1. Dr Andrew Leung Bristol Sexual Health Centre
Men’s Sexual Health
Dr Andrew Leung
Bristol Sexual Health Centre

2. Learning Objectives Taking a good sexual history
Recognising symptoms and signs
Investigations and various diagnostic tests
Treatment options
Importance of Partner notification & epidemiological treatment
Referral to Sexual Health Centre

3. Sexual History Last sexual intercourse Other partners in the last 3/12
Date
Relationship
Gender
Condoms
Vaginal / Oral / Anal
Other partners in the last 3/12

4. Symptoms and Signs Urethritis Testicular pain Genital rashes
Genital lumps
Genital ulcers
Rectal / Throat Symptoms (MSM)

5. Urethral Diachage

6. Urethritis
Discharge
Dysuria
Penile irritation

7. Candidal Balanitis

8. Penile Warts

9. Pearly Penile Papules

10. Genital Herpes

11. Syphilis Chancre

12. Secondary Syphilis

13. Investigations

15. Abnormal Syphilis Serology

16. Abnormal Syphilis Serology
RPR (VDRL)
IgG / Ig M
TPPA

17. Treatment Gonorrhoea Chlamydia NSU Epididymo-orchitis Genital warts
Genital herpes
Syphilis

18. Partner Notification Urethritis Gonorrhoea Chlamydia Syphilis HIV
NOT Genital herpes or warts

19. When to refer Non Gonorrhoea, non chlamydial urethritis
Treatment - GC, Syphilis, Wart
Lumps/rashes/ ulcers of unknown diagnosis
Partner notification
Abnormal Syphilis serology
New HIV diagnosis
Chronic and recurrent urethrits, genital herpes or balanitis

20. Joint RCGP /BASHH guidelines STIs in primary care March 2013