Aftercare; emergency contraception and Blood Bourne Viruses

During assessment with the doctor/nurse, they will discuss emergency contraception and Blood Borne Viruses. 

Emergency Contraception
It may be important to consider emergency contraception if no contraception was used or if you have reason to believe contraceptive device used may have failed.  Horizon SARC West Midlands are able to give the emergency contraceptive pill or morning after pill onsite and at the time of assessment, so there is no need for you to collect it from a pharmacy yourself.  There are two types of morning after pill that allow for it to be taken up to 3 or 5 days after sex. The doctor/nurse will discuss with you whether taking the morning after pill is advised and which one might be best for you.

It is still possible to become pregnant after taking the morning after pill.  The sooner the morning after pill is taken the more effective it is.  If you do not feel able to contact Horizon SARC West Midlands but think you might need the morning after pill there are other services you can contact, such as your GP, sexual health service, family planning clinic or you can attend a local pharmacy. 

Blood Borne Viruses
It is possible that you will have got a sexually transmitted infection (STI) such as Chlamydia or Gonorrhoea or blood borne virus (BBV) such as HIV or Hepatitis B from the assault.  For further information about STIs please go to Sexual Health Screening.  The risk of having contracted HIV or Hepatitis B is generally low. Details about the assault and person who committed the assault will help the doctor/nurse make an assessment as to the risk. 

Horizon West Midlands has on site medications that can be given following exposure to HIV or Hepatitis B that work to prevent the diseases, these are called prophylactic medications.  The earlier these preventative medications are given the more effective they will be.  The first dose of prophylactic medication for HIV can be given within 72 hours of exposure.  The first dose of prophylactic medication for Hepatitis B can be given up to 6 weeks following exposure.  It will not always be appropriate to give these medications, The doctor/nurse will talk to you about this, make sure that you have all the information about the risks and advise whether they feel it is appropriate for these medications to be given. It is important to be aware that the prophylactic medications that may be given at the time of medical examination are only the first dose of medications, it is necessary to continue with the course of medication which will involve attending further appointments at a local GU clinic to you. Appointments can be arranged by the Horizon SARC team if you would like. If the doctor/nurse provides medication to prevent HIV or Hepatitis B you will not be protected unless you complete the full course of treatment.