Sexual Health Referrals

Appropriate Conditions for GUM

PID Referral Criteria

History:
- Pelvic or lower abdominal pain (usually bilateral but can be unilateral).
- Deep dyspareunia particularly of recent onset.
- Abnormal vaginal bleeding (intermenstrual, postcoital, or ‘breakthrough’) which may be secondary to associated cervicitis and endometritis.
- Abnormal vaginal or cervical discharge as a result of associated cervicitis, endometritis, or bacterial vaginosis. This is often very slight and may be transient, especially with chlamydial infection.
- Right upper quadrant pain due to peri-hepatitis (Fitz–Hugh–Curtis syndrome).
- Secondary dysmenorrhoea.
- Ask about the possibility of pregnancy.
Exam:
- Lower abdominal tenderness (usually bilateral).
- Adnexal tenderness (with or without a palpable mass), cervical motion tenderness, or uterine tenderness (on bimanual vaginal examination).
- Abnormal cervical or vaginal mucopurulent discharge (on speculum examination).
- A fever of greater than 38°C, although the temperature is often normal.

Patient to preform 2 High Vaginal Swabs- Send For:
- Chlamydia +Gonorrhoea
- TV
If Clinical Signs of PID – Treat with following (if allergies D/W Micro)
- Ceftriaxone 1g i.m. – ONCE ONLY
- Doxycycline 100mg twice a day & Metronidazole 400mg twice a day for 14 days
Refer to GUM (with/Without Signs)
- Kirklees – Form HERE
- Calderdale E-Mail (see contacts)

Testicular Pain Criteria

2 Urine Samples:
- First Pass (white top) – Chlamydia +Gonorrhoea
- MSU (red top)
Treat with following (if allergies D/W Micro)
- Doxycycline 100mg twice a day for 14 days
Refer to GUM
- Kirklees – Form HERE
- Calderdale E-Mail (see contacts)

Contacts

Complete form and Email to address – HERE
Patient Self Referral: 030 3330 9981
Address: Princess Royal Community Health Centre, Greenhead Rd Huddersfield, HD1 4EW

E-Mail referral (patient details and brief description): Sexualhealthservices.chft@nhs.net
Patient Self Referral: 01422 261370
Address: Broad St, Halifax, HX1 1UB