Private Sexual Health Clinic London 2026: STI Testing, PrEP and HIV Care Complete Guide

Written By Omar Elalfy

Medically reviewed by The Online GP by The Wellness clinical team | Last updated: April 2026

At a glance

Private sexual health services in London 2026 cost £30 to £395 depending on tests, treatment, and turnaround. The Online GP by The Wellness in Marylebone offers the Basic STI Screen at £195 (chlamydia, gonorrhoea, HIV, syphilis), Comprehensive STI Screen at £295 (10+ infections), Express STI Screen at £395 (results within 6 hours), HIV-only test at £95, PrEP consultation at £150 plus monitoring, PEP consultation at £150 with same-day medication initiation, and treatment consultation at £150 for any positive results. All testing is fully confidential, GMC-registered, with multilingual care in English, Arabic, Spanish, French, and Dutch. Same-day appointments at our Marylebone clinic, two minutes from Baker Street.

According to UK Health Security Agency (UKHSA) 2026 data, sexually transmitted infections continue to rise in the UK, with chlamydia (the most common bacterial STI) accounting for approximately 194,000 diagnoses annually, gonorrhoea at a 50-year high, and persistent transmission of HIV with approximately 4,400 new diagnoses per year. Approximately 40 percent of UK STIs occur in people without symptoms, making screening essential. PrEP (Pre-Exposure Prophylaxis) reduces HIV acquisition risk by approximately 99 percent when taken correctly, transforming HIV prevention since NHS commissioning in 2020.

This 2026 guide explains exactly what tests are available, how the diagnostic window periods work, what PrEP and PEP do and when to use them, how to navigate NHS versus private testing, and why The Wellness multilingual integrated GP service offers something genuinely different from standard sexual health clinics.

Confidential consultation today: WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com | Call 020 3951 3429

Why choose private sexual health testing in London?

Private sexual health services occupy a meaningful niche in London 2026 alongside excellent NHS sexual health clinics (including Sexual Health London / SHL.UK providing free confidential testing across most London boroughs) and the various NHS GUM clinics at major hospitals. The choice between NHS and private depends on specific patient priorities including speed, privacy, comprehensiveness, language, and integration with broader medical care.

Five reasons patients choose private sexual health testing:

1. Speed and same-day access. NHS clinics often have appointment delays, particularly for non-symptomatic screening. Same-day or next-day private appointments are routinely available. Express same-day results within 6 hours are available privately for urgent reassurance, particularly relevant for patients with imminent sexual encounters, travel plans, or relationship situations requiring rapid clarity. The Wellness Express STI Screen at £395 delivers HIV, syphilis, chlamydia, gonorrhoea, and hepatitis results within 6 hours.

2. Privacy and discretion. Some patients strongly prefer their sexual health information to remain outside NHS medical records. Private testing keeps results entirely confidential: not visible to NHS GPs, not appearing in NHS systems, not accessible by family members or partners with NHS access. The Wellness adds further privacy through booking under pseudonyms where preferred, cash payment options, and billing under 'The Wellness' rather than any sexual health-specific name on bank statements.

3. Comprehensive testing in one appointment. NHS standard STI screens typically cover chlamydia, gonorrhoea, HIV, and syphilis as the priority infections. Private comprehensive screens add hepatitis B and C, herpes simplex I and II antibodies, mycoplasma genitalium, ureaplasma, trichomonas vaginalis, and gardnerella. Patients wanting reassurance across the broader spectrum of STIs benefit from comprehensive private testing.

4. Integration with broader healthcare. Sexual health concerns often coexist with other medical issues including stress, mental health, contraception, fertility, hormonal concerns, and general health. The Wellness operates as a full-service private GP clinic, meaning sexual health consultations integrate seamlessly with comprehensive medical care. The visit is not identifiable as sexual health-specific because the clinic addresses any medical concern.

5. Multilingual care for international patients. Discussing sexual health in a second language adds an unnecessary barrier. The Wellness consults in English, Arabic, Spanish, French, and Dutch, particularly valued by international patients, expat residents, and those preferring native-language consultation for sensitive topics. London's international population includes substantial communities where culturally appropriate multilingual sexual health services are limited.

The NHS Sexual Health London service (SHL.UK) offers excellent free testing across most London boroughs, particularly suitable for routine screening without specific privacy or speed requirements. NHS GUM clinics at hospitals provide comprehensive face-to-face care. Private testing complements rather than replaces NHS sexual health: each pathway has appropriate use cases.

What is included in The Wellness STI testing?

The Wellness offers three STI testing tiers plus individual test options, designed to match different patient needs from rapid reassurance to comprehensive screening.

Basic STI Screen at £195:

Covers the four highest-priority STIs that account for the majority of UK sexually transmitted infections:

  • Chlamydia trachomatis (urine or swab): The most common bacterial STI in the UK with approximately 194,000 UK diagnoses per year (UKHSA). Often asymptomatic. Causes pelvic inflammatory disease, infertility, and ectopic pregnancy if untreated.

  • Neisseria gonorrhoeae (urine or swab): UK gonorrhoea diagnoses are at a 50-year high. Increasingly antibiotic-resistant. Often asymptomatic in women, more often symptomatic in men. Causes pelvic inflammatory disease and disseminated gonococcal infection if untreated.

  • HIV (4th generation antibody/antigen blood test): Detects HIV-1 and HIV-2 antibodies plus p24 antigen, providing reliable detection from approximately 4 weeks (28 days) after exposure. Approximately 4,400 new UK HIV diagnoses per year.

  • Syphilis (IgG/IgM blood test): UK syphilis cases have risen substantially over the past decade. Treponema pallidum infection causes systemic disease across multiple stages including potentially serious cardiovascular and neurological complications if untreated.

The Basic STI Screen is appropriate for routine screening, asymptomatic individuals wanting reassurance, and patients with potential exposure to common STIs. Sample collection takes 10 to 15 minutes. Standard turnaround 24 to 48 hours for blood tests, 2 to 4 days for chlamydia/gonorrhoea PCR testing.

Comprehensive STI Screen at £295:

Adds testing for the broader spectrum of sexually transmitted and genital infections:

All four basic tests plus:

  • Mycoplasma genitalium: Increasingly recognised STI, often antibiotic-resistant, causes urethritis and pelvic inflammatory disease

  • Ureaplasma urealyticum: Genital tract infection, often co-infecting with other organisms

  • Trichomonas vaginalis: Parasitic STI, more common in women, causes vaginitis

  • Gardnerella vaginalis: Bacterial vaginosis, not strictly STI but commonly tested

  • Herpes simplex virus 1 and 2 (HSV-1 and HSV-2) antibodies: Establishes prior herpes exposure (note: blood test detects past exposure rather than active outbreak)

  • Hepatitis B surface antigen (HBsAg): Active hepatitis B infection

  • Hepatitis C antibodies: Hepatitis C exposure

The Comprehensive STI Screen is appropriate for patients with multiple recent partners, anonymous encounters, those requesting thorough reassurance, those starting new relationships, those planning pregnancy, and patients with vague genital symptoms. Sample collection 10 to 15 minutes.

Express STI Screen at £395:

The most complete urgent option, providing results within 6 hours for HIV, syphilis, chlamydia, gonorrhoea, and hepatitis B/C. Suitable for urgent reassurance situations:

  • Imminent sexual encounter requiring rapid clarity

  • Travel departure with health certification needs

  • Relationship discussion requiring same-day results

  • High anxiety requiring rapid resolution

  • Time-sensitive PEP versus routine testing decisions

Express service requires booking before midday for same-day results. Available Monday to Friday. Results delivered via secure email by 6pm.

Individual tests (à la carte):

  • HIV test alone: £95 (rapid 4th-generation antibody/antigen)

  • HIV RNA test (Xpert Qualitative): £195 (detects HIV from 10 days post-exposure)

  • Hepatitis B vaccination titre: £65

  • HPV testing: £95

  • Hepatitis screening alone: £145

  • Single targeted test (chlamydia or gonorrhoea alone): £75

Treatment for positive results:

If any test returns positive, the treatment consultation costs £150 (covering medication prescription, partner notification advice, sexual health follow-up plan, and post-treatment test of cure). Most bacterial STIs (chlamydia, gonorrhoea, syphilis) are curable with appropriate antibiotics. Viral STIs (HIV, hepatitis, herpes) are managed long-term with appropriate treatment achieving excellent quality of life and in HIV's case undetectable viral load with no transmission risk (U=U).

Get tested today: WhatsApp +44 7961 280835

How does the diagnostic window period work?

The diagnostic window period is the time between potential exposure to an infection and when testing can reliably detect it. Testing too early produces false negative results because the infection has not yet developed enough markers (antibodies, antigens, or DNA/RNA) to be detected. Understanding window periods is essential for accurate testing.

HIV testing window periods:

HIV Test TypeReliable Detection FromNotesRapid HIV-1 RNA (Xpert Qualitative)10 days post-exposureEarliest reliable detection. Detects viral RNA directly.4th generation antibody/antigen (HIV Combo)4 weeks (28 days) post-exposureStandard test. Detects HIV-1/2 antibodies plus p24 antigen. UK preferred test.3rd generation antibody only6 weeks post-exposureOlder test, less commonly used nowSelf-test (rapid antibody)12 weeks post-exposureLowest sensitivity, requires longer window

For complete reassurance after a single specific exposure, testing at 4 weeks with 4th-generation testing typically provides over 99 percent accuracy, with confirmatory testing at 8 to 12 weeks providing definitive answer. After ongoing exposure, regular 3 to 6 monthly testing is recommended.

Other STI window periods:

STIReliable Detection FromTest TypeChlamydia14 daysUrine PCR or swabGonorrhoea14 daysUrine PCR or swabSyphilis28 days (4 weeks)Blood test (treponemal antibodies)Hepatitis B28 to 90 daysBlood test (surface antigen)Hepatitis C28 to 90 daysBlood test (antibodies, then RNA confirmation)Mycoplasma14 daysUrine or swab PCRHerpes (HSV)12 weeks for antibody seroconversionBlood test (note: outbreak swab can detect active lesions sooner)HPVActive testing not generally recommended in asymptomatic men; cervical screening for womenSpecific clinical indications

Practical implications:

If you have a specific exposure concern with a known date, wait 14 days before testing for chlamydia and gonorrhoea (most common STIs), and 4 weeks for HIV and syphilis. Earlier testing has limited value because negative results require repeat testing.

If you have ongoing exposure (regular sexual activity with potential risk), regular 3 to 6 monthly screening is appropriate without specific reference to exposure dates.

If exposure was within the last 72 hours and you are concerned about HIV, PEP (Post-Exposure Prophylaxis) can prevent infection but must start within 72 hours, ideally within 24 hours. Contact us urgently or attend A&E.

If exposure has been months or years ago without prior testing, comprehensive screening is appropriate now without specific exposure date reference.

The Wellness consultation includes detailed history-taking to ensure testing timing optimises diagnostic accuracy.

What is PrEP and how do I get it?

PrEP (Pre-Exposure Prophylaxis) is daily or event-driven medication taken by HIV-negative people to prevent HIV infection from sexual exposure. PrEP has transformed HIV prevention since NHS commissioning in 2020, with multiple large studies showing approximately 99 percent reduction in HIV acquisition when taken correctly.

How PrEP works:

PrEP medication consists of tenofovir disoproxil fumarate (TDF) plus emtricitabine (FTC), sold as Truvada or various generic versions. These antiretroviral medications, when present in the body before HIV exposure, prevent HIV from establishing infection in the cells it would normally infect. PrEP must be present in the body before exposure to be effective, hence "pre-exposure" prophylaxis.

Two PrEP regimens:

Daily PrEP: One tablet daily, providing continuous protection. Reaches full protective levels after 7 days of daily use for receptive anal sex and 20 days of daily use for vaginal sex. Suitable for ongoing sexual activity. Most commonly prescribed regimen.

Event-driven PrEP (2-1-1 dosing): Two tablets 2 to 24 hours before sex, then one tablet 24 hours after, then one tablet 48 hours after. Suitable for men who have sex with men (MSM) with predictable, infrequent exposures (typically twice weekly or less). Not currently recommended for receptive vaginal sex due to limited evidence in this population.

Who should consider PrEP:

  • Men who have sex with men with multiple partners or partners of unknown HIV status

  • Trans women with sexual partners of unknown HIV status

  • Heterosexual people with sexual partners known to have HIV without confirmed undetectable viral load

  • Heterosexual people with multiple partners in high-prevalence settings

  • People who inject drugs with shared equipment risk

  • Sex workers in any gender

  • People in serodiscordant relationships (one partner HIV-positive) where the positive partner is not on suppressive treatment

  • Anyone with situational risk (planned travel to high-prevalence areas, particular relationship circumstances)

NHS PrEP versus private PrEP:

NHS PrEP is available free through London sexual health clinics including SHL.UK, Mortimer Market Centre, 56 Dean Street, and others. NHS PrEP includes initial assessment, blood tests, prescription, and 3-monthly monitoring. Wait times for initial appointments vary but are generally available within 2 to 6 weeks.

Private PrEP at The Wellness provides faster access, integrated multilingual care, and complete confidentiality:

  • Initial PrEP consultation: £150 (30 minutes covering history, risk assessment, regimen choice, discussion of expectations)

  • Baseline blood tests: £245 (HIV, hepatitis B, hepatitis C, kidney function, full blood count, sexual health screen)

  • Initial prescription: included in consultation

  • 3-monthly monitoring (HIV test, kidney function, sexual health screen): £150 per review

  • Generic tenofovir/emtricitabine medication: approximately £15 to £30 per month at private pharmacy

  • Total annual private PrEP cost: approximately £900 to £1,200 depending on monitoring schedule

PrEP monitoring requirements:

PrEP requires regular monitoring to ensure ongoing safety and effectiveness:

  • HIV testing every 3 months (4th-generation test) to ensure not breakthrough infection

  • Hepatitis B testing at baseline (PrEP active against hepatitis B too)

  • Kidney function at baseline and annually (rare PrEP-related kidney effects)

  • Routine STI screening every 3 months because PrEP does not prevent other STIs

  • Adherence support to ensure optimal protection

PrEP side effects are generally minimal. The most common is mild gastrointestinal symptoms in the first weeks of treatment, which typically resolve. Rare side effects include modest reductions in kidney function and bone density, monitored through regular blood tests.

PrEP discontinuation when no longer needed (long-term monogamous relationship with HIV-negative partner, lifestyle changes) is straightforward but should be planned with clinical guidance to ensure continuous protection through any transition period.

Begin PrEP confidentially: WhatsApp +44 7961 280835

What is PEP and when do I need it?

PEP (Post-Exposure Prophylaxis) is a 28-day course of HIV medication started within 72 hours of potential HIV exposure to prevent infection. PEP must start as soon as possible after exposure: ideally within 24 hours, and no later than 72 hours. After 72 hours, PEP is generally not effective and other approaches are considered.

When PEP is indicated:

PEP is considered when there has been a specific significant HIV exposure event:

  • Condomless sexual exposure with someone known HIV-positive without confirmed undetectable viral load

  • Condomless sexual exposure with someone of unknown HIV status from a high-prevalence group (men who have sex with men, sex workers, people who inject drugs)

  • Sexual assault with potential HIV exposure

  • Needle-stick injury with HIV-positive source (occupational PEP)

  • Shared injection equipment with HIV-positive source

When PEP may not be indicated:

  • Exposure to someone confirmed HIV-positive on suppressive treatment with undetectable viral load (U=U: undetectable equals untransmittable)

  • Exposure beyond 72 hours

  • Lower-risk exposures that may not justify a 4-week medication course

PEP medication:

Standard PEP regimen is tenofovir/emtricitabine plus raltegravir or dolutegravir (or other newer combinations) for 28 days. The regimen is selected based on the source patient's likely viral resistance pattern if known, or empirical broad-spectrum coverage if unknown.

NHS PEP versus private PEP:

NHS PEP is available free through:

  • A&E departments at major London hospitals (Royal London, Chelsea and Westminster, St Mary's, etc.) - 24/7 access

  • Sexual health clinics during opening hours (56 Dean Street, Mortimer Market Centre, Burrell Street Sexual Health Centre, others)

  • NHS Walk-in centres in some cases

Private PEP at The Wellness provides rapid access during clinic hours:

  • Same-day PEP consultation: £150

  • Baseline HIV test plus full STI screen: £295

  • PEP medication starter pack: cost varies (£200 to £400 typical)

  • Follow-up monitoring at 4 weeks and 12 weeks post-exposure: £150 per review

PEP must start as soon as possible. If you may have been exposed to HIV in the last 72 hours and cannot reach The Wellness immediately, attend A&E now. Do not delay seeking PEP to find a private option.

PEP side effects:

PEP medications can cause mild to moderate side effects including nausea, fatigue, headache, and gastrointestinal symptoms. Most resolve during the 28-day course. Severe side effects are uncommon.

PEP is not 100 percent effective but reduces HIV acquisition risk by approximately 80 percent when started promptly and completed correctly. The earlier started and the more reliably taken, the higher the protection.

PEP follow-up testing:

After completing PEP, HIV testing at 4 weeks, 12 weeks, and sometimes 24 weeks post-exposure confirms successful prevention. STI testing addresses other infections potentially acquired during the same exposure.

Urgent PEP enquiry: WhatsApp +44 7961 280835 (within 72 hours of exposure)

Or attend A&E immediately if outside clinic hours.

How does The Wellness ensure complete confidentiality?

Sexual health is deeply personal, and many patients have specific privacy concerns ranging from family discovery to professional implications. The Wellness operates with multiple layers of confidentiality protection appropriate to the sensitivity of sexual health information.

1. Doctor-patient confidentiality. All consultations and results are subject to strict medical confidentiality protected by GMC standards, NHS Code of Confidentiality, and UK GDPR. We never share information with third parties without your explicit consent except in extremely limited circumstances (court orders, immediate safeguarding concerns).

2. Separation from NHS records. Results of private testing are not communicated to your NHS GP unless you specifically request this. NHS systems do not have visibility of private sexual health results. This separation is structurally complete and is one of the main reasons many patients choose private testing.

3. Visit identity protection. The Wellness operates as a full-service private GP clinic addressing any medical concern from acute illness to executive health screening. No external observer can determine whether your visit is for sexual health, a routine check-up, a travel vaccination, or any other reason. The clinic appearance, location, and waiting room are general medical, not sexual-health-specific.

4. Billing privacy. Bank statements show 'The Wellness' rather than any sexual health-specific terminology. Cash payment is accepted for additional privacy. Itemised invoices for insurance claims are provided where requested but with neutral medical terminology.

5. Pseudonym booking. We accept booking under a pseudonym where preferred for absolute privacy. Medical care is delivered with full GMC standards regardless of name used; this is your decision for personal privacy.

6. Secure communication. Results are delivered via secure encrypted email or in-person. WhatsApp communications use end-to-end encryption. We do not leave detailed messages on voicemail. You control what information is shared and how.

7. International patient privacy. For international patients particularly concerned about home-country implications of sexual health testing, our multilingual care in English, Arabic, Spanish, French, and Dutch combined with the privacy provisions above provides complete protection.

8. No partner notification without consent. Partner notification for STI diagnoses is encouraged but never imposed. We discuss the public health rationale, support you in approaching partners, and where preferred can arrange anonymous partner notification through patient-friendly platforms. The decision is always yours.

9. Insurance discretion. If using private medical insurance, invoice line items use neutral medical terminology rather than sexual health-specific descriptions, supporting claim processing without unnecessary disclosure.

10. Result sharing control. Reports are provided to you, and you decide whether to share with anyone else. If you want to share results with a partner, doctor, or anyone else, this is your choice.

The Wellness approach summary: We treat sexual health with the same clinical rigour and privacy protection as any other sensitive medical information, with additional structural protections recognising that sexual health information has specific implications. Patient confidentiality is not just a policy: it is foundational to how we operate.

How does The Wellness compare with other London sexual health options?

London offers a wide spectrum of sexual health options, from free NHS services to premium private specialist clinics. Understanding the comparison helps choose the right option for your specific situation.,

Why The Wellness is positioned the way it is:

The Wellness operates at the comprehensive doctor-led integrated GP tier:

Versus NHS sexual health services: NHS provides excellent free testing but with longer wait times (1 to 2 weeks for results typically), less comprehensive panels (basic NHS screen does not include herpes, mycoplasma, ureaplasma), and visible attendance at sexual health clinic versus general medical clinic. For patients prioritising speed, comprehensiveness, privacy, or multilingual care, private testing provides clear benefits.

Versus private specialist sexual health clinics: Specialist clinics like Medical Express Clinic and Sexual Health Clinic London offer experienced sexual health-specific expertise with dedicated GUM consultants. The Wellness offers GMC-registered GP doctors with full sexual health competence integrated with broader medical care. For most routine and intermediate complexity sexual health needs, our service provides equivalent clinical quality at competitive pricing with the added benefit of integrated GP care. For complex cases (resistant gonorrhoea, complicated HIV care, specialist GUM problems), specialist referral is provided.

Versus pharmacy services (Boots, Superdrug): Pharmacy testing is typically cheaper for basic screens but uses self-sample or limited consultation, with results sent by email or phone. The Wellness provides doctor-led consultation, examination where needed, immediate treatment for any positive results, and integrated medical care. The price differential (£195 versus £30 for basic) reflects the substantial difference in clinical depth.

Versus national online providers (Better2Know, etc.): National providers offer broad clinic networks but typically limited consultation depth and slower results outside major centres. The Wellness offers same-day access at our central London location with comprehensive consultation and integration with broader healthcare.

The Wellness unique combination:

The Wellness offers a unique combination unavailable at any other single London clinic:

  • Comprehensive private STI testing with same-day appointments

  • PrEP and PEP services with experienced clinical management

  • Same-day express results option

  • Multilingual care in 5 languages

  • Integration with full private GP service

  • Marylebone/Harley Street location accessibility

  • GMC-registered doctor-led care

  • Complete confidentiality protections

  • WhatsApp accessibility for ongoing questions

  • Cash payment and pseudonym options

This combination makes The Wellness particularly suitable for international patients, expat residents, busy professionals, those wanting integrated medical care, and patients prioritising both speed and privacy.

Frequently asked questions

How soon can I be tested after potential exposure?

Test timing depends on the infection. For chlamydia and gonorrhoea, testing is reliable from 14 days post-exposure. For HIV (4th generation antibody/antigen) and syphilis, testing is reliable from 4 weeks (28 days) post-exposure. For early HIV detection, HIV-1 RNA testing (Xpert Qualitative) detects HIV from 10 days post-exposure at additional cost. For complete reassurance after a single exposure, testing at 4 weeks plus a confirmatory test at 8 to 12 weeks is recommended.

Will results be shared with my employer or anyone else?

No. Results are subject to strict medical confidentiality and never shared with employers, insurers, family members, partners, or any third parties without your explicit consent. The only exceptions are extremely limited circumstances including court orders or immediate safeguarding concerns, both rare. You control all sharing of your results.

Can I be tested without giving my real name?

Yes, we accept booking under pseudonyms for additional privacy. Medical care is delivered with full GMC standards regardless of name used. This is your choice for personal privacy and is more common than many patients realise. Results are released only to the booking name/contact details you provide.

What if I test positive?

Most STIs are highly treatable. Bacterial STIs (chlamydia, gonorrhoea, syphilis, mycoplasma, ureaplasma, trichomonas) are curable with appropriate antibiotics in a single course or short regimen. Viral STIs (HIV, hepatitis B and C, herpes) are manageable with appropriate ongoing care providing excellent quality of life. HIV with treatment achieves undetectable viral load with no transmission risk (U=U). The Wellness treatment consultation at £150 covers prescription, partner notification advice, follow-up planning, and integration with longer-term care where needed.

Is HIV still serious in 2026?

HIV is now a manageable chronic condition with effective treatment. Modern HIV treatment (typically a single tablet daily) suppresses viral load to undetectable levels, restoring near-normal life expectancy and eliminating sexual transmission risk ("U=U: Undetectable = Untransmittable"). However, untreated HIV remains serious and progresses to AIDS over years. Early diagnosis and prompt treatment are essential for optimal outcomes. PrEP for HIV-negative people at risk reduces acquisition by approximately 99 percent when taken correctly.

Can my partner or partners be tested at the same time?

Yes. We welcome partner testing, either at the same appointment or separate appointments depending on preference. Partner testing is encouraged when STIs are diagnosed because untreated partners can re-infect treated patients and continue transmission. Some couples choose to test together at relationship transitions for shared peace of mind. We support all configurations of partner testing with appropriate confidentiality.

Do I need to abstain from sex before testing?

Generally no specific abstinence required, though there are some exceptions. For HIV testing after recent exposure, the diagnostic window period applies regardless of subsequent activity. For chlamydia and gonorrhoea testing, sample collection requires not having urinated for 2 hours before for accurate results. We discuss specific timing during the booking process.

Book your sexual health appointment today

The Online GP by The Wellness offers comprehensive private sexual health services at our Marylebone clinic with same-day appointments, GMC-registered doctor consultation, multilingual care, integrated treatment if needed, and complete confidentiality. Whether you need routine screening, urgent reassurance, PrEP for HIV prevention, PEP after exposure, or specialist sexual health consultation, our integrated approach provides clinical excellence with privacy protection appropriate to the sensitivity of sexual health information.

Three ways to book today:

WhatsApp: Message +44 7961 280835 for a confidential same-day reply.

Email: team@thewellnesslondon.com for detailed enquiries with complete privacy.

Phone: 020 3951 3429 to speak directly to our team during clinic hours.

The Wellness, 10 Portman Square, Marylebone, London W1H 6AZ. GMC-registered doctors. Same-day appointments. STI testing from £195. PrEP and PEP available. Multilingual care in English, Arabic, Spanish, French, and Dutch. Complete confidentiality.

Related guides at The Wellness

  • Private Blood Tests London 2026

  • Best Private GP London 2026

  • Same-Day Private GP London 2026

  • Travel Vaccinations London 2026

References and further reading

UK Health Security Agency (UKHSA) annual STI surveillance reports

British Association for Sexual Health and HIV (BASHH) clinical guidelines

NICE guidance on PrEP (HIV pre-exposure prophylaxis)

NICE guidance on chlamydia, gonorrhoea, syphilis testing and treatment

UK Health Security Agency HIV surveillance reports 2026

British HIV Association (BHIVA) guidelines on PEP

NHS Sexual Health London (SHL.UK) clinical pathways

Sexual Health and HIV Activists' Network (SHAN) guidance on patient rights

Public Health England STI testing guidelines (now UKHSA)

International Union against Sexually Transmitted Infections (IUSTI) Europe guidelines

European Centre for Disease Prevention and Control (ECDC) HIV prevention guidance

Terrence Higgins Trust resources on HIV and sexual health

Disclaimer: This article is for educational purposes only and does not constitute medical advice. Sexual health concerns and STI testing should be discussed with a qualified clinician for personalised assessment. The Wellness is a private healthcare clinic with GMC-registered doctors providing sexual health services. For potential HIV exposure within the last 72 hours, urgent PEP assessment is essential and time-critical: contact us immediately or attend A&E without delay. For sexual assault, specialist sexual assault referral centres (SARCs) provide comprehensive forensic, medical, and psychological support and should be the first point of contact: in London, The Havens (24/7) at 020 3299 6900.

19 sexual health clinic london 2026 · MD

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Same-day appointments at The Wellness Marylebone with GMC-registered doctors and complete confidentiality.", "datePublished": "2026-04-25", "dateModified": "2026-04-25", "inLanguage": "en-GB", "author": { "@type": "Organization", "name": "The Online GP by The Wellness", "url": "https://www.thewellnesslondon.com" }, "publisher": { "@type": "MedicalOrganization", "name": "The Wellness", "url": "https://www.thewellnesslondon.com", "logo": "https://www.thewellnesslondon.com/logo.png", "address": { "@type": "PostalAddress", "streetAddress": "10 Portman Square", "addressLocality": "Marylebone, London", "postalCode": "W1H 6AZ", "addressCountry": "GB" }, "telephone": "+442039513429", "medicalSpecialty": ["GeneralPractice", "InfectiousDisease", "PreventiveMedicine"] }, "about": [ { "@type": "MedicalCondition", "name": "Sexually Transmitted Infections", "alternateName": ["STI", "STD", "Genitourinary infections"] }, { "@type": "MedicalCondition", "name": "HIV", "alternateName": "Human Immunodeficiency Virus" } ], "audience": { "@type": "MedicalAudience", "audienceType": "Patient" }, "lastReviewed": "2026-04-25", "reviewedBy": { "@type": "Organization", "name": "The Online GP by The Wellness Medical Team" } } </script> <script type="application/ld+json"> { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "How much does private STI testing cost in London?", "acceptedAnswer": { "@type": "Answer", "text": "Private STI testing in London 2026 costs £30 to £349 depending on tests included and turnaround time. The Wellness charges £195 for the basic STI screen (chlamydia, gonorrhoea, HIV, syphilis), £295 for the comprehensive screen (10+ tests adding hepatitis B, hepatitis C, herpes, mycoplasma, ureaplasma, trichomonas), £395 for express results within 6 hours, £95 for HIV-only test, and £150 for sexual health consultation alone. Treatment for any positive results is included in a £150 follow-up consultation." } }, { "@type": "Question", "name": "Can I get same-day STI test results in London?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. The Wellness offers express STI testing at £395 with results within 6 hours for HIV, syphilis, chlamydia, gonorrhoea, and hepatitis B/C, suitable for urgent same-day reassurance. Standard testing turnaround is 24 to 48 hours for blood tests and 2 to 4 days for swab cultures. Same-day appointments at our Marylebone clinic are routinely available via WhatsApp or phone booking. Express service requires booking before midday." } }, { "@type": "Question", "name": "What is PrEP and how do I get it?", "acceptedAnswer": { "@type": "Answer", "text": "PrEP (Pre-Exposure Prophylaxis) is daily or event-driven medication (tenofovir disoproxil/emtricitabine) taken by HIV-negative people to prevent HIV infection from sexual exposure. PrEP reduces HIV acquisition risk by approximately 99 percent when taken correctly. NHS PrEP is available free through London sexual health clinics including SHL.UK. Private PrEP at The Wellness includes initial consultation £150, baseline blood tests £245, prescription writing, and 3-monthly monitoring at £150 per review. Generic tenofovir/emtricitabine medication costs approximately £15 to £30 per month privately." } }, { "@type": "Question", "name": "What is PEP and when do I need it?", "acceptedAnswer": { "@type": "Answer", "text": "PEP (Post-Exposure Prophylaxis) is a 28-day course of HIV medication started within 72 hours of potential HIV exposure to prevent infection. PEP must start as soon as possible after exposure, ideally within 24 hours and no later than 72 hours. PEP is available free on NHS through A&E departments and sexual health clinics for situations meeting clinical criteria. Private PEP at The Wellness with same-day initiation costs £150 consultation plus medication cost. If you may have been exposed to HIV in the last 72 hours, contact us urgently or attend A&E immediately." } }, { "@type": "Question", "name": "What is included in the comprehensive STI screen?", "acceptedAnswer": { "@type": "Answer", "text": "The Wellness comprehensive STI screen at £295 includes urine testing or swabs for chlamydia, gonorrhoea, mycoplasma genitalium, ureaplasma, trichomonas vaginalis, gardnerella vaginalis, and herpes simplex I and II, plus blood tests for HIV (1 and 2 antibodies plus p24 antigen), syphilis (IgG/IgM), hepatitis B surface antigen, and hepatitis C antibodies. The panel covers virtually all common sexually transmitted infections. Treatment for any positive results follows in a separate £150 consultation." } }, { "@type": "Question", "name": "Will my GP find out about my STI test?", "acceptedAnswer": { "@type": "Answer", "text": "Not unless you choose to disclose. STI testing at The Wellness is fully confidential. Results are not shared with NHS GPs or any third parties without your explicit consent. Many patients prefer private testing specifically to keep results out of NHS records. We offer additional privacy options including booking under a pseudonym, cash payment, and billing as 'The Wellness' rather than any sexual health-specific name. Doctor-patient confidentiality applies to all our services." } }, { "@type": "Question", "name": "How soon after exposure can I be tested for HIV?", "acceptedAnswer": { "@type": "Answer", "text": "HIV testing accuracy depends on the time since exposure due to the diagnostic window period. Rapid HIV-1 RNA testing (Xpert Qualitative) detects HIV from 10 days after exposure with high accuracy. Standard fourth-generation HIV antibody/antigen testing (HIV 1/2 antibodies plus p24 antigen) is reliable from 4 weeks (28 days) after exposure. For complete reassurance after potential exposure, testing at 4 weeks plus a second confirmatory test at 8 to 12 weeks is recommended. Earlier testing has more limited sensitivity." } }, { "@type": "Question", "name": "How does The Wellness ensure complete discretion?", "acceptedAnswer": { "@type": "Answer", "text": "The Wellness operates as a full-service private GP clinic, meaning your visit is not identifiable as sexual health-specific. Patients attend the same Marylebone clinic for any reason from acute illness to executive health screening. Bank statements show 'The Wellness' rather than any sexual health terminology. Results are delivered via secure email. We accept booking under pseudonyms and cash payment. Multilingual care in English, Arabic, Spanish, French, and Dutch supports international patients. Doctor-patient confidentiality is absolute." } } ] } </script> -->

Omar Elalfy
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