Common Conditions

Genital Pain

Genital pain is a common problem that can affect men or women. There are many different causes including sexually transmitted infections, skin problems and sometimes chronic pain problems have no obvious cause. Long term genital pain often results in emotional distress as well as physical pain. It is important that people with genital pain have an expert assessment so that the correct diagnosis can be made and treatment can be started. Please note that genital pain can also commonly result in sexual dysfunction.

Chronic Candidiasis (Thrush)

This condition, also known as thrush, is caused by an overgrowth of a reaction to a yeast called Candida Albicans. It is not a sexually transmissible infection. A range of factors can be associated with thrush. Most women however will develop 'thrush' without any identifiable precipitating factor. Uncomplicated thrush is common and should respond to over-the-counter antifungal creams and tablets.

Chronic or recurrent thrush can be a distressing and disabling problem. It is important to have a proper examination done to exclude other conditions such as dermatitis, skin diseases and genital herpes. We will provide you with current, accurate and balanced information regarding your self-care, diet and options for medical treatment. You may require a longer term course of anti-thrush treatment.

Genital Dermatology (skin problems)

The most common symptoms to affect the genital skin are lumps, bumps and itching. Skin can also break down, tear easily, have sores or ulcers and be painful or irritated. The common conditions that affect the genital skin are eczema, dermatitis, psoriasis, lichen sclerosis and lichen planus. You can access more detailed information about each condition from the links provided.

Discharge Problems (Urethritis and Vaginitis)

Vaginal discharge can be 'normal' (i.e. physiological) or it can be related to other causes. When discharge is abnormal, (thick, yellow, odorous or irritating) you should see a doctor. Common causes include conditions such as Candidiasis (Thrush), Bacterial Vaginosis or Chlamydia. Less common causes include inflammatory disorders. A referral to a specialist is useful if you have vaginal discharge that is recurring or if previous treatment has not helped.

Urethral discharge in men is often caused by an STI but there are other conditions that can be associated with discharge from the urethra. These include less common bacterial and viral infections, inflammatory disorders and structural problems in the urethra. Urethral discharge can sometimes be associated with other symptoms such as discomfort passing urine, or just an uncomfortable feeling in the urethra.

Genital HPV

We specialise in the management of HPV and treatment of genital warts. This is a common condition which can be emotionally distressing. There are a variety of treatment options which include topical creams, liquid nitrogen freezing or laser treatment. It is also important to take care of yourself, communicate correctly with your partner and understand the issues around where HPV comes from and how it is passed on. If you need correct and up to date specialist advice on HPV related to your smear results, colposcopy, treatment to cervix, testing for HPV or vaccine related issues, then we are the people to see.

We recommend Gardasil (HPV vaccine).

Genital Herpes

We specialise in the management of genital herpes and can offer you up-to-date and balanced advice on:

• New or recent diagnosis
• Long term management
• Use of long term oral acyclovir
• Viral shedding
• Transferring herpes to sexual partners

It is important for both you and your partner to understand all the issues that having herpes can raise, feel in control and be positive.