Sexual health clinic Flashcards
What is used instead of CHI in sexual health clinics?
NaSH numbers which are not routinely shared with GPs
What guidelines are used for testing child capacity?
Fraser guidelines
What are some roles of the sexual health clinic?
- Diagnosis and management of STIs
- Partner notification
- Infection prevention
- Genital dermatology
- Contraception
- Menopause care
- Psychosexual counselling
Partner notification period for chlamydia
- Male urethral - 4 weeks
- Any other - 6 months
Partner notification for gonorrhoea
- Male urethral - 2 weeks
- Any other - 3 months
Partner notification for non-specific urethritis
4 weeks
Partner notification for trichomonas vaginalis
4 weeks
Partner notification for epididymitis
4 weeks (Or 2 weeks if gonorrhoea +ve)
Partner notification for PID
6 months (3 months if gonorrhoea +ve)
Partner notification for HIV
45 days before negative test or before most likely time of infection
Partner notification for symphilis
- Primary - 90 days
- Secondary - 2 years
- Other - 3 months before most recent negative test
What are some methods of partner notification
- Patient referral
- Provider referral
- Provisional referral
Who receives hep B vaccine
MSM
High prevalence countries
Sexual assault
Contacts
Who receives hepatitis A vaccine
MSM
Who receives Mpox vaccine
High risk MSM
PEP regime for hep B
- HBV vaccine up to 7 days
- Immunoglobulin in vaccine non-responders
What is GBV
Gender-Based violence
What is gender-based violence
This is violence rooted in gender-based power inequalities and gender inequalities
What are some forms of GBV
- Domestic abuse
- Rape and sexual assault
- Childhood sexual abuse
- Commercial sexual exploitation
- Stalking/Harassment
- Female genital mutilation/cutting
- Forced marriage
- Online violence (E.g. Online threats, revenge porn)
How common is GBV in the UK
- 7.9% domestic abuse
- 6.3% women intimate parter violence
- 9.8% lifetime prevalence of completed non-volitional sex
What are some possible consequences of non-consensual sex
- Injury
- Unwanted pregnancy
- STIs
- PTSD
- Anxiety
- Depression
What are some important points when dealing with non-consensual sex
- Explore patient wishes
- Consider immediate safety
- Explore forensic testing (DNA)
- Consider other forensic possibilities (E.g. clothing)
- PEPSE for HBV and HIV
- Care for physical injuries, STIs and contraceptives
- Signpost or refer to support services
