Should I just use an NHS clinic instead?
For several things, yes — and we will say so rather than take your money.
NHS sexual health services are free, genuinely excellent, and better than us at: treatment requiring injections, free PEP and PrEP, anonymous partner notification, and on-site microscopy giving an answer the same hour.
What we offer is privacy, speed and an appointment that fits your day — not superior clinical care. If the clinic is the better route for your situation, that is what we will tell you.
How soon after exposure can I test?
This is the question that matters most, because testing too early gives false reassurance.
- Chlamydia and gonorrhoea — around two weeks
- HIV — a fourth-generation test is reliable at 45 days. Earlier negatives do not exclude infection
- Syphilis — up to 12 weeks
If you test early and it is negative, you will need to repeat it. Better to be told that than to be reassured wrongly.
I had unprotected sex last night. What should I do?
If there is any HIV risk, go to A&E or a sexual health clinic now rather than booking with us. PEP must start within 72 hours and works better the sooner it begins. It is free.
If emergency contraception is needed, that is also time-critical and free from pharmacies and sexual health clinics.
Then test at the right interval for everything else.
Do I need swabs, or is a urine test enough?
Urine alone is not enough if you have had oral or anal sex — and this is one of the commonest gaps in testing, including with postal kits.
Chlamydia and gonorrhoea live perfectly happily in the throat and rectum with no symptoms at all, and a urine test will not find them. Self-taken throat and rectal swabs are as accurate as clinician-taken ones.
Will this go on my medical record?
Not without your explicit consent. Sexual health information is treated with additional confidentiality, and nothing is shared with your NHS GP unless you ask us to.
The same applies at NHS sexual health clinics, which operate separately from GP records by design.
Can I get PrEP?
Not at a first appointment, and no responsible service would offer it that way. PrEP requires a baseline HIV test, kidney function and hepatitis B status first, then monitoring every three months.
We can start that process — but worth knowing that PrEP is free on the NHS through sexual health clinics, along with the monitoring, and for most people that is the better route.
I have a lump or an ulcer. Can you look at it?
Photographs help and we look at them routinely. But there is a limit to what any clinician can conclude from an image, and some things need examining.
A testicular lump in particular needs in-person assessment and usually a scan — we will refer rather than reassure. Genital ulcers usually need swabbing, which means being seen.
My partner has been diagnosed with something.
Get tested, and ask whether you should be treated without waiting for your result — for some infections that is standard, because treating both partners simultaneously is what prevents the cycle of reinfection.
Bring what you know: which infection, when they were treated, and whether you have had sex since.