Please watch our RefTalk on STIs which gives an overview of risk groups, testing, diagnostic and treatment approaches with a focus on Monkey Pox and HIV.
Services
STI and HIV testing and treatment, along with other specialist genitourinary referral services, are provided by the integrated Lothian Sexual and Reproductive Health services team based at Chalmers Sexual Health Centre and ten Sexual Health Local Clinics opens a new window across Lothian.
The Chalmers ‘where to start’ guidance opens a new window gives advice on assessment and testing for STIs and related conditions.
Please also see the clinical pathways for individual conditions for help with management in general practice and guidance on the point at which referral is indicated.
Remote STI testing:
- Routine check-ups for sexually transmitted infections for those without symptoms can be done with a Self Sampling Kit.
- The kit is very simple to use and includes tests for Gonorrhoea, Chlamydia (using swab or urine samples) along with finger prick blood tests for HIV and Syphilis.
At Chalmers:
- Diagnosis, treatment and contact tracing (partner notification) of sexually transmitted infections (STI) in patients with or without symptoms
- Diagnosis and treatment of genital symptoms that may or may not be due to an STI.
- Diagnosis and ongoing care of patients with HIV infection.
- Management of adults who have been sexually assaulted – please see Sexual Assault Services opens a new window.
- Management of young adults who may have been sexually abused (seen previously by Community Paediatrics)
- Provision of HIV Post-Exposure Prophylaxis following Sexual Exposure (PEPSE)
- Provision of Pre-Exposure Prophylaxis for HIV (PrEP).
- Vaccination against Hepatitis A & B and HPV for those at risk through sexual contact.
- Vaccination against HPV for GBMSM under the age of 45.
At local clinics:
- All Local Clinics opens a new window offer a full range of STI testing services, vaccination and treatments for common STIs as well as contraceptive and reproductive health services.
- Formal referrals are required for complex problems, HIV care, PrEP provision and treatment for gonorrhoea and syphilis. Those services are only provided at the Chalmers Centre and the local clinic at Howden.
C.M & S.W 19-12-23