to refer:
- Men and women at low risk who require tests for STI and HIV
- Men / women with a new presentation of genital warts
- Women established with an effective method of contraception who require a routine repeat supply.
- Women who require a routine cervical smear.
- Men and women who require investigation of fertility.
- Men with erectile dysfunction
- Women with gynaecological problems (Please refer to Chalmers Gynaecology)
How to refer:
Please phone 0131 536 1070 to book an appointment or you can book an appointment on line: Book an Appointment | Lothian Sexual Health
GP referral via sci gateway.
Please note that genital dermatology and chronic GUM issues will be triaged by the SRH team and it may be more appropriate for them to be seen at Chalmers Centre depending on the complexity of the issue
