Please be aware that decisions regarding patient’s care will be made during a consultation with a Clinician.
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A. You will need to contact Knowsley Council and ask to speak with the Commissioner’s secretary.
A. To use a male condom correctly, follow these steps: - carefully open the foil packaging that the condom is wrapped in, taking care not to tear the condom - hold the tip of the condom between your forefinger and thumb to make sure it is put on - the right way round, and that no air is trapped inside (the condom may split if air is trapped inside) - place the condom over the tip of the penis - while squeezing the tip of the condom, roll it down over the length of the erect penis - if the condom will not unroll, it is probably on inside out – start again with a new condom as there may be sperm on it. For more information visit this page: http://www.nhs.uk/conditions/contraception-guide/pages/how-do-i-use-condom.aspx
A. To use a female condom, follow these steps: carefully remove the female condom from its packaging, taking care not to tear it place the closed end of the condom into the vagina, holding the soft inner ring between your forefinger or middle finger and thumb use your other hand to separate the folds of skin (labia) around the vagina, then put the squeezed ring into the vagina put your index or middle finger or both in the open end of the condom until the inner ring can be felt and push the condom as far up the vagina as possible, with the outer ring lying against the outside of the vagina the outer ring of the condom should rest closely on the outside of the vagina at all times during sex – if the outer ring gets pushed inside the vagina, stop and put it back in the right place make sure that the penis enters the condom – take care to ensure that the penis does not go between the condom and the wall of the vagina For more information on contraception visit this page: http://www.nhs.uk/conditions/contraception-guide/pages/how-do-i-use-condom.aspx
A. For a step-by-step guide, please visit this wikipage: http://www.wikihow.com/Use-a-Condom
A. Sexual health line on 0300 123 7123 for confidential information and advice on sexual health Worth Talking About on 0300 123 29 30 for advice on contraception, sexual health and relationships (Mon-Fri 2pm-8pm, Sat-Sun 2pm-4pm) Brook on 0808 802 1234 for confidential sexual health information and advice for young people under 25 (Mon-fri 11am-3pm) You can also read and download leaflets about all STIs from the FPA website, or google sexual health and read other professional health sites for general information.
A. The only guaranteed way to prevent a syphilis infection is to avoid sexual contact or to only have sexual contact with a faithful partner who has been tested and is not infected. Male condoms and female condoms can reduce your risk of catching syphilis, but cannot prevent it altogether. You can still catch syphilis if your mouth makes contact with a sore on an infected person's anus or vagina, for example. It is important to not only use a condom during vaginal, oral and anal sex, but also consider using a dental dam (a square of soft plastic) when your mouth makes contact with your partner's vagina or anus. This will reduce your risk of any sexually transmitted infection (STI), not just syphilis. Avoid sharing sex toys. If you do share them, wash them or cover them with a condom before each use. Sexual penetration or ejaculation does not need to take place for syphilis to spread. If you are an injecting drug user, do not use other people's needles. Many pharmacies and local authorities offer needle exchange programmes, where used needles can be exchanged for clean ones. Your GP or drug counsellor should be able to provide more information.
A. Secondary syphilis begins three to six weeks after the initial sore appears. It is marked by a skin rash that usually heals in several weeks or months. There may be other symptoms as well, such as fever and sore throat. If untreated, syphilis may continue into a latent stage, during which you have no symptoms and are no longer contagious. However, about one-third of all cases will progress into the complications of late, or tertiary, syphilis. In these cases, the bacteria can damage the heart, eyes, brain, nervous system, bones, joints, or almost any other part of the body. This stage can last for years, with the final stage leading to mental illness, blindness, other neurological problems, heart disease, and death.
A. Urine tests for Chlamydia and Gonorrhoea (need to have not passed urine for over an hour prior to passing the required sample) and blood tests for HIV and Syphilis
A. Usually all test results are returned within 2 weeks, including smears.
A. Chlamydia/ Gonorrhoea/ HVS/ HIV/ Syphilis: The clinician will discuss the results procedure when you have the tests taken. Smears: Letter to home, Client must be registered with a GP before we will take a smear