Monkey-Pox

We are aware of increasing numbers of cases of Monkeypox present in the UK population.

If you have a sexual health concern AND have any of the following symptoms, please call our central booking line on 01904 721111 and one of our team will be able to get you the help you need.

Do not come directly to clinic if you have any of these symptoms:

  • Rash on any part of your body
  • Fever
  • New lump/s in neck, groin or under your arm

AND

  1. Are you a gay, bisexual or other man who has sex with men?
  2. Have you had contact with someone with confirmed Monkeypox in the 21 days before symptom onset?
  3. Have you travelled to West and Central Africa, USA, Spain and Portugal in the 21 days before symptoms onset

 

We are unable to supply repeat contraceptive pills, patches and injections for those aged 20 and over these must be provided by your GP.

We can insert, exchange and remove implants and contraceptive coils for all ages and start all service users on a new form of contraception.

If you are experiencing severe pain and our clinics are closed please telephone NHS 111, for help and information 24 hours a day 365 days a year or attend the nearest A&E department. 

If you require Sexual health/Contraception care, please call our central booking line from 8:15am to 5pm Monday to Thursday and 8:15am to 3:30pm Friday and 9am to 12pm Saturday, on 01904 721111 and press option 1. 

Please note - we are not able to offer 'walk-in' services - all appointments need to be arranged through our booking team

Aged 17 or under? You can also text us on 07973 775692 to make an appointment Monday-Friday 8.15am-3:30pm. 

We kindly ask that you continue to wear face mask when you attend our clinics. 

If you are unable to speak on the phone for any other reason (i.e. hearing impairment or at risk within your home) you can email us on www.yorsexualhealth.org.uk/york/contact-us/

No symptoms but want an STI screen? Please order a testing kit online:

For York https://www.yorsexualhealth.org.uk/york/york-home/online-booking-and-testing/

For North Yorkshire https://www.yorsexualhealth.org.uk/north-yorkshire/north-yorkshire-home/online-booking-and-testing/

Your GP may be able to help with your contraception needs.

 

 

 

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I want to know more about PrEP for preventing HIV infection

PrEP (Pre Exposure Prophylaxis) is medication that you can take to stop yourself from getting HIV. You can take it either every day or before and after sex. If you take it correctly, it is extremely effective at stopping HIV infection.

What is PrEP?

PrEP is a medication that you can take to prevent HIV infection. It contains drugs that are commonly used to treat HIV- emtricitabine (FTC) and tenofovir DF (TDF). 

Taking PrEP before having sex means that it blocks HIV if it gets into your body, stopping it from infecting you. 

Can I take PrEP?

If you are at risk of being exposed to HIV, you should consider taking PrEP. It could also be appropriate for you if condoms are not always used. 

For example:

When should I take my PrEP?

PrEP can be taken in two different ways:

If you are struggling to remember to take your PrEP, it's best to pick a time that is convenient for you and stick to a routine. You could keep a diary and mark off each day, or set an alarm on your phone. You could also use a pill box because this is a simple way to way to know if you have missed your meds. 

Rough timing is okay. A late "pre" dose provides some protection. For anal sex, four doses every week provides more than 95% protection. 

If you are taking PrEP daily, you will still have very high protection if you miss the odd dose. 

Note that daily PrEP is the only option for people with a vagina who want protection for vaginal sex, or for people who have Hepatitis B. 

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Where can I get PrEP?

PrEP is available for free from sexual health services

Some people are also ordering generic versions of PrEP online. You can find out more information by clicking here. This resource includes information on where to buy PrEP online from trusted sites (online suppliers where drug testing has confirmed that the meds are genuine).

Generic PrEP costs around £40 for 30 tablets (one month's supply for daily dosing but longer for event-based dosing). Generics contain the same active ingredients as branded meds, but cost 90% less (examples of generics include Ricovir-EM by Mylan and Tenvir-EM by Cipla). Just make sure that they contain both TDF and FTC. 

If you are considering buying PrEP online, you will still need to talk to your sexual health clinic. They will give you advice on how to safely take PrEP. They will also help you to get the tests that you need, such as for HIV and kidney function checks. YorSexualHealth can undertake monitoring and testing for those who are taking PrEP bought online.

What tests do I need before/when I'm taking PrEP?

Will I be protected from other STIs? 

PrEP will not protect you from other STIs (such as chlamydia, gonorrhoea and syphilis) or an unplanned pregnancy. If you are on PrEP, regular STI testing is recommended. 

You can also use condoms in addition to PrEP to protect yourself from other STIs and unplanned pregnancy. Pregnancy can also be prevented by a range of other methods of contraception. 

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How effective is PrEP?

PrEP is extremely effective at preventing HIV infection if it is taken correctly. This has been shown in major PrEP studies. 

If taken incorrectly, PrEP may not work.

Is PrEP safe? 

The drugs used in PrEP are the same as those used in HIV medications, taken my thousands of people living with HIV. They have no serious side effects and are very safe. 

If you get mild side effects, they can occur for the first week or so, but then they usually stop. 

You might experience nausea, headaches and tiredness. In very rare cases, PrEP might affect kidney function. This is why it is important to go for kidney function tests as recommended. 

If you forget to take your PrEP and become HIV positive, there is a small risk of resistance to HIV medication. However, this was very rare in the PrEP studies. 

Additional resources

PrEPster- more information on PrEP

Buying PrEP online- A leaflet on getting PrEP online and accessing health checks from the NHS

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YorSexualHealth

12th May 2022

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