Useful information about working in Sexual Health
Who to call and how to refer
Referrals can be made via eReferral. Ring the on-call Sexual Health Registrar (available 9am-5pm) for clinical advice or if a referral is urgent. If you are unable to make contact with the Sexual Health Registrar, call the triage nurse who can assist with enquiries. We will assess urgently:
New diagnoses or contacts of HIV or syphilis
Acute or atypical genital ulceration
Men who have sex with men (MSM) who develop acute proctitis symptoms
STIs in pregnancy
HIV nPEP (non-occupational post-exposure prophylaxis) if presents during normal clinic hours
Information to have when calling the Sexual Health Registrar
Patient name, age and NHI
Clinical issue
Any specific risk factors?
e.g. sex overseas, partner with STI/HIV, MSM, intravenous drug use, on HIV PrEP (pre-exposure prophylaxis)
Priority populations can self-refer, although a referral is preferable to ensure that the patient is followed up:
People aged under 30
Māori or Pacific Island
MSM
Trans or gender-diverse people
People living with HIV
Contacts of HIV or syphilis
People who inject drugs
Sex workers
Unemployed or people with a community services card
Non-priority populations require a referral to access the service
Services
STI screening for priority populations only
Complex STI management including HIV and syphilis
Syphilis contact tracing (email: STScontacttracing@adhb.govt.nz or use the dedicated eReferral option for Sexual Health contact tracing for HIV/syphilis)
HIV nPEP and HIV PrEP
Management of chronic, recurrent vaginal discharge
Management of chronic, recurrent urethritis in men
Chronic genital pain
Genital dermatology opinions
Gender affirming treatment for trans and gender diverse people
Additional Resources
Guidelines for diagnosis and management of specific sexually transmitted infections can be found on either:
Auckland Regional Health Pathways https://aucklandregion.healthpathways.org.nz/ (need to search under sexual health or specific infection)
Aotearoa New Zealand STI Management Guidelines for Use in Primary Care www.sti.guidelines.org.nz
Sexual Health clinic sites - Auckland region
There are 4 clinical sites across the Auckland region for patient referrals. Bookings can be made via phone. See https://www.ashs.org.nz/ for information on walk in clinics and asymptomatic Quick Checks.