Sexually transmitted infections are infections that can be caught through sex & sexual activity (and yes that includes oral sex- so get your condoms and dental dams at the ready!). The best ways to avoid catching an STI are to always use a condom and to get regular STI tests done at your local clinic. If you are worried about anything in particular go and get it checked out! Remember the nurses and doctors who work in the sexual health clinics have seen it all before- So don’t be embarrassed!

There are two types of herpes caused by the same virus. Both types can affect the genitals (Genital herpes) and the mouth and nose (Cold sores). Once someone has had herpes, that person may get outbreaks of the sores from time to time. Often the symptoms of outbreaks are mild and don’t need treatment. The virus is passed on during sexual contact, (commonly passed on during oral sex), or through skin to skin contact with someone who has a sore.

Symptoms of an initial outbreak might include:

	Flu like symptoms		Aches in lower back and legs
	Tingling or itching in genital area		Soreness and swelling in the affected area
	Finally, blisters which burst and develop into painful sores

The initial outbreak is worse as the body copes with a new virus, and treatment is given to help the symptoms go quickly. There are lots of ways to reduce the symptoms and the clinic staff will discuss the options with you. If you think that you have any of the above symptoms- get yourself checked out! There is no need to be uncomfortable or in pain when treatment is available. It is best not to try and treat them yourself with cold sore creams- because it won’t work!

If you have symptoms and are worried about one of the above infections (or any other sexually transmitted infection) it is always best to go to a GUM clinic. Often they will be able to start treatment on your first visit.

However, if you are being sensible and getting regular routine checks you can go to a FRESH clinic, GUM and most GP services.

When you come to a FRESH clinic the nurse or doctor will ask you a number of questions about your sexual activity- don’t be embarrassed we ask everyone the same questions! Sometimes, they might feel it is best to refer you to a GUM clinic as they have a more specialist sexual health service, whilst FRESH is a contraception specialist. However, if you are coming in to FRESH we offer a routine sexual health check- so take advantage of it!