YorSexual health (YSH) – contraception and sexual health

Definition/Description

YSH are the regional provider of sexual health and HIV treatment Services. We offer a wide range of services encompassing contraception, STI screening and treatment, HIV support, counselling and MESMAC.

 

Clinic Opening Times: Please see website for the clinic location and times

https://www.yorsexualhealth.org.uk/

Red Flag Symptoms

None

Guidelines on Management

None

Referral Criteria/Information

STI Screening

Postal kits can be accessed directly by patients via the YSH website including:

  • Online access for chlamydia kits for under 25s.
  • Online self-test STI postal kits for all ages (includes chlamydia, gonorrhea, syphilis and HIV).
  • click here for details

A mixture of virtual consultation and appointment booked clinics are available for sexual health screening and contraception. Patient Information leaflets are available on the website.

Comprehensive publication from BASHH about treating STI in Primary Care click here for details.

North Yorkshire antibiotic prescribing guideline for Primary care click here for details.

 

Complex contraception referrals:

Referral letter to accompany any complex contraception patients.

 

Difficult /failed IUC referrals

Information to include in referral letter:

  • Reason for referral
  • Type of IUD/IUS
  • Duration of use
  • Threads visible or not
  • If threads not seen whether had USS to confirm in-utero IUC?
  • Bridging contraception if IUC expired
  • 7/7 abstinence if IUC in date
  • Relevant medical/surgical/gynecological history
  • Cervical smear history

 

Deep implant referrals

Information to include in the referral letter

  • Where inserted?
  • In date or expired?
  • Any part of the implant palpable or not?
  • If completely impalpable, any attempts previously to localize the implant?
  • Previous failed attempts at removal and any resulting complications?
  • Bridging contraception if implant expired

If there has been a failed attempt at removal, please allow at least 6 weeks before another attempt

to allow time for all tissue reaction to settle down.

 

Exclusions:

YSH will not fit 52 mg LNG-IUS insertions for non-contraceptive indications.

Additional Resources & Reference

Useful Websites for Contraception Advice for Professionals:

  • UKMEC - comprehensive online document to cover all types of contraceptives with patient eligibility and contraindications to use Click here.
  • FSRH clinical Standards - covers a range of latest contraceptive guidelines for specific groups e.g. young people, aged over 40, overweight and obese patients, IBD and cardiac patients and contraception after pregnancy.
  • sexwise.org.uk/

 

Other websites and useful resources

Associated Policies

Reversal of sterilisation (not routinely commissioned) Global Vasectomy Global

Specialties

Gynaecology York

Places covered by

  • Vale of York

Hospital Trusts

Author: Responsible Consultant: Dr Ian Fairley / Lead Author: Dr N Rafique / Responsible GP: Dr Jacqui Caine
Date created: 17/06/2025, 13:40
Last modified: 09/07/2025, 15:03
Date of review: 30/06/2026