Health Information – Fleetwood Surgery

Health Information - Fleetwood Surgery

Cold sores usually clear up without treatment within 7 to 10 days, but antiviral creams are available from pharmacies over the counter. We offer free, confidential tests for and treatment of sexually transmitted infections (STIs) at the Clare Simpson Clinic (Barnet Hospital and Edgware Community Hospital) and the Marlborough Clinic (Royal Free Hospital). The rash isn’t usually itchy, and spreads over a number of hours or days. Includes car parking charges and details for Blue Badge holders. You can get an STI by having vaginal sex, anal sex, or oral sex. Psoriasis typically causes flaky red patches of skin covered in silver scales. See separate leaflet called Sexually Transmitted Infections for more details.

As a result of the associated risk, a thorough evaluation of the expected benefits of treatment is required when prescribing the above medications. Candida (thrush) in men   (“thrush”) – this can cause an itchy discharge … Testing for chlamydia, gonorrhoea and trichomonas usually involves taking ‘swabs’. The main symptoms are intense itching that gets worse at night, and a rash of tiny red spots. It can be gently rubbed in various places to obtain a sample of mucus, discharge, or some cells. However, it can sometimes be difficult to determine which medication is causing it, so stopping all non-essential medications may be recommended. Contraceptive vaginal ring A small, flexible, plastic ring put into the vagina …

A swab sample can also detect thrush, bacterial vaginosis and various other germs (bacteria) which are not STIs. Chlamydia can also be detected using samples of urine. HIV, hepatitis B and C and syphilis are usually tested for using a blood sample which is sent to a laboratory for analysis. The doctor treating you will be able to advise you further about this. Emergency Contraception   If you have had sex without using contraception … However, if your GP suspects that you may have an STI, he or she is likely to refer you to a genitourinary medicine (GUM) clinic. Some GPs may do tests and manage the situation without a referral to a GUM clinic; OR Go to a GUM clinic directly.

You do not need a referral from your GP to go to a GUM clinic; OR Check to see if you can send your own sample to a laboratory by post. If you’re of Chinese, southeast Asian or Indian descent, genetic testing may be recommended before taking medications, such as carbamazepine and allopurinol, that are known to have an associated risk of causing Stevens-Johnson syndrome. Health professionals Go Sexual Health, health professionals, Clinics, Cheshire East, Cheshire West, Macclesfield, Alsager, Chester, Congleton, Crewe, Ellesmere port, Handforth, Knutsford, Nantwich, Poynton, Disley, Sandbach, Vale Royal, Wilmslow Hepatitis B   For more information visit NHS Choices using link … Staff in most GUM clinics include doctors, nurses and sexual health advisors. Many GUM clinics are attached to hospitals. Some are based in community settings. Other names that have been given to GUM clinics include STI clinics, STD clinics (STD is short for sexually transmitted disease), VD clinics (VD is short for venereal disease), and sexual health clinics.

IUS (Mirena coil) A plastic coil with hormone – they can last 5 … Some people are diagnosed with an STI in another type of clinic – for example, at a GP surgery, or in a family planning clinic. In these situations you are still likely to be referred to a GUM clinic for treatment, and for any follow-up or counselling that may be required. Anyone can attend a GUM clinic. You do not have to be aged over 16. Scabies   For more information visit NHS Choices using the … You can go to any GUM clinic – it does not have to be the one nearest to you.

This may vary depending on the clinic. For many, you do not need to forward book an appointment but can just turn up. However, you may have to wait some time to be seen depending on how busy it is. Candida (thrush) in men   (“thrush”) – this can cause an itchy discharge … Some clinics can become quite busy. If you suspect that you have an STI, then contact your local GUM clinic or see your GP. You can go to the local GUM clinic without a referral from your GP.

You can ring your local hospital or your GP and ask where the nearest clinic is. Contraceptive vaginal ring A small, flexible, plastic ring put into the vagina … When you arrive at a clinic you will have to register. You will be asked for your name, address, date of birth, contact telephone number, and the name of your GP. This information is treated confidentially. The clinic will not contact you at home or contact your GP without your permission. Emergency Contraception   If you have had sex without using contraception …

However, if you have a concern, you do not have to give any details. You can even give a false name. The important thing is that whatever name you do use, you should use the same name for any follow-up appointment, to avoid any confusion; for example, when you return for the result of any tests. To help identify you as the correct person for any follow-up, you will be given a card with your clinic number on it, which you should bring back to any follow-up appointment. Gonorrhoea   For more information visit NHS Choices using link … How many people have you had sex with in the last few weeks and were they male or female? What type of sex have you had – vaginal, oral, anal sex?

Have you previously had a sexually transmitted infection (STI)? What is the state of your general health? Infections Go Sexual Health, Infections, Clinics, Cheshire East, Cheshire West, Macclesfield, Alsager, Chester, Congleton, Crewe, Ellesmere port, Handforth, Knutsford, Nantwich, Poynton, Disley, Sandbach, Vale Royal, Wilmslow IUD (coil) made of plastic and copper (no hormone), fitted into … Do you have any allergies? If you are a woman you may be asked about the date of your last period and whether there is a chance that you may be pregnant, as this might affect treatment options. A doctor will usually examine you. You can ask for a male or female doctor, but you may have to return at a different time (or even to a different clinic) if a doctor of a particular sex is not currently available.

Health Information - Fleetwood Surgery
Pubic Lice   For more information visit NHS Choices using link … The doctor may also feel the tops of your legs (your groins) to check for enlarged or tender glands called lymph nodes. If necessary, the doctor may also do a general examination to check on your general health. After the examination of the outside of the genitals the doctor will ask your permission to insert a speculum. This is a plastic or metal device which is also used to take a cervical smear. Bacterial Vaginosis   For more information visit NHS Choices using link … The doctor will usually warm the speculum if it is metal and cover the tip in lubricating jelly.

Once the speculum has been inserted it is slowly opened and held in place by a catch. The doctor will then look closely at the walls of the vagina for any discharge or redness. A swab is usually taken from the vagina and from the cervix. Contraception Go Sexual Health, Contraception, Clinics, Cheshire East, Cheshire West, Macclesfield, Alsager, Chester, Congleton, Crewe, Ellesmere port, Handforth, Knutsford, Nantwich, Poynton, Disley, Sandbach, Vale Royal, Wilmslow Contraceptive patch – has oestrogen and progestogen hormones For more information … The doctor will then slowly remove the speculum. After this has been done a small plastic spatula may be used to take cells from the urethra (the opening which allows urine to pass from the bladder to the outside of the body). This may feel a little scratchy.

Depending on the information you have given initially it may also be necessary to take swabs from the back passage (rectum) or the throat. Emergency contraception If you have had sex without using contraception or … You may be asked to provide a urine sample. After the examination of the outside of the genitals the doctor will ask for your permission to insert a swab into the urethra. This may feel a little uncomfortable but most people do not find it painful. Depending on the information you have given initially it may also be necessary to take swabs from the rectum or the throat. Go Sexual Health Sexual health and contraception services in Chester and eastern and western Cheshire.

Sometimes this is done using a proctoscope. This is a small tube, usually made of plastic, that makes it possible to see inside the rectum. After all the swabs are taken you will be able to get dressed. You may be asked to provide a urine sample. Implant placed under the skin of the arm – lasts … This is mainly used to test for syphilis, hepatitis B, hepatitis C and HIV. Sometimes you may be advised to delay having a blood test.

For example, following an initial infection of HIV it can take several weeks for a blood test to become positive. So, for example, if within the previous few days you had sex with someone who is HIV-positive, you may be advised to wait several weeks to have a blood test to see if you have become infected. Pregnancy Go Sexual Health, Pregnancy, Clinics, Cheshire East, Cheshire West, Macclesfield, Alsager, Chester, Congleton, Crewe, Ellesmere port, Handforth, Knutsford, Nantwich, Poynton, Disley, Sandbach, Vale Royal, Wilmslow Progestogen-only pill – mini pill For more information please visit NHS choices … Your doctor will advise you about when the test results will be available; this can take up to a fortnight. Your doctor or nurse will take the swabs and smear them on to special slides. This allows him/her to look at the cells taken from the swabs under the microscope. Some germs (bacteria) that cause infections can be seen in the cells you have provided by having swabs done.

Trust awards Awards won by East Cheshire NHS Trust departments and staff in 2014. This may mean you are given a positive result on the day, if you have the infection. However, even though the bacteria can be detected under the microscope, they are not always seen, even if they are present. To make sure the test result is reliable, the sample you give is put into a special pot. This pot also contains a substance that allows the bacteria to grow. Candida (thrush) in women   (“thrush”) – this can cause an itchy discharge … The plates are then checked to see if any bacteria which cause sexually transmitted infections (STIs) have grown.

It takes a while for the bacteria to grow; this is why you may be asked to check back with the clinic for more results in a few weeks’ time. Trichomonas can also be seen under the microscope. Some clinics offer same-day HIV testing. Deciding to keep the baby If you want to go through with the pregnancy … Most clinics ask you to make an appointment for this service, as it may only take place at certain times. The swabs that are taken sometimes show other infections which are not considered to be STIs. This includes bacterial vaginosis and thrush.

These infections can also be seen by looking at the samples you give under the microscope. Emergency Department An overview of Accident and Emergency at Macclesfield Hospital FAQ’s “I didn’t have an orgasm – could I still … They will give you any results available from checking the cells under the microscope. You will also be advised about how long it should take to get any other test results back to the clinic. Each clinic has a different method of giving test results. Some may ask you to come back or ring the clinic, some work on a ‘no news is good news’ policy. Hepatitis C For more information visit NHS Choices using link below: …

If you have a positive test result on the day of your attendance at clinic you will be given treatment and advice on the same day. You will also be asked to speak to a sexual health advisor to help trace any of your sexual partners who may have come into contact with the infection. The treatment that you will be offered depends on what STI is found. For example, a short course of antibiotic medicine can usually clear away chlamydia, gonorrhoea, syphilis and trichomonas. Male Condoms These help to avoid sexually transmitted infections and prevent … Topical treatments can usually clear most anogenital warts. Treatments for genital herpes, hepatitis B, hepatitis C, and HIV are more involved and complex.

You will be given advice about what treatment options you have and given time to ask questions. Also, the separate leaflets, listed above, for all these conditions give details about treatment options. Support Make sure you get some support Though you may … If you develop side-effects then seek advice from the GUM clinic or from your GP as to what to do. Do not simply stop taking the medication. For some infections you will be asked to return after a course of treatment to check that the infection has gone. Do not have sex again until the time advised by the clinic.

Candida (thrush) in women   (“thrush”) – this can cause an itchy discharge … The aim is to prevent you from passing on the infection to others.

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