References UK clinical guidance from the NHS, the British HIV Association (BHIVA), and the British Association for Sexual Health and HIV (BASHH). Last updated: April 2026.
STI consultations — whether at an NHS sexual health clinic, GP surgery or private service — are confidential, non-judgmental and designed to make you feel comfortable. Clinicians deal with sexual health matters every day and are used to all kinds of questions and concerns. Understanding what to expect helps you feel prepared.
Here’s a walk-through.
Order a discreet home STI test
Before Your Appointment
- Note any symptoms and when they started
- Think about when you last had sex and with whom
- Bring a list of any medications you take
- Arrive a few minutes early to check in
- Bring a friend if it helps you feel supported
What Happens During a Consultation
1. Check-in
You’ll register at reception. NHS sexual health clinics are discreet — others in the waiting area won’t know your reason for attending.
2. Brief history
A nurse or doctor asks about:
- Any symptoms
- Recent sexual activity (types of sex, number of partners)
- Previous STIs or tests
- Contraception use
- Vaccinations
- General health
3. Examination if needed
If you have symptoms, a physical examination may be offered. You can decline or ask for a chaperone. Examinations are quick and professional.
4. Samples and tests
Depending on your needs:
- Urine sample
- Blood sample (finger-prick or vein)
- Vaginal, throat or rectal swab
- Visual examination of any sores or warts
5. Discussion
The clinician explains what’s being tested, what you can expect and when results will arrive. Ask any questions — they’re there to help.
6. Treatment if appropriate
Some infections can be treated on the day. Others wait for test results. The clinic will tell you what’s next.
What to Expect Afterwards
- Results in a few days to a week (for lab tests)
- Follow-up if needed
- Partner notification support if you test positive
- Treatment and advice as appropriate
Common Fears
| Fear | Reality |
|---|---|
| Judgment from staff | Sexual health staff are non-judgmental professionals |
| Embarrassment about symptoms | They’ve seen everything before; you won’t shock them |
| Painful tests | Most tests are simple and quick |
| Loss of privacy | Sexual health records are kept separate and confidential |
| Being told off for my sex life | Clinicians won’t lecture you; their job is to help |
Questions to Ask
- Which STIs am I being tested for?
- When will I get my results?
- What’s the next step if anything is positive?
- Should my partner be tested?
- Do I need vaccines or PrEP?
If You’re Nervous
- Bring a friend
- Write down your questions
- Remember that everything is confidential
- Clinicians really have seen it all — you’re not alone
Read more: Confidential STI testing | Discreet testing | Private testing
Frequently Asked Questions
Will the consultation be embarrassing?
Clinicians are trained to put you at ease. Most people find it more straightforward than expected.
Can I ask for a chaperone?
Yes. You can always request a chaperone during examinations.
Will my GP be told?
Not from an NHS sexual health clinic unless you consent.
Related reading
- A to Z of Sex: Sexual Health Terms Explained
- Alcohol and HIV: What You Need to Know
- Anxiety and HIV: Coping and Getting Support
- Are All STIs Curable?
- Blood Problems and HIV: Anaemia, Low Platelets and More
Sources
- NHS — Sexual health conditions
- BASHH — UK clinical guidelines for STI management
- British HIV Association (BHIVA) — HIV treatment guidelines
- Terrence Higgins Trust — sexual health information
- UK Health Security Agency — STI surveillance data
Steve Page is a recognised expert on Sexually Transmitted Diseases (STDs) and STD treatments, having published numerous articles in peer-reviewed journals and presented his research at conferences around the world. He has an in-depth understanding of the latest medical research on STDs, and is an advocate for the development of new treatments and protocols to improve the health of those affected. In addition to his research, he has dedicated his career to understanding the causes and symptoms of STDs, as well as how to best treat those impacted.
