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Brook Thurrock

 

PrEP or PEP

PrEP

If you’re at risk of HIV or find it difficult to use condoms every time, you can use PrEP (HIV Pre-exposure Prophylaxis). PrEP is a pill you can take before sex that offers near complete protection from HIV.

More about PrEP

Where can I get PrEP?

You can get PrEP from Brook Sefton. Contact the service by phoning 0151 305 0148

PEP

If you’ve had unprotected sex with someone who is HIV positive within the last 72 hours, it is possible to take anti-HIV medication called PEP (post-exposure prophylaxis) which may stop you becoming infected. The sooner it’s taken, the more effective it is.

More about PEP

Where can I get PEP?

You can get PEP from Brook Sefton. To get PEP, please phone the clinic as soon as possible on 0151 305 0148

DoxyPEP

A pill taken after sex to prevent syphilis. It contains the antibiotic called Doxycyline. It reduces the chances of getting syphilis by around 80%. After sex without a condom, doxyPEP should be taken within 24 hours and no later than 72 hours.

DoxyPEP is available for gay, bisexual, men who have sex with men or trans women that are at a higher risk of getting syphilis for example if they:

  • Have sex with multiple partners.
  • Have had a bacterial STI in the last 12 months.

You might be offered DoxyPEP at your routine PrEP appointment. You can also contact the clinic to find out if you’re eligible by phoning 0151 305 0148

STI vaccines

Using condoms is key to preventing STIs. For high-risk individuals, there are vaccines available at the clinic that help to prevent STIs.

These vaccines are available for gay, bisexual, or men who have sex with men that are at a higher risk because they:

  • Have sex with multiple partners
  • Have group sex
  • Have had a bacterial STI in the last 12 months
  • Have had close contact with someone with someone with an STI

These vaccines may also be available to you if you don’t fit the above criteria but are high-risk. Clinicians will assess whether you are eligible at an appointment.

Please note: We are unable to provide vaccines for travel purposes – please see your GP.

Which vaccines are available? (for eligible people only)

The Meningocococcal B (MenB) vaccine, also called Bexsero, is available for eligible individuals. It gives a 30-40% protection against gonorrhoea. It requires two injections at least four weeks apart.

Mpox (previously known as monkeypox), can be transmitted through sexual contact. The Mpox vaccine provides good protection against the mpox virus. It’s usually given as two injections at least 28 days apart.

Two injections given 6-12 months apart to protect against Hepatitis A.

Three injections to protect against Hepatitis B. Usually, the second injection is given one month after the first, and the final injection is given 6 months after the first.

Injections taken to protect against the Human papillomavirus (HPV). If you’re under 25, you’ll just need the one injection. If you’re over 25, you’ll need two injections. In some cases three injections are needed.

Who is eligible?

  • Gay, bisexual, and other men who have sex with men who are up to, and including, 45 years of age.
  • Young people aged 14-25 who didn’t get the HPV vaccine through their school’s programme. Please let us know if you’re coming to the clinic for something else and have missed your HPV vaccine with school.

How do I get these vaccines?

If you’re eligible and have visited the clinic for PrEP, you may receive a text inviting you to book an appointment for these vaccines.

You can also ask about these vaccines at your routine PrEP appointment or you can phone the clinic 0151 305 0148 to find out of you’re eligible.

Cervical Screening

Cervical screenings (used to be known as smear tests) test for HPV and are every five years for people with a cervix aged 25 to 64. Some people may be invited to their cervical screening every three years while the new five year programme comes into place. If you’ve tested positive for HPV in previous screenings then you may be invited to have another screening sooner than five years.

If you’ve received your reminder letter from your GP about your screening being due, you can get your screening done at our clinics. You can book your cervical screening by phoning the service on 0151 305 0148

Find out more about cervical screening

Psychosexual therapy

Psychosexual therapy is accessed via referrals by GPs and healthcare professionals only. Please see your GP if this is something you think you would benefit from and they can refer you to us.

Psychosexual therapy supports individuals and couples that are struggling with issues such as:

  • Loss of libido
  • Ejaculation problems
  • Erection difficulties
  • Vaginismus or pain during sex
  • Orgasm problems
  • Sexuality and sexual orientation
  • Gender issues

If you are a GP or healthcare professional, you can refer someone by contacting our email for a referral form info.sefton@brook.org.uk

HIV treatment and support

Brook Sefton doesn’t provide HIV treatment. This can be accessed from Mersey and West Lancashire Teaching Hospitals NHS Trust. You can contact them on 01704 704492

LGBT+ support

Sahir

Sahir runs LGBT+ support groups in Liverpool

Find out more about Sahir

The LGBT Foundation

The LGBT Foundation offers a range of services including support groups.

Find out more about the LGBT Foundation

Trans Health Sefton

Medical help and support for people of all ages whose gender identity is different from the gender they were assigned at birth. This service is at The Strand Medical Centre, you can self-refer by filling out a form over the phone or in person. To access this service you have to be registered with a Sefton GP and be living in the South Sefton or Southport and Formby areas.

Find out more about Trans Health Sefton

I’m experiencing pain or have genital ulcers

If you are experiencing any of the following, it’s really important you get urgent help:

  • Genital ulcers
  • Pain in testicles
  • Pain in vulva and/or lower abdomen

Phone Brook Sefton on 0151 305 0148 to speak to one of our team as soon as possible or phone 111.

sexual assault

Sexual assault is any sexual act that a person did not consent to, or is forced into against their will. It is a form of sexual violence and includes rape (an assault involving penetration of the vagina, anus or mouth with a penis), or other sexual offences, such as groping, forced kissing or child sexual abuse.

More about sexual assault and violence

You can report the assault to police by calling 999 or 101. A specially trained officer will speak to you about what has happened and will arrange for an Independent Sexual Violence Advisor (ISVA) to support and guide you through the prosecution process. Sexual assault is traumatic and it can sometimes take a while until you feel able to talk about it. Even if the assault happened a long time ago, you can still report it.

If someone you know has been raped or sexually assaulted, it can be a very distressing and confusing time for you both. You can help to support the person who has been assaulted by:

  • Making it clear that you are there for them.
  • Helping them understand what their options are and what happens next.
  • Accompanying them, if it is safe to do so, to a SARC or police station nearest to them (if they want to report it to the police – this is entirely their choice and they shouldn’t feel pressured).
  • Listening to them and supporting them through the recovery process.

Try not to feel upset if they don’t want to talk to you about what has happened – sexual violence can be very difficult to discuss, even with someone you trust.

It is important to support them to take whatever action they want to take, which might be nothing, in their own time as they feel able to do so and not to rush them into getting help.

Worried about a child?

If you’re worried about a child, even if you’re unsure, contact the NSPCC on 0808 800 5000 for help, advice and support.

Where can I get support after sexual assault/violence?

Sexual violence is a crime, no matter who commits it or where it happens. Whatever has happened, there are places and people who can support you – you are not on your own.

Sexual Assault Referral Centres (SARCs)

SARCs offer medical, practical and emotional support for anyone who has experienced sexual violence. They can help with pregnancy and STI testing, medical help for any injuries and can do a forensic medical examination.

Rape and Sexual Abuse Specialist Service

RASA is a confidential service for anyone who is experiencing, or who has experienced, any form of sexual violence or abuse at any time in their life.

More support organisations

Outreach and education

Brook is commissioned to provide outreach and education work in Sefton. This includes training for professionals, webinars for parents, and workshops and RSE lessons for schools.

More information coming soon.

I need help with something else

If you need to discuss your health or you’re worried about something, please contact the clinic directly. 

Please note that we are unable to help with:

  • Contraception if you live outside of Sefton- please contact your local service
  • Contraception only for period/menopause management
  • Long-term Thrush management
  • Long-term BV management
  • Menopausal care/investigation/HRT
  • Erectile dysfunction management
  • Premature ejaculation
  • Testosterone testing
  • Fertility testing
  • Blood testing for Herpes
  • Sterilisation (inc. Hysterectomy / Vasectomy)
  • Termination of pregnancy (both medical and surgical) – please contact NUPAS or MSI

Brook Sefton is unable to offer 24/7 support, if you need urgent help, there are places you can go and organisations that can help.

A&E Departments:

I need urgent help

If you are looking for general support or information, you can view our help and advice pages. We also have a list of help and support organisations relating to different topics and support areas.

View help and support organisations

I need to refer a patient to Brook Sefton

If you are a professional and need to refer a patient to Brook Sefton, please email us on brook.sefton@nhs.net

We will then be back in touch to request more information and may ask you to complete a referral form.

Our email system is encrypted. If your email system is not encrypted, please do not email a referral but telephone us instead.

Please note: Professional referrals are not required to access Brook services (we accept self-referrals).