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Author Topic: For newbie punters - a trip to the GUM clinic  (Read 5481 times)

Offline hollysbeenabadgirl

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  • Posts: 340
Oh you mean inoculation. I thought you meant testing for it.

Sorry, I was not clear. Recommended for all prostitutes and anyone who 'changes sexual partners frequently'. Not offered in all clinics automatically, but can get upon request.

No, must not scare yourself silly, but given that it is 95% effective in preventing and there is no cure/treatment for HepB other than painkillers and anti-viral to slow the process down, I'd rather go for prevention than 'cure'.

Offline mh

You get a bloody lecture actually.

I've never received a lecture, they have always been accepting of this as a reality of life.

So do you all say you pay for sex when they ask? And if they ask you how often what do you say?

I cannot see why would you not want to tell them that you pay for sex. It's the only way they know to treat you as being at moderate-high risk and therefore should receive a full suite of appropriate checks/tests. You've gone there for a reason and they can only deal with you correctly if you're honest.

Offline random

I'd be more worried about the side effects of the vaccine. Apparently hepatitis B is very rare anyway especially if you do almost everything protected. According to the NHS site the body is usually able to fight it off. 

Offline smiths

I've never received a lecture, they have always been accepting of this as a reality of life.

I cannot see why would you not want to tell them that you pay for sex. It's the only way they know to treat you as being at moderate-high risk and therefore should receive a full suite of appropriate checks/tests. You've gone there for a reason and they can only deal with you correctly if you're honest.

Yes same with me, they have heard it all before, its been rare i have got a lecture. I always say i have sex with prostitutes, as you say it guarantees all tests will be done, and i couldnt care less what they might think of me anyway.

If a punter doesnt want to admit they are a punter my advice is say you have had sex with an African woman in Africa recently and the condom broke. ;)

Curious6705

I'd be more worried about the side effects of the vaccine. Apparently hepatitis B is very rare anyway especially if you do almost everything protected. According to the NHS site the body is usually able to fight it off.

Have to say I did not give this a thought, and I've felt no reaction or side effect from the vaccine myself. To me it seemed a no brainer to have it.

This is sometimes a topsy turvy world we live in, and I know some parents have in the past refused vaccines for their children. Crazy and ill advised, putting their childrens health at risk, in my view. And I believe it was the multi-vaccine MMR for children that had the flat earth daily wailers in full fishwife mode. A single vaccine? Meh, not a problem - I believe.

Curious6705

You get a bloody lecture actually.

Have to concur with the other posters and say that my experience was completely the opposite. Friendly and non-judgemental.

If you Google any job advert or careers advice for GUM staff, it says being non judgemental is a prerequisite.

Offline haystacks79

Interesting to see this turn up again!

I've been back to the GUM since for my Hep-B injections and regular testing, and have seen a number of different members of the staff their now, and they've each been friendly and completely non-judgemental - I've always been completely honest with them, and really can't fault them at all. I've booked appointments every time since the first, and have only once seen anyone else there at all.

They did give me a bit of a panic after one lot of tests, when I received the dreaded text asking me to get in touch to discuss my results (so I changed my plans for a punt that day, as a precaution), but when I phoned them they said everything was fine, it's just that I'm one of those (lucky?) individuals for whom the Hep-B doesn't work so well, so I needed extra doses to get my immunity up to what they wanted.

Have to say I did not give this a thought, and I've felt no reaction or side effect from the vaccine myself. To me it seemed a no brainer to have it.

After each of mine I felt a bit light-headed, but after discussing it with them that seemed to be unusual. I just made sure that I stayed in the waiting room for extra time after the additional shots, rather than heading straight out for a bus, and that seemed to help.

You get a bloody lecture actually.

I think they must treat the SP's differently. I just nodded agreement and put up with it.

Yesterday Sweden, tomorrow Britain. First tobacco, then alcohol, then paid sex (or maybe the second two will 'go' in the other order).

If aby doctor/nurse/administrator had the nerve to lecture me I'd walk out before they finished a sentence.

Offline overhead

Yesterday Sweden, tomorrow Britain. First tobacco, then alcohol, then paid sex (or maybe the second two will 'go' in the other order).

If aby doctor/nurse/administrator had the nerve to lecture me I'd walk out before they finished a sentence.

I'm sure you wouldn't lose sight of why you're there. Being prickly about it isn't going to get anyone anywhere.

Lecture is probably putting a bit strongly. But since I was, shall we say, provided with information about the perils of having sex, in the way I would expect to be addressed if I was a third of my actual age, it felt like a lecture to me.

I think it must vary according to where you go. I went to UCH in London once, because it is supposed to be the best. But I did find a couple of staff there a little bit off. It's a very busy place and I had a strong feeling at the time they were trainees.

Offline NightKid

I'm a little surprised to see the discussion of cost for the tests have not came up yet.
I'm guessing that means it's free for all?


I got my results from my first visit today. They sent me a text message this morning saying everything came back negative   :dance:

I went to a NHS clinic in Isleworth. All the staff, the doctor and the nurse made me feel relaxed and at ease. It was a walk in session and I was out within an hour. I had to empty most of my bladder before the pressure had reduced enough to manage to piss in that tiny container without spraying myself!


Offline random

How long should you leave it after a punt before going for a test and how long to get the results?

Offline LL

I'd be more worried about the side effects of the vaccine. Apparently hepatitis B is very rare anyway especially if you do almost everything protected. According to the NHS site the body is usually able to fight it off.

That's nonsense.  If you visit "sex-workers" as they're called in the GUM clinics then you are recommended to have the Hep B vaccination and anyone who's been to a GUM clinic (and all of us punters should) will have heard this advice from the NHS.

How long should you leave it after a punt before going for a test and how long to get the results?
2 weeks is the advice I've had from my visits.  You really need to just get yourself to the clinic where they will answer all your questions.  It's a bit scary at first but no more so than going to visit a WG for the first time.  Treat it like a punting mission perhaps?!

How long should you leave it after a punt before going for a test and how long to get the results?

My results came in 5 days. I don't know if there's a minimum time period, but it was 10 days since my last punt and the doctor thought that was enough time to do a test. HIV can take up to 6 months before it can show up on a test somethimes, so I plan to go at least bi-annually or even quarterly.
« Last Edit: August 23, 2013, 08:28:54 PM by sexysunny »

Offline random

That's nonsense.  If you visit "sex-workers" as they're called in the GUM clinics then you are recommended to have the Hep B vaccination and anyone who's been to a GUM clinic (and all of us punters should) will have heard this advice from the NHS.

Don't know about these things, I was in fact only going by what was on the NHS website. It says on there that Hep B & C can be passed through unprotected sex and is rare in this country and is more likely to affect drug users. It also mentions the body can usually fight off Hep B. Hep C isn't vaccinated against.
http://www.nhs.uk/conditions/hepatitis/Pages/Introduction.aspx
Maybe there's more to it though and that information is misleading? I don't know.

Offline LL

From the website then...
Quote
Hepatitis B is uncommon in England and cases are largely confined to certain groups, such as drug users. It is much more common in other parts of the world, such as China, central and Southeast Asia and sub-Saharan Africa.

"Certain groups such as drug users" and also those who visit prostitutes.
Quote
Most people infected with hepatitis B are able to fight off the virus and fully recover from the infection within a couple of months. The infection can be unpleasant to live with, but usually causes no lasting harm.

Do you want to have an infection that's going to last 2 months?  Also during that time you can pass it on to somebody else.

Quote
However, a small minority of people develop a long-term infection. This is known as chronic hepatitis B.

This is why they vaccinate against it.  It's your choice.  Personally I was happy to have the injections to minimise the risk.
Quote
A vaccination is available for hepatitis B, which is recommended for people in high-risk groups, such as injecting drug users.
.... and punters.  Ask at the GUM clinic.  We can see from your posts that you've been putting it off for a couple of months!

Believe it or not the advice on the NHS sexual health website is not tailored to punters.  You have to actually talk to a doctor / sexual health nurse to get that.  So just because it doesn't say on every page of the NHS sexual health that punters are a high-risk group, that doesn't mean that we are not.

And from this page
http://www.nhs.uk/conditions/vaccinations/pages/hepatitis-b-vaccine.aspx
Quote
Who should be vaccinated against hepatitis B?...
people who change their sexual partners frequently
« Last Edit: August 23, 2013, 09:18:05 PM by LL »


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