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Sexual Health Guidelines and Referral

Checked: 23-07-2023 by Jenny Henry Next Review: 23-07-2024

Clinical Guidance

See the British Association for Sexual Health and HIV website for guidelines on the management of sexual health conditions.

BNSSG Sexual Health

Important changes

Yuno – BNSSG’s new sexual health service launched on 1st April. The new service includes a clinically supported website providing expert advice, contraception, STI testing/treatment, including PrEP (digital PrEP is launching soon). Patients can still be seen in-person at the clinical service (delivered by UHBW and Brook) where routine and complex LARC will be also be available.

The clinical pathways on Remedy are under review and will be updated in due course. Unless otherwise stated, the current referral pathways remain.

Please direct all service users to the Yuno website Yunosexualhealth.co.uk where they will be able to navigate to the service, test or treatment, as well as find information on contraception, STIs and PrEP (further information pages are under development).

For referral into Yuno and contact information, see professional zone of website: Yuno professional zone | Yuno sexual health

Psychosexual services are provided by UHBW: psychosexualappointments@uhbw.nhs.uk

For abortion care see UHBW Pregnancy Advisory Service website: Pregnancy Advisory Service – Abortion Care

STI Testing - Update

Service users should be directed to the new BNSSG sexual health website: https://yunosexualhealth.co.uk/

Genital Warts

Genital warts are caused by the human papilloma virus (HPV). The virus causes the warts to appear in only a small minority of people. This means the majority of people who have been infected with HPV do not develop warts.

Genital warts may either be left alone, or can be treated, to try and clear the lesions. It is important to understand that treatment is for cosmetic purposes only and treatment does not clear the virus – only the visible wart(s). The virus tends to resolve on its own over months or years.

Treatments include:

Cryotherapy (cold spray of liquid nitrogen done by a doctor or nurse)
Skin creams or solutions which you can use at home - these can be prescribed in primary care (not appropriate in pregnancy).

Please see guidelines on the Management of Genital Warts

Sexual Health information in different languages

There is a really good resource that allows translation of lots of sexual health information including contraception advice into different languages (select language top right on the screen)

https://www.zanzu.de/en/family-planning-and-pregnancy/contraception/

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.