Sexual Health

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If you think you are at risk of having an STI, or recently were told by someone that you have had sex with those who had a STI then it’s a good time to come in and chat about your sexual health.

It’s important to know that we may ask some questions that clarify your risks, but we never pass any judgement on sexual practices. Everybody has different tastes; all we want to do is make sure you’re staying safe while having sex.

It depends on what kind of sex you’re having. We want to check for both bacterial and viral infections, and this can involve a urine sample, swabs and a blood test.

Swabs can be collected from the throat, urethra, cervix and rectum. They are also taken if there are lesions that are suspicious for genital herpes or syphilis.

Urethral swabs are required in patients with symptoms of urethritis and discharge (if the discharge isn’t directly present).

Often sexual health tests will be conducted looking for:

Chlamydia
Gonorrhoea
Syphilis
HIV
Hepatitis A
Hepatitis B
Hepatitis C

If you’re having issues with the skin, then a physical examination may be all that’s required to have a look and make a diagnosis. Common sexually transmitted skin conditions include:

Crabs
Genital and anal herpes
Genital and anal warts
Scabies
Molluscum contagiosum

Not every test is necessary for every person, so have a chat to your doctor to decide what should be checked and how often.

Anytime that you think you may have been exposed to an STI.

This often means having unprotected sexual intercourse, or if a recent partner has told you they have been diagnosed with an STI, or they’ve had sexual contact from someone diagnosed with an STI.

If you are sexually active, then chlamydia (and sometimes gonorrhoea) should be tested for annually or more frequently if the risk is higher.

If you fall into a higher risk category, then you may need testing more frequently.

These groups include people who.

Have unprotected anal sex
Have had greater than 10 sexual partners in the last 6 months
Participate in group sex
Use recreational drugs during sex
Or are HIV positive

If you think you are at higher risk, then STI testing up to 4 times a year is advised.

There is absolutely nothing to be embarrassed about when it comes to sex. Although it can be rather personal and something private, it is important to talk openly to your doctor about your concerns and sexual practices. Some typical questions we might ask you are:

When was the last time you had sex?
Have you had sex with anyone else?
How do you have sex? Vaginal, oral, anal, other?
Did you use a condom?
Have your partners been male or female?
How many sexual partners have you had in the last 3 months?
Have you ever been paid to have sex?
Have you ever paid for sex?

And so on.

We will discuss this at the time of testing, but here are the basics.

Anything that needs treatment, we will contact you: You will get a generic SMS asking you to book in to see a doctor if you need treatment. Please book in as soon as you can.
If you are still anxious, you can call us: But only on the results line, and only between 1-2pm Monday to Friday. Our results line number is 02 8197 1125 where we can let you know if all your results are back, and if they are normal or not. Please allow up to 7 days before calling, as some swabs and samples may take this long to return.

One thing that makes people quite anxious is how do they let their sexual contacts know to get tested and treated. It should be reassuring that most people report appreciation at being informed, rather than finding out later when they develop symptoms.

Each condition has a different contact tracing period so your doctor will help guide you here.

If you absolutely cannot tell your previous partners about potential exposure, you can always use websites such as

Or let your doctor know so they can help inform your partners.

Not having sex really isn’t an acceptable option to most people, so we have to rely on the next best thing.

They do work, and they work well. However, they do need to be used properly to reduce and prevent the chance of becoming infected with an STI. It’s important to remember they still aren’t 100% and don’t protect against all STI’s, but are very effective in preventing HIV, chlamydia and gonorrhoea. Syphilis can be protected if a sore is covered by the condom, but it can still affect areas outside of this.

Asking your potential partners about any known STI’s or recent checks can be helpful, but also isn’t 100%.

For people at high risk of developing HIV, there is medicine available to prevent the chance of contracting the virus if taken every day. This is called PrEP, and you can read more about it here.

HIV Management

Hepatitis C Treatment

Contraception

GSH Doctors who provides Sexual Health service

Dr Andrew Leigh

Doctor of Medicine, University of Sydney 2020

Acute IllnessChronic Disease Prevention & ManagementMental HealthSexual HealthTravel HealthWork Health

Sexual Health

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