Young Persons Walk-in Clinic · Wednesdays 2:00pm — 4:15pm · Under 21s
Free, confidential testing for everyone in Herefordshire, whatever your age, gender or orientation — no judgement, no lectures. STIs come in all forms; tap any condition below for symptoms, testing and treatment.
Often symptomless
Bacterial — treatable with antibiotics
Viral — managed long-term
Parasitic
Not classed as an STI
Bacterial Vaginosis (BV) is caused by an imbalance of the natural bacteria found within the vagina. It’s not currently known what causes the imbalance. However, there are several things you can do to lower your risk of contracting BV. If you are concerned about this condition, you should try washing in the shower rather than the bath and avoid using perfumed soaps and bubble bath products.
Symptoms: BV is usually diagnosed by its unusual vaginal discharge, which is thin and either grey or white and there is often a fish-like odour, unlike Thrush, BV doesn’t cause any itching.
Key facts:
Testing and Treatments
Sexual health professionals can help you identify anything that may be triggering your BV.
Testing includes either a vaginal examinations and/or a swab test using a cotton bud.
BV is generally treated with antibiotics, either in tablet or gel form.
Gels and other treatments are available in shops.
Click here if you want to know more about Bacterial Vaginosis
Often no symptoms
Chlamydia is the most common sexually transmitted infection (STI) in people under the age of 25, (it does affect all ages). It’s the bacteria Chlamydia trachomatis that causes this infection.
Symptoms: It’s sometimes called the silent infection because there are often no obvious signs of being infected with Chlamydia, so you may not know you have it. Although infected people often don’t experience any symptoms, their fertility (ability to have children) can be affected if they don’t get treated.
Some of the symptoms you may experience after 3-4 weeks are;
Key facts:
The good news is that Chlamydia is really easy to test for and simple to treat! That’s why you should get tested if you have had any sexual activity with a potentially-infected person, or not used a condom, during sex.
Chlamydia Testing and Treatments:
Or you can visit one of our clinics.
Click here if you want to know more about Chlamydia
Caused by HPV
Genital warts are caused by an infection of the Human Papilloma Virus (HPV). This virus is passed between sexual partners through skin-to-skin contact.
Symptoms:
Key facts:
Testing and Treatment
There’s no cure for genital warts but it’s possible for your body to clear the virus over time. There are a number of different treatments for genital warts. The type of treatment you’ll be offered depends on what your warts are like. The doctor or nurse will discuss this with you.
The treatment may cause soreness, irritation or a burning sensation and some scarring. Also it can take weeks or months for treatment to work, and the warts may come back.
HPV vaccine
Genital warts are not cancer and don’t cause cancer
The HPV vaccine offered to girls in the UK to protect against cervical cancer also protects against genital warts.
From April 2018, the HPV vaccine has also been offered to men who have sex with men (MSM), trans men and trans women who are eligible.
Find out more about the HPV vaccine.
Click here if you want to know more about Genital Warts
Rising in young people
Gonorrhoea is a bacterial infection that can affect fertility if left untreated.
Gonorrhoea is caused by the Neisseria gonorrhoea bacteria. Many people don’t experience any symptoms; despite this, the infection can cause long-term fertility problems (not being able to have a baby) and should be treated immediately.
Symptoms: Because gonorrhoea sometimes has no symptoms, it’s important to get tested as soon as possible after sexual contact with an infected person or if you have had sex without a condom
Key facts:
Testing and Treatment
Or you can visit one of our clinics.
Click here if you want to know more about Gonorrhoea
Usually clears within 2 months
Hepatitis A, B, & C are different types of hepatitis which are carried in the blood and other bodily fluids such as saliva, semen and vaginal fluids. This means they can be transmitted (caught) through unprotected vaginal, anal or oral sex.
Key facts:
Hepatitis A
Symptoms
The symptoms of hepatitis A usually start around 4 weeks after becoming infected, although not everyone gets symptoms. These symptoms can include:
The symptoms will usually pass within a couple of months. Hepatitis A is not usually serious, I but it’s still important to seek help, so that more serious conditions with similar symptoms can be ruled out, such as hepatitis C or scarring of the liver (cirrhosis).
Testing and Treatment
If you have symptoms of hepatitis A – a blood test can usually confirm whether you have the infection, speak to your GP.
Vaccination
Vaccination against hepatitis A is not routinely offered in the UK because the risk of infection is low for most people.
It’s only recommended for people at an increased risk, including:
The hepatitis A vaccine is usually available for free on the NHS for anyone who needs it. If you are concerned or want further advice go to see your GP.
Other Treatment for Hepatitis A
There’s currently no cure for hepatitis A. But it usually gets better on its own within a couple of months, whilst you are ill;
For most people, hepatitis A gets better within 2 months and there are no long-term effects.
Click here if you want to know more about Hepatitis A
Most common viral hep, sexually transmitted
Hepatitis A, B, & C are different types of hepatitis which are carried in the blood and other bodily fluids such as saliva, semen and vaginal fluids. This means they can be transmitted (caught) through unprotected vaginal, anal or oral sex.
Key facts:
Hepatitis B
Symptoms
Lots of people with hepatitis B won’t get any symptoms and may even fight off the virus without realising they had it.
If you do get symptoms, they usually happen 2 or 3 months after exposure to the hepatitis B virus.
Symptoms of hepatitis B include:
Symptoms usually go within 1 to 3 months (acute hepatitis B), although sometimes the infection can last for 6 months or more (chronic hepatitis B).
Testing and Treatment
You may be offered vaccinations against hepatitis B depending on your sexual history and associated risks
Hepatitis B can be serious.
Get medical advice if:
You can go to your local GP surgery, drug service, genitourinary medicine (GUM) clinic or sexual health clinic for help and advice.
A blood test can be carried out to check if you have hepatitis B or have had it in the past.
Click here if you want to know more about Hepatitis B
Curable with modern treatment
Hepatitis A, B, & C are different types of hepatitis which are carried in the blood and other bodily fluids such as saliva, semen and vaginal fluids. This means they can be transmitted (caught) through unprotected vaginal, anal or oral sex.
Key facts:
Hepatitis C
Hepatitis C is a virus that affects the liver. If left untreated, it can sometimes cause serious and potentially life-threatening damage to the liver over many years.
However, with modern treatments it’s usually possible to cure the infection, and most people with it will have a normal life expectancy.
Symptoms
Hepatitis C is often different for each person; many find some of their symptoms come and go and symptoms include:
Testing and Treatment
Seek medical advice if you have persistent symptoms of hepatitis C or there’s a risk you’re infected, even if you don’t have any symptoms. A blood test can be carried out to see if you have the infection.
There are different types of Hepatitis C, and knowing which type helps to get the right type of treatment. Effective treatments for hepatitis C are now available and can result in you permanently clearing hepatitis C
Click here if you want to know more about Hepatitis C
Can recur after initial episode
Genital herpes is an STI which is caused by the Herpes Simplex Virus (HSV). It is passed on through vaginal, anal oral sex.
Symptoms:
The symptoms of Herpes can appear 4-5 days after coming into contact with the virus. But it can be in the body for weeks, months or years before any symptoms appear. Symptoms include;
Symptoms should clear up on their own, but as with other viruses, herpes can reappear after treatment and people may suffer repeated episodes of herpes infection.
Key facts:
Testing needs to be taken within 5 days of first signs of symptoms, including recurrence
Testing and Treatment
There isn’t a cure for Herpes, but there is treatment to relieve the symptoms and reduce the chance of the herpes returning.
If you think you may have herpes, speak to the sexual health service, and make an appointment, they will be able to take a swab of the affected area (genital blisters)using a small cotton bud, and offer antiviral tablets to help reduce the symptoms while the infection is clearing up
Click here if you want to know more about Herpes
Manageable with daily treatment
HIV, or Human Immunodeficiency Virus, is a virus that suppresses the immune system, making it harder to fight off infections, diseases and other illnesses.
Acquired Immunodeficiency Syndrome, or AIDS, is the name used to describe the advanced stage of the HIV infection, when the immune system has been damaged because of the HIV virus.
HIV is transmitted through bodily fluids like semen, vaginal and anal fluids, blood, and breast milk. This means that it can be passed on (caught) by sharing needles or syringes or having unprotected sex. The virus can also be passed on through oral sex; however, this is much less common than anal and vaginal intercourse.
Symptoms:
Some people experience flu-like symptoms a few weeks after becoming infected. However, as there are no obvious signs or symptoms, we recommend that you get tested immediately if you feel you may be at risk. Between 70 and 90% of people experience ‘acute’ symptoms one to six weeks after they have been infected with HIV.
These symptoms last for a few days to weeks and include:
Key facts:
Testing and Treatment:
There is currently no cure for HIV and Aids, but there are a number of Antiretroviral medications available which help the immune system to repair itself and stop the virus from replicating within the body. These are currently lifetime treatments, which are taken every day.
With treatment, HIV will not develop into AIDS. Getting tested early means that you can access this treatment if you have got HIV, which will stop you from ever getting AIDS.
If you have put yourself at risk it is incredibly important to get tested, regardless of whether you have symptoms.
Where to get tested?
Home HIV tests are available in two forms:
Home-sampling kits
Home-testing kits
Or you can access our clinics to get your test.
Click here if you want to know more about Chlamydia
Often follows an untreated STI
Pelvic Inflammatory Disease is a common condition caused by an infection affecting the female upper genital tract, including the womb, fallopian tubes and ovaries. A bacterial infection spreads from the vagina or the cervix to the reproductive organs higher up.
Symptoms:
PID often doesn’t cause any obvious symptoms. When symptoms are present they may include, one or more of the following;
A small number of women do have severe symptoms and may become very ill with:
In these cases it’s important to seek immediate medical help from your GP or the hospital.
Key facts:
Testing and Treatment
There is no simple test for PID, often the doctor or nurse will diagnose the condition based on your symptoms. Swabs will also be taken from your vagina and cervix (neck of the womb), but even in the case of negative results this doesn’t rule out PID.
Treatment is a course of antibiotics, frequently a mixture of antibiotics to cover the most likely infections, and often an injection as well as tablets, especially if your symptoms are severe.
It’s important to treat PID early as it can lead to permanent damage to the reproductive organs, such as the fallopian tubes.
Click here if you want to know more about PID
Condoms don't prevent this one
Pubic lice (sometimes called crabs) are tiny insects that live on coarse human body hair, such as pubic hair. They are most commonly spread through sexual contact with an infected person and sometimes through sharing towels and bedding. Unlike most other STIs, condoms do not help to prevent the transfer of pubic lice from one person to another.
Symptoms: Because they are small it’s sometimes difficult to spot the Lice. After getting pubic lice, it can take a number of weeks for the symptoms to appear. Symptoms include itching (especially at night), black powder, with the appearance of black pepper in your underwear and blue or blood spots from the lice’s bites, commonly on your thighs.
Key facts:
Testing and Treatment
Once diagnosed, a pubic lice infection is easy to treat. Treatment includes; shampoos, creams and lotions containing insecticides.
Some of the treatments need to be applied to the affected area, whereas others need to be applied to the whole body.
Click here if you want to know more about Pubic Lice
Whole household needs treating
Scabies are small parasites that can infect the skin. They are transferred from skin-to-skin contact, so can be passed on through both non-sexual contact, and sexual contact.
Symptoms: Scabies is very infectious, but it can take up to 8 weeks for the rash to appear. The rash causes intense itching. The rash can appear anywhere, but it often starts between the fingers, which helps in the diagnosis of scabies. Tiny mites lay eggs in the skin, which leaves a rash like a silvery line with a dot at one end.
Key facts:
Testing and Treatment
The good news is that Scabies is not usually a serious condition, but it does need to be treated.
You can buy the treatment over the counter at a Pharmacy; the pharmacist will recommend a cream or lotion that you will need to apply over all your body and repeat the treatment a week later.
It’s important that you wash all clothing and bedding in the household using a 50 degree or hotter wash setting.
The whole household needs to be treated at the same time.
Click here if you want to know more about Scabies
Progresses in stages if untreated
Symptoms: Syphilis is a bacterial Infection that if left untreated can lead to serious health problems. It is different to other bacterial infections as the symptoms of syphilis may eventually disappear, but you’ll usually remain infected unless you get treated
Symptoms also include;
Key facts:
Testing and Treatment
Click here if you want to know more about Syphilis
Not classed as an STI
Thrush is a yeast infection that is caused by a natural fungus in the body, it affects both men and women. It isn’t classed as a sexually transmitted infection (STI), but it can be passed on during sex.
Symptoms:
Women
Men
Key facts:
Testing and Treatment
Diagnosing Thrush may involve taking a swab from the affected area, but you may also be prescribed treatment on the basis of your symptoms.
Treatments can include tablets, creams and a pessary (a small, soluble block that is inserted into the vagina)
Generally treatment for thrush can be bought from over the counter in a pharmacy, but go and see your GP or the sexual health clinic if;
Click here if you want to know more about Thrush
Caused by a parasite
Trichomoniasis is an STI caused by a tiny parasite called Trichomonas vaginalis (TV).
Symptoms:
Symptoms of trichomoniasis usually develop within a month of infection. Almost half of all men and women infected with TV won’t develop any symptoms (though they can still pass the infection onto others).
Women;
Men;
Key facts:
Testing and Treatment
Diagnosing TV, usually involves taking a swab from the affected area, but you may also be prescribed treatment on the basis of your symptoms.
Trichomoniasis is unlikely to go away on its own, treatment with antibiotics, commonly an antibiotic called metronidazole, as a one off dose, will clear the infection.
Click here if you want to know more about Trichomonas vaginalis (TV)
Order a free home test kit, or visit one of our clinics — testing is quick, confidential, and free for everyone in Herefordshire.