FREQUENTLY ASKED QUESTIONS

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What tests do I need to have done?
Before you start work, you need to have swabs for Gonorrhoea and Chlamydia and a blood test to check for HIV, Syphilis and Hepatitis B.

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Do you check for anything else?
Yes. In women we perform a visual inspection for warts and other skin problems and also check for Bacterial Vaginosis, Thrush and Trichomonas. In men, we also test for NSU. If we think you may have a bladder infection, we will check for that if necessary. However, none of these conditions are entered on your certificate.

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Will I have to have extra swabs taken?
That depends on the type of sex you have had while working. If you have performed oral (blow-job) or anal sex, then there is a possibility that you have caught Gonorrhoea in your throat or back passage. We would then advise you to have a swab from those sites to ensure we pick up any infection there.

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But surely, if I have gonorrhoea in my throat or back passage wouldn't I also have it in my vagina where it's going to show up anyway, so why do I need the extra swabs?
That's not quite true. Around 1 in 20 women with Gonorrhoea may have it only in the throat or back passage and nowhere else. Infection will be missed in those women if they only have vaginal swabs. In men who have sex with men, the figure is much higher: up to 1 in 3, in fact.

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What happens if I am found to have an infection?
If you have an infection we will give you all the necessary and appropriate treatment. For a Chlamydia or Gonorrhoea infection, you will not be able to work for at least seven days from the start of your treatment. This is to allow time for the infection to be cleared from your system. We would defer issuing your certificate until then, or until we were sure the infection had cleared. Sometimes this necessitates taking a second swab as a 'test of cure'.

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What about my colleagues?
If you are found to be carrying Chlamydia or Gonorrhoea, it is very important that you inform anyone with whom you have recently worked, so that they also have an opportunity to receive treatment. Failure to do this could result in a reservoir of infection persisting within the local industry, resulting in people getting re-infected again and again.

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What is Hepatitis B?
Hepatitis B is a viral infection which is around 100 times more infectious then HIV. It can cause an unpleasant and prolonged illness if you catch it and in some cases may lead to long-term liver damage. We test for infectious Hepatitis B as part of a routine screen.

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How can I protect myself against Hepatitis B?
By getting vaccinated. Vaccination consists of three shots given over 6 months. Once immunised, you are usually protected for life. Another benefit of vaccination is that if we know you have been vaccinated we do not need to test you for the infectious form of Hepatitis B and that saves you money in the long run.

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How long do the results take to come back?
Results for a standard screen are usually available within 24 hours. Throat or rectal swabs may take up to three days to process, so it is important to book your tests in good time.

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Are my results confidential?
Totally. The confidentiality of your records is guaranteed by law. No information about you or your results is passed on to anyone unless you specifically ask us to do so.

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Can I treat myself for a sexual infection by using medicines recommended to me by friends or on the Internet?
There are a number of points to consider here. First of all, you should be aware that many different types of medical problems have very similar symptoms. For example, a vaginal discharge may be caused by a viral, bacterial or parasitic infection, or even a retained tampon. Each of these will require different treatments, so accurate diagnosis is very important. Even if you think you know the cause of your infection, you should remember that antibiotic resistance is a big problem. In the UK up to 20% of Gonorrhoea infections are now resistant to the previous "standard" treatment - so those tablets you are thinking of taking may not even work. To further complicate matters, treatment for an infection in the vagina or penis may not work for the same infection if it is found in the mouth or bottom.

Your doctor can advise you on all these issues but only after appropriate testing and diagnosis. If you self- medicate you are putting yourself at risk of developing all the complications of inadequately treated STDs as well as compromising the health of your co-workers.

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