Appropriate Conditions for GUM
- 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
PID Referral Criteria
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)
Testicular Pain Criteria
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)
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
