Posts tagged Sexual Health

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The best delivery service in the UK.

Posted 22 November 2019 in Allergies, Erectile Dysfunction, Hair Loss, Men's Health, Sexual Health, Weight Loss, Womens health

All of our treatments and tests are guaranteed next working day delivery in a 1 hour time slot by dpd to all mainland UK*.

DPD update

Predict & Follow my parcel

dpd are our preferred carrier with their industry-leading predict and follow my parcel service. With this service you will receive a message via your chosen method, SMS or email at approximately 8am, on the day of delivery giving you your one hour delivery window. It also allows you in real time map to track the progress of your parcel all the way down to a 15 minute window so you don’t have to wait in all day.

In-flight options

If you are not going to be home, you will be offered other options:

On the day you place your order you will receive a confirmation message by your chosen method, giving you the option to divert your parcel to the nearest dpd Pickup Shop. This could be close to home, or work or on your journey and many of the stores have extended opening times.

Divert to a Pickup Shop is also available at checkout. All deliveries must be signed for unless you ask for it to be left in a safe place (includes posting through your letterbox) where you will be asked to accept a disclaimer.

All of this excellent service is included within your price. No hidden extras at the checkout.

Webmed use dpd as our preferred courier to deliver to all mainland UK*.
*Excluding the Scottish Highlands and islands where we use Royal Mail Special Delivery.

Discrete packaging

At Webmed one of our most popular FAQ’s is what sort of packaging will it come in?

We understand the need for discreet packaging and there is no mention of what’s inside or where its from. Here is a picture of a typical dpd Expresspak bag used.

DPD packaging
 

DPD are the 'delivery company of choice' for the biggest and best-known retailers and are the UK's number one next-day specialist.

Today in the UK, DPD delivers over 200 million parcels a year, employs over 12,000 people  and operates more than 7,000 vehicles from 65 locations.

A DPD Van

Saturday and Sunday deliveries

At checkout we offer the option for Saturday or Sunday delivery to all mainland UK (except the Scottish Highlands and islands) by dpd for just a small cost of only £2.00.

For the Scottish Highlands, Northern Island, Scilly Isles and the Isle of Man we use Royal Mail Special Delivery offering a Saturday delivery for £4.00.

DPD Innovations

dpd have led the way with innovative technology including the “Your dpd App”, now used by more than 3.5million people.

dpd’s new £150m hub

Work is well underway on a new state-of-the-art hub in Hinkley, Leicestershire which is equivalent to 22 football pitches. Making it the largest parcel hub in Europe.

dpd Opens electric vehicle hub in central London

October 2018 saw the opening of dpd’s first all-electric vehicle depot in Westminster which will be delivering up to 2,000 parcels. They are using a fleet of 10 Nissan eNV200 all-electric vans for the last mile delivery which have a capability of making 120 drops per day. They plan to have 550 electric vehicles by 2021.

Webmed Pharmacy uses dpd as we want to offer our customers the best delivery service in the UK.



Cuts to sexual health service budgets – the rise of home testing and treatment

Posted 8 November 2019 in Sexual Health

A pipette dripping blue chemicals into a test tube of yellow chemicals. Source: medicalimages.comIn recent years, the government has cut funds for public health services across the country. One of the most drastically affected areas is sexual health – between 2016/17 and 2017/18, the budget for sexual health services provided by local authorities was slashed by around 30%. (1)

This has led to the closure of several sexual health clinics nationwide. For the general public, this means more people will be looking at STI home testing and treatment as an option.

What is the difference between STIs and STDs?

In recent decades, there has been a shift from referring to STDs (sexually transmitted diseases) towards referring to STIs (sexually transmitted infections) - in fact, the NHS website refers solely to STIs, with no mention of STDs at all.

This is because not only does the word ‘disease’ hold more grave connotations, but ‘infection’ is the more accurate description since many cases of STIs experience no symptoms, contradicting the image of illness that ‘disease’ implies.

Furthermore, the infection leads to the potential disease, and the infection (not the disease) is what is transmitted from one person to another. For example, AIDS (acquired immune deficiency syndrome) is a disease which can occur as a result of infection with HIV (human immunodeficiency virus). AIDS itself cannot be transmitted from one person to another, despite reference in society and popular culture.

What happens at a sexual health clinic?

You’ll be asked a few questions about your sexual history, medication and medical conditions. This is to make sure you receive the medication that is the most appropriate for you, if you need it.

A sample may then be taken. The type of sample depends on the STI being tested for and can be in the form of urine, a swab of the urethra (the tube through which urine flows from the body), a vaginal swab, a swab from a genital sore, or blood. HIV results may be available instantly but urine and swab samples may need to be sent off to a lab, so the results will be available after a week or two. Dependent on this, you may then receive antibiotic or antiviral treatment. The service is provided confidentially, so your details are kept private and your GP won’t be informed unless you want them to be. (2)

Where can I get a home testing or treatment pack?

Because more and more sexual health clinics are closing, alternative sources of testing and treatment will experience increased demand, including online pharmacies.

At Webmed Pharmacy we offer confidential testing and treatment for a range of STIs, as can be found here.

Below are some examples of STIs for which treatment can be purchased online:

Chlamydia

What’s the test for chlamydia?

Testing for chlamydia involves either taking a sample of urine for men, and a vaginal swab sample for women. (3)

What’s the home treatment for chlamydia?

The first line (ideal) treatment for chlamydia is an antibiotic called doxycycline. The course lasts for a week. (4)

Is the home treatment for chlamydia the same as I would get at a clinic?

Yes. Sexual health clinics, GPs and online pharmacies all follow the same guidelines. The guidelines are those issued by the British Association for Sexual Health and HIV, BASHH.

Gonorrhoea

What’s the test for gonorrhoea?

For men, either a urine sample or a swab of the urethra. For women, a vaginal or cervical swab, and sometimes a swab of the urethra. (5)

At Webmed Pharmacy it’s a urine sample for men and a swab sample for women.

What’s the home treatment for gonorrhoea?

The home treatment is a combination of two different antibiotics, azithromycin and cefixime (Suprax), all taken as a single dose.

Is the home treatment for gonorrhoea the same as I would get at a clinic?

No, because the first line treatment for gonorrhoea is an antibiotic injection into the buttock or thigh, a procedure which is not suitable for home treatment. The home treatment is the second line. (6)

Trichomoniasis

What’s the test for trichomoniasis?

In a sexual health clinic, the healthcare professional will usually examine the area for symptoms, then take a vaginal swab for women, and either a swab of the penis or a urine sample for men. (7)

The home test involves taking either a vaginal swab for women, or a urine sample for men.

What’s the home treatment for trichomoniasis?

The treatment is a course of an antibiotic called metronidazole, either taken as a 2g single dose or as a five-day course. (8)

Is the home treatment for trichomoniasis the same as I would get at a clinic?

Yes. Sexual health clinics, GPs and online pharmacies all follow the same guidelines.

Genital herpes

What’s the test for genital herpes?

Testing is undertaken in a sexual health clinic or GP surgery. It involves taking a swab of a genital sore. If no sores are present, the test can’t be carried out. (9)

What’s the home treatment for genital herpes?

Treatment does not cure genital herpes, but it can help to clear up an outbreak of sores. A five-day course of an antiviral, either aciclovir or valaciclovir, is taken. (9)

Is the home treatment for genital herpes the same as I would get at a clinic?

Yes. Sexual health clinics, GPs and online pharmacies all follow the same guidelines.

Genital warts

What’s the test for genital warts?

Testing for genital warts is done at a sexual health clinic or at your GP surgery. Diagnosis is in the form of an examination of the area. (10)

What’s the home treatment for genital warts?

Imiquimod (Aldara) cream can be used for any type of external genital warts – soft or hard, and in the genital or anal area. It is applied three times weekly for several weeks until warts have cleared. (11)

Podophyllotoxin (Warticon) is an alternative that comes as a cream or a topical solution. It can only be used on external soft warts of the genital area. It is applied for three consecutive days each week for a total of four weeks. (11)

Is the home treatment for genital warts the same as I would get at a clinic?

It depends on several factors, including how big your warts are and where they are positioned. A doctor or nurse may freeze, cut, burn or laser the warts off if topical treatments aren’t suitable or haven’t worked. (10)

How quickly can I get a test kit delivered?

If you order before 4pm Monday to Friday, then your test kit will be delivered the next working day by tracked delivery. The packaging is very discreet with no mention of the contents or who it’s from.

How quickly will I receive my test results?

The time taken for test results varies according to the test ordered.

For HIV lab tests we receive the results within 24 hours of the lab receiving your test sample.

For most other tests we receive results within 48 hours of the lab receiving your test sample.

What are the advantages of ordering online?

The advantages of ordering from us at Webmed Pharmacy are that you can order and test in the comfort of your own home at a time that is most suitable to you and receive your test results much quicker than you would from a sexual health clinic. It also saves the embarrassment of having to attend a clinic if you can still find one that’s near to where you live or work with all the recent cut-backs.  

References

  1. British Medical Association. Feeling the squeeze: The local impact of cuts to public health budgets in England [cited 9 October 2019]. Available at: https://www.bma.org.uk/-/media/files/pdfs/collective%20voice/policy%20research/public%20and%20population%20health/public-health-budgets-feeling-the-squeeze-briefing-march-2018.pdf?la=en

  2. NHS. Visiting an STI clinic [cited 9 October 2019]. Available at: https://www.nhs.uk/live-well/sexual-health/visiting-an-sti-clinic/

  3. NHS. Chlamydia – Diagnosis [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/chlamydia/diagnosis/

  4. NHS. Chlamydia - Treatment [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/chlamydia/treatment/

  5. NHS. Gonorrhoea – Diagnosis [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/gonorrhoea/diagnosis/

  6. NHS. Gonorrhoea – Treatment [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/gonorrhoea/treatment/

  7. NHS. Trichomoniasis [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/trichomoniasis/diagnosis/

  8. NHS. Trichomoniasis – Treatment [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/trichomoniasis/treatment/

  9. NHS. Genital herpes [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/genital-herpes/

  10. NHS. Genital warts [cited 9 October 2019]. Available at: https://www.nhs.uk/conditions/genital-warts/

  11. British National Formulary (version 2.1.23) [Mobile application software]. Retrieved from: www.bnf.org

    Author
    Gabby Gallagher MPharm

    Medically reviewed by
    Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
     6th November 2019

STD testing experience

Posted 25 July 2019 in Sexual Health

Our returning guest blogger Hanna, 35, today talks about her experience getting STI tested.

A couple in bed looking stressed. Source: Shutterstock 259619195Well I never thought my last boyfriend and I were destined to be together forever, but we’d fallen into a comfy routine of watching box sets whilst eating take away. Plus, we’d both reached our mid-thirties and were cohabitating in relative contentment; or so I thought…

When I found out that his ‘work’ nights out were a string of one-night Tinder hook ups I suddenly had that dread that he’d left me with more than just the outstanding rent; so I started looking online for ways I could get tested, sharpish, and without anyone finding out.

It’s a mine field. The local G.U.M. (Genito-Urinary Medicine; and yes, I had to look it up) clinics open no longer than three hours at a time and the slots that are by appointment only are notoriously difficult to call through and get booked on to. I looked at the NHS home test kit, but due to a staff back log it would take 14 days to send me a kit out and then I wouldn’t get the results for 3-4 weeks. Well, the thought of what I could potentially be harbouring in my nether regions meant that I wanted results in days, not weeks, and certainly not over a month – so I tootled off to my local walk-in clinic.

Well it wasn’t the best start to the day as I had to take last minute half-day holiday as I couldn’t get in before 08:30 (my actual office start time) and I had no idea how long I’d be waiting there. I should be spending my half day holidays in a beer garden, not needing a beer by 10:30. To give the clinic its dues, the place was clean and the staff were very polite. I was the oldest in there by a fair age gap and was by far the most conspicuously fidgety but realised that college students don’t have to explain to their sixty-year-old male boss that they need between 1-3 hours for a personal issue.

Two and a half hours later I was on my way with the promise of the results being texted to me sometime in the next couple of weeks. I’ve never been so anxious about every text I received in that time.

A month later in the pub, after a few wines for courage, I admitted all this to my best friend. She then told me I could get a test kit delivered straight to my home, next day delivery and the results within a week – all for less than we spent in the pub that night. No stress, no time-off, no-one would know. No contest, right? Well I’m actually hoping for no knob-head boyfriends in future…

Want discreet home testing with quick results? Get your home test kit here; delivered within 24 hours* in discreet packaging. Safe, secure, sorted.

*to mainland UK

Genital warts treatment now available from Webmed Pharmacy

Posted 2 July 2019 in Sexual Health

What are genital warts?

HPV. Source: medicalimages.comGenital warts is one of the most common sexually transmitted infections – in fact, in England, the only STI that is more common is chlamydia. Genital warts are caused by certain strains of the human papilloma virus (HPV), a large group of viruses which mainly affect the skin. Other strains of HPV are responsible for warts and verrucae found on the hands and feet, plane warts which are usually found on the face, and changes in cells which may lead to development of cancer – most commonly of the cervix. (1, 2, 3)

Genital warts can be unsightly, embarrassing and can cause irritating symptoms, including itchiness, inflammation and disruption of flow of urine, depending on the area affected. Fortunately, they are harmless, they don’t lead to any serious conditions such as cancer, and they are not known to affect fertility. There is no cure – once you have caught the virus, you will have it for life. However, it is possible for your body to eventually clear the warts in time, and there are also treatments available to help with this. (1, 4)

How do you catch genital warts?

You don’t need to have penetrative sex to contract genital warts – the skin of your groin area coming into contact with the skin of the groin area of an infected person can be all it takes to pass the virus on. Sharing sex toys can also lead to infection. Using condoms during sexual activity is highly recommended to reduce the chance of transmission, but since genital warts can affect the surrounding areas and upper thighs, infection can still occur. However, don’t forget that condoms are a highly effective barrier against other STIs, so unless you know for sure that you and your partner are clear, you should be using them regardless! (4)

I think I might have genital warts, what can I do?

If you think you might have genital warts, you can visit your GP or a sexual health clinic for a diagnosis. They appear as painless lumps on the vulva, penis, anus or surrounding areas, and can even be found on the upper thighs. The warts can sometimes become itchy and inflamed, and if warts are present inside the urethra (in men or women), the vagina or the anus, this can lead to bleeding from these areas. Warts inside the urethra can also cause urine to flow at an angle. On the other hand, you can carry the virus without ever having shown any symptoms, or symptoms may develop years after exposure. Despite this, you can still pass the virus on to others through sexual contact. If you have a sexual partner who has genital warts, you should visit a sexual health clinic, even if you don’t have any symptoms yourself. (4)

How are genital warts treated?

Treatment for genital warts is prescription only. Don’t use treatments for warts and verrucae, such as salicylic acid gel, found in pharmacies and some shops to treat your genital warts – they are not designed for this purpose and will irritate and damage the sensitive skin of your genital area. (1)

Topical treatments (liquids and creams) which can be prescribed to treat genital warts include podophyllotoxin, a liquid that is applied to the warts with an applicator stick or as a cream. As the name suggests, it is toxic to the warts and works by killing the cells. It is applied in ‘cycles’ of three days followed by four treatment-free days. In most cases, warts will disappear after four or five cycles. At Webmed Pharmacy we supply it under the brand name Warticon. It can be used for soft genital warts. (5)

Imiquimod (Aldara) is a cream which is applied to larger warts three times a week and left for six to ten hours before being washed off. It encourages your immune system to fight off the virus that causes the warts. Warts should begin to clear up within a few weeks. Aldara can be used for both hard and soft warts not only on the genitals but also those visible in the anal area.  (5)

Trichloroacetic acid (TCA) is applied to small, hard genital warts once weekly by a healthcare professional at a genitourinary medicine (GUM) clinic. It breaks down proteins in the cells of the warts to kill them. Unlike the other topical treatments, it is safe to use in pregnancy. (5)

Genital warts can also be removed using physical ablation:

  • Cryotherapy is a procedure during which warts are frozen using liquid nitrogen, which can cause a sensation of burning. Once the procedure is finished, the skin can take up to three weeks to heal.

  • Excision is surgical removal of warts, often used for harder warts. Once the warts are removed, the area is stitched together and should heal within three weeks.

  • Electrosurgery involves applying a metal loop to a wart, then using an electric current through the loop to burn the wart. Because this procedure can be so painful, general aesthetic is occasionally used.

  • Laser surgery can be used for hard-to-access warts, such as those in the urethra or anus. A laser is used to burn the warts, and as with electrosurgery, this may be performed under general anaesthetic. The area may be painful for up to four weeks after the procedure. (5)

It is important to avoid sexual activity until the area has fully healed. (5)

Can I buy treatment for genital warts from Webmed Pharmacy?

Treatment for genital warts is now available to buy from Webmed Pharmacy. You’ll just need to answer a few questions about your symptoms, health and any other conditions so that the doctor can determine whether the treatment is right for you. If so, as with all of our other tests and treatments, your medication will be posted securely to an address of your choice the following day within a one hour time slot!

References

  1. NHS inform. Genital warts: About genital warts [cited 23 June 2019]. Available at: https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/genital-warts

  2. Mayo Clinic. HPV infection: Overview [cited 23 June 2019]. Available at: https://www.mayoclinic.org/diseases-conditions/hpv-infection/symptoms-causes/syc-20351596

  3. NHS. Warts and verrucas [cited 23 June 2019]. Available at: https://www.nhs.uk/conditions/warts-and-verrucas/

  4. NHS. Genital warts [cited 23 June 2019]. Available at: https://www.nhs.uk/conditions/genital-warts/

  5. NHS inform. Genital warts: Treating genital warts [cited 23 June 2019]. Available at: https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/genital-warts#treating-genital-warts

Author
Gabby Gallaher MPharm

Medically reviewed by
Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
2nd July 2019

Festival season is here

Posted 1 July 2019 in Sexual Health

Today’s blog is written by Hanna, a 35 year old single female living in the city; but less Carrie Bradshaw and more Bridget Jones. Hanna will be writing for us from time to time on issues that arise in the modern world of dating, love and life in her 30s; and whilst many of us can relate to what Hanna has experienced, all views are her own.

A festival crowdWell festival season is upon us and those who attended Glastonbury this weekend got very lucky with the weather. Of course with scorching sunshine comes the inevitable festival issues; the stench of the toilets and ending up with your face in your dancing-neighbours sweaty armpit; all rounded off by being boiled alive in a tent at 6am with a killer hangover. Yet still we flock, in the thousands, to watch our favourite artists, create amazing memories and meet a range of new people. Mix this in with some alcohol and the laissez-faire environment created at a festival; it’s inevitable we’re going to want to hook up with that hot one we met at Silver Hayes.

This brings me to a topic I’ve discussed many times with my girlfriends and I can honestly say that the group is 50/50 divided; festival sex, yes or no? Stats show that, on average, 34% of Glastonbury attendees will have some sort of sexual encounter; it’s the most promiscuous music festival in the UK. These liaisons mainly happen in the tents but some brave souls get it on in crowds and I read that some even attempt it in the port-a-potties – I had to read that twice.

Those that are in the yes camp (pun intended) are my more free spirited friends that jump into the festival vibe with gusto from the moment we arrive. I, on the other hand, am firmly in the no camp and whilst that may make me seem uptight; you have not seen me at 7am when I’m sweaty, have no make up on and have scarecrow hair. I wish I could be free-loving and not care about intimate hygiene but as I shower at least once a day at home- you’re at Glasto for four days with only wet wipes. I know you’re thinking, “But surely it’s not that bad as you’d use a condom” and the great thing about Glastonbury is the availability of free condoms, the only single-use plastic that they did allow this year. So each to their own but I’ll abstain for four days, it’s not like I’m not used to it #singlelife

Just returned from Glastonbury and worried you may have contracted an STI? Get your home test kit here - delivered within 24 hours* in discrete packaging. Safe, secure, sorted.

*to mainland UK

Home gonorrhoea treatment

Posted 12 June 2019 in Sexual Health

Home gonorrhoea treatmentThe World Health Organization, WHO, has estimated that one million new sexually transmitted infections (STIs) occur every single day. (1)

Overall, in the UK the cases of sexually transmitted infections are increasing.

In England alone, in 2018, there were 447,694 new diagnoses of STIs, a 5% increase on the 422,147 in 2017. (2)

Gonorrhoea increased the most, by 26% to 56,259 cases, the largest number since 1978.

The number of gonorrhoea cases has been increasing for years among both men and women, despite repeated warnings from public health doctors about the risks of unprotected sex.

Gonorrhoea, sometimes referred to as "The Clap", is a bacterial infection passed between people through unprotected sex.

About 50% of women and 10% of men are unaware that they’re infected as they don’t experience any obvious symptoms and this means that the infection can go untreated until the disease has progressed. This can lead to serious long-term health problems and infertility.

If symptoms are experienced, they usually occur about 10 days after being infected. Men and women are affected differently: (3)

Men may experience

  • Burning sensation/pain when urinating

  • Inflammation of the foreskin

  • An unusual discharge from the tip of the penis that may be green, yellow or white.

  • Tenderness or pain in the testicles

While women may experience

  • Burning sensation/pain when urinating

  • Bleeding between periods and/or heavier periods

  • A change in vaginal discharge which may be thick and green or yellow in colour.

  • Lower abdominal discomfort

  • Bleeding after sex

Testing

If you have put yourself at risk and are concerned, then you should wait 14 days before taking a test as it may take this amount of time before the infection can be detected.

If you visit your GP you will probably be signposted to a genitourinary medicine, GUM, clinic which may also be called a Sexual Health Clinic.  If you find it difficult to either get an appointment at a clinic or are simply short of time or indeed too embarrassed to go to a clinic, you can choose to order a test from us at Webmed Pharmacy.

Our test kits are sent to The Doctors Laboratory (TDL) in London. They are the largest independent providers of clinical laboratory diagnostic services in the UK. Once the lab has received your sample, your results will be available 2-3 days later.

The kits are posted in discreet plain unmarked packaging with no indication of their contents or who it‘s from.

Treatment

If your test is positive for gonorrhoea we can refer you to a GUM clinic for treatment. The first line treatment, as recommended by the British Association for Health and HIV, BASHH, is an injection of a single antibiotic.

If you can’t get to a GUM clinic, unable to get an appointment or have a needle phobia then our doctor can prescribe second line treatment that comprises of two different antibiotics that you take orally. As our treatment is second line, and therefore not considered to be as effective as the first line treatment, we provide a free “test of cure” that you can send to the lab 14 days after treatment to make sure you are clear of infection.

We will ask that you complete a simple medical questionnaire that our Doctor can assess for your suitability and, if approved, be prescribed the oral antibiotics to treat the infection.

Your treatment will be delivered in discreet, unmarked packaging with no mention of the contents or who it’s from. You can have your parcel delivered to your home or work address and, if in an area where we use DPD, you can have it diverted to a local pickup shop where you can collect it at your convenience.

The symptoms for all STIs are very similar and it’s better to get tested to find out which STI you may have rather than trying to guess from your symptoms. Then you can receive the most appropriate treatment and be sure of treating the infection successfully.

This is especially important for gonorrhoea as there is evidence of a resistant strain of gonorrhoea emerging in the UK and unnecessary prescribing of antibiotics can contribute to this.

References

  1. https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)

  2. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/806118/hpr1919_stis-ncsp_ann18.pdf

  3. https://www.nhs.uk/conditions/gonorrhoea/symptoms/

Medically reviewed by
Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
11th June 2019

Online Testing And Treatment For Gonorrhoea

Posted 14 May 2019 in Sexual Health

Stained cellsGonorrhoea is a sexually transmitted infection and can be caught by having unprotected sex with an infected person. It can affect both men and women. Symptoms do not appear until about 10 – 12 days after infection and some 50% of women and 10% of men are unaware that they have it, because there may be no obvious symptoms. This can lead to long term health problems and infertility. (1)

Symptoms in men are a burning sensation when urinating, pain in the testicles, a discharge from the penis that may be white, yellow, or green, and inflammation of the foreskin if present. In women there will also be a burning sensation when urinating, vaginal discharge which may be green or yellow, lower abdominal discomfort, bleeding after sex, and bleeding between periods. (1)

If you are concerned that you may have been at risk, you need to wait 14 days before taking a test because it may not be detected earlier. At Webmed Pharmacy we can supply test kits for both men and women. In all mainland UK except the Scottish Highlands and islands, the kits will be delivered the next working day by DPD in unmarked packaging. All other areas will receive their discreet parcels by Royal Mail special delivery the next working day. (2)

You then take your sample using the test kit and send it in a pre-paid envelope to The Doctors Laboratory in London. Results will be available 2 – 3 days later, and we will contact you by email or SMS to tell you that there is a message waiting for you in your secure inbox at Webmed Pharmacy.

If your test proves positive for gonorrhoea or chlamydia we will then ask you to complete a simple medical questionnaire online so that our doctor can assess you for your suitability and, if approved, can prescribe the oral antibiotics that you need to cure the infection. (3)

If you have already tested positive using a home test kit from another site or a clinic, you can still complete the online questionnaire and if approved our doctor can prescribe the oral antibiotics. You should then take another test in order to ensure that you are free of infection 14 days after gonorrhoea treatment online, and we supply a FREE test kit to you for this purpose.  

References

  1. https://www.nhs.uk/conditions/gonorrhoea/symptoms/

  2. https://www.nhs.uk/conditions/gonorrhoea/diagnosis/

  3. https://webmedpharmacy.co.uk/buy/gonorrhoea-treatment-kit

    Medically reviewed by
    Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
     14 May 2019

Fact or fiction? Clearing up myths and misleading information about STI's

Posted 7 May 2019 in Sexual Health

Mr Rochester at the clinic

Can you tell which STI you have from symptoms only?

No, at least in most cases. Many symptoms of different STIs overlap, such as unusual discharge, pain when urinating and soreness and swelling of the vulva in women or the head of the penis in men. (1) Some STIs do have their own specific symptoms, such as black powder in underwear with pubic lice, but it is also important to remember that not everyone with a particular STI will experience all of the symptoms, and some may have no symptoms at all! Furthermore, HIV and Hepatitis B don’t cause symptoms, other than a flu-like illness which may occur a few weeks after infection. All of this is why it’s important to get tested! (1, 2)

Is there a single treatment for all STI's?

No. There are certain STIs that are caused by bacteria, some are caused by viruses, and others are caused by parasites, so the same treatment won’t work for them all. Also, different STIs need to be treated for different lengths of time, ranging from just a week long course of doxycycline (an antibiotic) for some cases of chlamydia to lifelong treatment with a daily cocktail of antiviral drugs for HIV.

Can all STI's be cured?

No. As previously mentioned, people living with HIV need ongoing treatment with many different antiviral drugs to keep the level of the virus in their body as low as possible. Genital herpes, as with any other herpes virus, remains dormant in the body once contracted, undetectable by the immune system – and can flare up at any time, particularly during times of stress or ill health. Genital warts are caused by one of several human papilloma viruses (HPVs) which tend to remain in the skin, even if there are no visible warts present, and can cause flare ups – although in some people, the immune system may eliminate the virus eventually. (3)

Conversely, some STIs can be cured very easily with a simple course of antibiotics, such as chlamydia, gonorrhoea and trichomoniasis.

Can I catch an STI from kissing?

No. Still, beware of cold sores, which are caused by a type of herpes virus (usually a different strain to the genital herpes virus) – these can be passed on through kissing.

Can I catch an STI from a toilet seat?

No. STIs can’t survive outside of the body for more than a few seconds (an exception to this rule is Hepatitis B, which can survive outside the body for at least seven days - but it is not strictly classed as an STI due to there being several other ways to contract it). (4)

Can I get an STI again even if I’ve been treated before?

Yes. Courses of treatment for curable STIs are to treat the current infection and offer no protection against future infections. Likewise, your body cannot develop immunity to STIs.

Do I need a “test of cure” for all treatments?

No – only for gonorrhoea. For pubic lice, the affected area should be checked to ensure there are no live lice one week after treatment ends. However, for any STI that can be cured with a course of treatment, see your GP if symptoms persist after you have completed the course. (5, 6)

Are men or women more likely to catch an STI?

The proportions of men and women being diagnosed with the various different STIs vary based on the STI in question and also year by year. Several factors can affect how many men and women are diagnosed with STI's, including women tending to show fewer symptoms due to most of their genitals being internal and therefore less visible, and women being more likely than men to attend an STI test. STI's seem to disproportionately affect homosexual men, possibly due to less frequent condom use compared with the heterosexual population. (7)

I’m pregnant, will my baby be affected?

Many STIs can affect unborn babies during pregnancy or be passed to the baby during birth.

  • Chlamydia can cause premature birth or low birth weight. Transfer from mother to baby during birth can lead to conjunctivitis and pneumonia. (8)

  • Gonorrhoea can cause miscarriage or premature labour. The baby may contract the infection during birth and develop conjunctivitis (an eye infection). If this is left untreated or treatment is delayed, the child may suffer from permanent impaired vision or even blindness. (9)

  • Trichomoniasis may cause low birth weight and premature birth. (10)

  • Genital warts can occasionally infect babies during birth, leading to infection in either the throat or genitals. (3)

  • Genital herpes can cause neonatal herpes in the baby. This is a very serious infection and is potentially fatal, but it usually only develops if the mother contracts genital herpes while she is pregnant. (11)

  • Syphilis can cause serious complications during pregnancy, including miscarriage, stillbirth and syphilis infection in the baby (congenital syphilis). Routine testing for syphilis is available to all pregnant women in this country for this reason. (12)

If you are pregnant and are in doubt as to whether you may have an STI, consult your midwife or see your GP.

References

  1. NHS. Sexually transmitted infections (STIs) [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/sexually-transmitted-infections-stis/

  2. NHS. Pubic lice [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/pubic-lice/

  3. NHS. Genital warts [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/genital-warts/

  4. CDC.Hepatitis B Questions and Answers for the Public [cited 1 May 2019]. Available at: https://www.cdc.gov/hepatitis/hbv/bfaq.htm

  5. NICE CKS. Gonorrhoea [cited 1 May 2019]. Available at: https://cks.nice.org.uk/gonorrhoea#!scenario

  6. NICE CKS. Pubic lice [cited 1 May 2019]. Available at: https://cks.nice.org.uk/pubic-lice#!scenario

  7. FPA. Sexually transmitted infections factsheet [cited 1 May 2019]. Available at: https://www.fpa.org.uk/factsheets/sexually-transmitted-infections

  8. NHS. Complications: Chlamydia [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/chlamydia/complications/

  9. NHS. Complications: Gonorrhoea [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/gonorrhoea/complications/

  10. NHS. Trichomoniasis [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/trichomoniasis/

  11. NHS. Genital herpes [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/genital-herpes/

  12. NHS. Syphilis [cited 1 May 2019]. Available at: https://www.nhs.uk/conditions/syphilis/

Author
Gabby Gallaher MPharm

Medically reviewed by
Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
7 May 2019

HIV: commonly asked questions

Posted 28 November 2018 in Men's Health, Sexual Health, Womens health

A question mark of pillsNational HIV Testing Week begins on Saturday 17th November 2018 and World AIDS Day on December 1st, so now is the best time to look over some of the most commonly asked questions about HIV (human immunodeficiency virus) testing and treatment!

How soon can HIV be detected by a blood test after contracting the virus?

Generally, it is one month after exposure to HIV that the virus is easily detectable in the blood. Tests done less than one month after exposure are considered unreliable. (1)

What is the window period for HIV testing?

The window period is the one-to-three month time frame following possible exposure to HIV, depending which test you use. The window period for the lab test is 28 days but is 90 days for the “Home” test. If you test before the recommended time frames then the HIV test may need to be repeated. This applies whether an earlier test came back positive or negative, as results from tests conducted earlier than the recommended “window period” for HIV can be unreliable, as previously mentioned. (1)

However, you shouldn’t wait until you may be in the window period before seeking medical help - you should do this as soon as you can if you believe you may have come into contact with HIV. Within the first 72 hours after suspected exposure, a type of medication called post-exposure prophylaxis (PEP) can be taken, which may prevent the infection from taking hold altogether. (1)

Can you receive instant results from an HIV Test?

Tests which provide instant results are available to use. Some genitourinary medicine (GUM) clinics and sexual health clinics offer finger prick testing, and home testing kits can be purchased from some online or high street pharmacies. (1)

How can I test for HIV at home?

There are a number of tests available from Webmed Pharmacy which allow you to test or take a sample in the comfort of your own home.

How accurate are HIV Tests?

  • The latest 5th generation HIV lab test kit is 99.8% effective at detecting HIV at least 28 days after potential exposure. It contains a sterile lancet and a test tube. A blood sample is collected by pricking the little finger with the lancet and massaging a small amount of blood into the tube. This is then sealed (further instructions are found in the kit) and sent off to a lab for testing using the pre-paid envelope included. Results should be available two to three days after the sample is received by the lab – you will be able to access these via your secure account.

  • The 3rd generation INSTI HIV Home self test allows you to sample and test for HIV yourself, all within just 60 seconds. It is only reliable if used at least 90 days after potential exposure. Like the lab test, blood is collected by pricking the finger (full instructions supplied in the kit). The result is clearly shown as one dot for HIV negative, two dots for HIV positive. Negative results are at least 99.5% accurate and positive results are at least 99.8% accurate.

  • The PrEP annual test kit can be used if you are taking pre-exposure prophylaxis (PrEP) – this medicine is used by HIV negative people to prevent infection with HIV. This test can be performed yearly to check HIV status and also kidney function, which can be affected by taking PrEP.

  • The pre-treatment PrEP test kit is suitable if you are thinking of starting PrEP. It checks your HIV status, kidney function and also whether you have hepatitis B.

What should I do if I test positive for HIV?

If you get a positive result, seek medical help. You will need to have regular blood tests to monitor the levels of a type of cell called CD4 lymphocytes. CD4 lymphocytes are one of the types of cells that make up the immune system and are also the cells that are targeted by HIV. HIV particles ‘hijack’ the CD4 lymphocytes, replicate themselves within the cells, and are then released in greater numbers when the cell dies, going on to infect further cells. You will need to start treatment to keep your CD4 levels high enough to keep you in good health - if someone with HIV does not start treatment, their CD4 levels will eventually fall so low that they will be at risk of serious infections such as flu, pneumonia and tuberculosis, which their immune system will not be able to cope with (this is known as AIDS  - see below). (2)

Even if your CD4 levels are high, you will still need to start medication to limit the progression of the disease. The aim of treatment is to achieve an undetectable viral load (levels of HIV in the blood being so low that they do not show up on blood tests).

What medications are available for HIV?

There is a wide range of HIV medications available, which are grouped into the following categories:

Other HIV medications outside these categories include enfuvirtide and maraviroc, which work in different ways to the medications listed above. (3)

Taking HIV treatment correctly should allow you to stay in good health, free from symptoms and to achieve a normal lifespan.

What is the difference between HIV and AIDS?

We often hear the abbreviations ‘HIV’ and ‘AIDS’ used interchangeably, but they are not the same! AIDS, or acquired immunodeficiency syndrome, is the most severe stage of HIV. It is characterised by CD4 levels falling so low that the body is very susceptible to opportunistic infections and cancers. Without treatment, AIDS will lead to death, usually within around three years. Fortunately, it is rare in the present day for people in the UK with HIV to progress to AIDS thanks to the thorough prevention, testing, monitoring and treatment strategies. (4)

References

  1. NHS Choices. HIV and AIDS: Diagnosis [cited 16 Nov. 18] Available at: https://www.nhs.uk/conditions/hiv-and-aids/diagnosis/

  2. NAM Aidsmap. Factsheet CD4 cell counts [cited 16 Nov. 18] Available at: http://www.aidsmap.com/CD4-cell-counts/page/1044596/

  3. British National Formulary (version 2.1.6) [Mobile application software]. Retrieved from: www.bnf.org

  4. CDC. What is HIV? [cited 16 Nov. 18] Available at: https://www.cdc.gov/hiv/basics/whatishiv.html

    Author: Gabby Gallagher MPharm

    Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 28/11/18

Falsified Medicines Directive (FMD): How will pharmacies make sure your medicine is genuine?

Posted 19 November 2018 in Men's Health, Sexual Health, Womens health

Blister packs of various medications. Source: medicalimages.comThe Falsified Medicines Directive (FMD) is to be implemented in all member states of the European Union (including the UK) and the European Free Trade Area on 9th February 2019. This is a response to the growing number of falsified medicines entering the pharmaceutical supply chain, which can have serious consequences for patient health and safety. But how will it work? (1)

What is FMD?

FMD stands for Falsified Medicines Directive, a term used both to describe the process by which pharmacies will identify the medicines they receive from wholesalers as legitimate or falsified, and to refer to the European Directive on Falsified Medicinal Products, the piece of legislation concerning this process. (2)

What are falsified medicines?

Falsified medicines are illegitimate copies of legitimate medicines, from unlicensed manufacturers. Despite tight controls, some find their way into the supply chain, allowing them to reach patients. They have not been produced in the same highly regulated way in which legitimate medicines are produced by licensed pharmaceutical companies, but are often passed off as coming from such companies due to identical or stolen packaging. Falsified medicines can contain too much or too little of the active ingredient(s), no active ingredients at all, different active ingredients to what is stated on the packaging, and potentially harmful, banned or dangerously concentrated excipients (excipients are all ingredients of a medicine other than active ingredients). Clearly, there is a risk posed to patients, with overdose, drug interactions, poisoning or a condition being left untreated all possible outcomes of taking falsified medicines. (1)

How can you tell if you are buying falsified medicines?

Legitimate online pharmacies such as Webmed are approved and accredited by official regulatory bodies including the  MHRAGPhC and CQC. The independence and unbiased nature of these bodies provide regulation, monitoring and inspection to ensure we and our peers are held to the highest standards.

You can rest assured that when you purchase treatments from Webmed (from erectile dysfunction medication all the way to Hair Loss Treatments) you are purchasing legitimate, official medicines.

How will FMD be implemented in pharmacies?

From 9th February 2019, two new features will be present on all prescription medicines supplied to pharmacies (bar a handful of specialist medications):

  • A unique identifier (UI) – a 2D data matrix, or barcode, unique to each pack of medication

  • An anti-tampering device (ATD) – an addition to the packaging that will make it evident whether or not it has been tampered with, such as adhesive seals, shrink wrap, or perforated sections of boxes that must be broken to open the pack. (2)

It is expected that electronic patient medication record (PMR) systems in pharmacies will be updated to incorporate a medicines verification feature that can be used to scan the UIs on packs and identify the medicine as genuine or falsified. By law, stock will not need to be verified until it is being prepared for a patient, but optional verification will most likely be performed when stock is received into the pharmacy, allowing suppliers to be alerted as soon as possible when a suspected falsified medicine is found. (2)

The safest way to verify medicines before supply to patients will be using aggregated codes, if PMR systems allow. During the dispensing process, each pack of medicine will be scanned and codes for all packs to be bagged up for the patient will be ‘aggregated’ and printed on a label to attach to the outside of the bag. Then, when the patient comes in to collect the bagged prescription items (or before handover to delivery drivers), the aggregated codes will be scanned and, if verified as legitimate, all packs inside the bag will be decommissioned, meaning that their UI codes become inactive. Since UIs will be unique by name and nature, the same UI showing up on a further pack will be flagged, highlighting the pack as potentially falsified and unsuitable for supply to the patient. Aggregated codes will be preferable to scanning each item individually as it will mean that the bag does not need to be reopened on handing over to the patient or delivery driver, which will uphold patient confidentiality, save time and lower the risk of a dispensing error. (2)

Once packs are decommissioned, they can be recommissioned (the UI reactivated and the pack put back to stock as long as it hasn’t left the pharmacy) within 10 days. This may happen if a patient no longer requires the item(s) or if a pack is decommissioned in error. (2)

Scanning will also flag up any recalled, discontinued or out of date medicines, further minimising the impact of human error on patient safety. It is hoped that eventually it will even be used to ensure the correct medicine has been picked against the prescription! (2)

Will Brexit have an impact on FMD?

Since FMD is part of EU law, there has been confusion over whether FMD in the UK will be continued after the UK leaves the EU on 29th March 2019. The Department of Health and Social Care (DHSC) and the Medicines and Healthcare products Regulatory Agency (MHRA) have assured “high regulatory alignment” with the EU, meaning FMD will be here to stay. It is also believed that the UK will still be considered part of the EU for the purposes of FMD after Brexit, so the process should remain unchanged – this is the best outcome for ease of operation in pharmacies and for patient safety. (2)

References

  1. UKFMD Working Group for Community Pharmacy. FMD (1): What is the Falsified Medicines Directive? [cited 31 October 2018].

  2. UKFMD Working Group for Community Pharmacy. The way forward for FMD in community pharmacy [cited 31 October 2018]. Available at: https://www.communitypharmacyni.co.uk/wp-content/uploads/2018/02/fmd-cp-working-group-way-forward-paper-jan-18-public-v1-0-final.pdf

Author: Gabby Gallagher MPharm

Medically reviewed by: Superintendent pharmacist Margaret Hudson BSc(Hons)MRPharmS 16/11/18
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