What are sexual health services?

1. What are sexual health services? • Genito-Urinary Clinic (GUM) • Contraception and Sexual Health (CASH) • Sexual Health Promotion (including- LAC, education, LGBT, C-Card) • Teenage Pregnancy Options • School Based Services • Chlamydia Screening

2. Sexually transmitted infections • In 2006, there were 376,508 new sexually transmitted infection diagnoses at GUM clinics in the UK, an increase of 63 per cent on 1997. • Between 2005 and 2006 the number of new diagnoses increased by 2 per cent.

3. Who is at risk? • Sexually active population • Groups with increased risk are: • Young adults - account for half of all STI’s diagnosed • Men having sex with men • People living with a disadvantage, race, social status, education, LAC Chlamydia

5. Trichomonas Sites • High Vaginal secretions • Difficult to isolate in men • urethral infection is present in 90% of episodes • Diagnosis is made by wet mount microscopy or HVS

6. Trichomonas Trichomonas

8. GONORRHOEA Sites • Cervix • Urethra • Rectum • Pharynx • Eye Incubation period 3-7 days

13. Differential diagnosis; Molluscum

15. Herpes

18. Syphilis • Primary syphilis is characterised by an ulcer (the chancre). The chancre is classically in the anogenital region, is single, painless and indurated with a clean base discharging clear serum.

19. Chancre Chancre

23. Vaginal Infections • Candida • Bacterial vaginosis

24. Normal female dry slide

25. Candida- Hyphae on a wet slide Wet slide- Candida

26. Candida spores on dry slide Candida spores on a dry slide

27. Bacterial Vaginosis Bacterial Vaginosis

28. Consent • The legal age for all young people to consent to have sex is still 16, regardless of sexual orientation. The aim of the law is to protect the rights and interests of young people, and make it easier to prosecute people who pressure or force others into having sex they don’t want.

29. Young People between 13 and 16 • The Sexual Offences Act 2003 reinforces that, whilst mutually agreed, non-exploitative sexual activity between teenagers does take place and that often no harm comes from it, the age of consent should still remain at 16. This acknowledges that this group of young people are still vulnerable, even when they do not view themselves as such.

30. Young People under the Age of 13 • Young people under the age of 13 are deemed unable to give consent to sexual activity. ‘Working Together’ makes it clear that cases involving under 13 year olds who are either having penetrative sex, or are engaged in other intimate sexual activity are likely to involve significant harm to the child or children.