• Genital ulcers
• Urethral discharge
• Pelvic Inflammatory Disease (PID)
• Testicular pain
• Genital warts
• Vaginal discharge
• Emergency/ongoing Contraception
• HIV risk concerns
• Possible syphilis
• PEP follow up
• Pre-menopausal irregular vaginal bleeding
• Known HIV patient please contact 01484 347077

History/Exam. – NICE CKS (Here) 

• 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.

GUM Exclusions – Ref to Gynae

• Pregnancy
• Sepsis
• Abscess

No GUM Exclusions – Complete following

• 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)

GUM Exclusions – Ref to Urology

• Torsion
• Sepsis
• Abscess

No GUM Exclusions – Complete following

• 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)
  •  

Kirklees

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

Calderdale

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