Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Effective counselling on safe sex and STI prevention in a busy clinic setting involves:
- Using a sensitive, non-judgemental, and confidential approach to create a safe environment where patients feel comfortable discussing sexual health openly, emphasising empathy and inclusivity.
- Conducting a brief but thorough risk assessment by asking about sexual activity, number and type of partners, use of alcohol or substances, and local STI prevalence to tailor advice appropriately.
- Providing clear, concise information and education about STIs, their transmission, the impact of alcohol and drugs on sexual decision-making, and the importance of consistent and correct use of barrier methods such as condoms, including offering condoms in various sizes and types.
- Promoting access to sexual health services by informing patients that services are free, confidential, and open access, and signposting to local or online testing and treatment options, including self-sampling kits where available.
- Using motivational interviewing and behaviour change techniques to address informational, motivational, and skills-based barriers, helping patients develop personalised risk-reduction plans and increase sexual self-efficacy, such as negotiating condom use and sexual consent.
- Tailoring interventions to individual needs and cultural contexts, recognising diversity in sexual behaviours and identities, and avoiding assumptions or stigma.
- Encouraging partner notification when appropriate, discussing methods to inform partners safely and offering referral to specialist services if needed.
- Providing follow-up plans to review progress, reinforce messages, and offer ongoing support.
This approach balances efficiency with effectiveness, ensuring key messages are delivered even in time-limited consultations while respecting patient autonomy and promoting safer sexual behaviours.