Treating sexually transmissible infections (STIs)

Having an STI shouldn't be embarrassing and certainly isn't shameful. Dr Sarah Brewer explains what to expect from a check up at a genito-urinary medicine (GUM) clinic

A recent survey by the Family Planning Association (FPA) discovered that shame of having an STI prevents many people from seeking help. Twenty-eight per cent of those questioned said that embarrassment would prevent or delay seeking treatment. Almost one in five were put off by thoughts of a medical examination. While one in eight were worried about what the health professionals would think.

• What if you think you have an STI?
• What happens at a GUM clinic?
• What questions will they ask?
• What test will they carry out?
• Examinations and swabs
• Blood and urine tests
• Results of tests and swabs

What if you think you have an STI?
Get it checked out at a genito-urinary medicine (GUM) clinic. Some people with an STI do not develop symptoms. While others notice problems, such as:

• Increased vaginal discharge
• Development of a penile discharge that stains underwear
• An unusual or unpleasant odour
• Soreness
• Itchiness
• A rash
• Lump(s)
• Ulcers

Unfortunately, many STIs do not cause obvious symptoms, so if you're at risk (for example, through unsafe sex), it's a good idea to have a general sexual health screen.

How do you find your nearest GUM clinic?

• Phone your local hospital
• Look in the phone book under GUM
• Phone NHS Direct on 0845 4647
• Visit the Family Planning Association

What happens in a GUM clinic?
The clinics are designed to be friendly places. Staff do not pass judgement or make you feel uncomfortable - if they did, they know you would be put off going again! The doctors, nurses and receptionists are trained to help put you at your ease and reassure you while screening for possible problems.

Treatment is confidential, and you don't have to give your real name. You will usually be referred to by your first name or by your clinic number. Your GP will only be informed about your attendance and test results if you give permission, and clinics will only write to your doctor if he or she referred you with a letter, which they will reply to out of courtesy.