Trans-Feminine Sexual Health

Where to go for sexual health advice

Good sexual health depends on regular check-ups and practicing protected sex.


Check-ups will make sure any STIs are quickly diagnosed and treated.


The sexual health clinic at Cobridge Community Health Centre is the main sexual health clinic in Stoke-on-Trent and you can visit for a full sexual health check-up. It’s a free and confidential service, and staff are friendly and non-judgemental. If you do not have symptoms you may also be able to order a full sexual health check online for free by visiting:


For sexual health information and advice for trans-feminine people, please visit The Terence Higgins Trust


You can find helpful information, advice and support through Mermaids. Mermaids is a charity that supports non-binary, transgender and gender-diverse children, young people, and their families.


Find helpful links to some great local organisations that might be relevant to you, national LGBT+ organisations and LGBT+ health information by visiting our useful links page.

Safer Sex and Sexual Health for Trans-Feminine People

Everyone has the right to feel happy during sex and no one has the right to pressure you into doing anything that makes you feel uncomfortable. You always have the right to say no.

How you feel might change over time, there may be situations when you don’t feel comfortable with your body, so it’s important to be kind to yourself.

Everyone is different and you may feel shy, excited or curious about how something may feel. Masturbation can be a good way to find out what feels good for you. Having sex with someone you feel comfortable with can make it more relaxing and enjoyable.

Your sexual preferences might change. You may also want to experience new things with different people and different genders.

If you’re having sex with someone, condoms are your best defence against sexually transmitted infections. 


What are common STI symptoms?

STIs are caused by bacteria, viruses or parasites that can be passed from one person to another during unprotected oral, vaginal or anal sex or intimate contact, especially if you don’t use a condom.

Some signs you may have an STI include:


  • an unusual discharge from the vagina, penis or anus

  • pain when peeing

  • lumps or skin growths around the genitals or bottom (anus)

  • a rash

  • unusual vaginal bleeding

  • itchy genitals or anus

  • blisters and sores around your genitals or anus

  • warts around your genitals or anus

  • warts in your mouth or throat, but this is very rare


If you have some of these symptoms, it doesn’t always mean you have an STI, but it’s worth visiting your GP or nearest sexual health clinic.

To find your nearest sexual health clinic visit


You should go to a sexual health clinic if:

  • you have symptoms of an STI

  • a sexual partner has symptoms of an STI

  • you're worried after having sex without a condom

  • you're pregnant with symptoms of an STI


Many STIs have no symptoms at all so the only way to know for sure is to get tested.

How often should I be getting an STI test?

How often you should be checked depends on how many people you have sex with.


If you don't have a regular partner, or have different sexual partners you should have a check-up at least every three months.


Before having sex at the start of a new relationship, have a check-up. A sexual health screen should also include a HIV test.


If you get any symptoms that may be an STI (e.g. sores or discharge), go to a clinic straight away and don’t have sex until given the all-clear.

Visiting a sexual health clinic

When you visit one of our sexual health clinics, you will be asked to fill in a registration form. We ask for your gender at birth as well as your gender identity and preferred name. Gender at birth helps us determine which tests to run. We can help support you to attend the clinic if you’re worried; get in touch with us to discuss this by emailing

To test for chlamydia and gonorrhoea we will ask for a urine or swab sample, depending on the type(s) of sex you’ve had, you may be able to do this yourself. Telling the clinician about any genital surgeries you’ve had helps them to determine the best way to collect your sample. For other tests such as HIV and syphilis a blood test is taken.


Why should I use condoms?

Whether you’ve had lower surgery or not, the best way to protect yourself and your partner against STIs, pregnancy and HIV is to use a condom.


There are two types of condoms:


Dams (sometimes known as dental dams) are a latex sheet that can be used for oral sex on a vagina or anus to protect against STIs. 

Remember to only use one side of the barrier against the skin; don’t flip it around and use the other side.

How can I make sex safer?

When used correctly each time you have sex, condoms/ dams are the best protection against STIs and HIV.


Dams (sometimes known as dental dams) are a latex sheet that can be used for oral sex on a vagina or anus to protect against STIs. 

Remember to only use one side of the barrier against the skin; don’t flip it around and use the other side.

If using sex toys, use a new condom for each person.

Why is lube important?

Lube reduces the risk of a condom breaking.


Different types of lube are listed below:


  • Silicone-based lubes: suitable for use with condoms but not sex toys.

  • Water-based lubes: suitable for use with condoms and sex toys.


Avoid lubricants that are oil-based (e.g. petroleum jelly, baby oil), as these can damage condoms and cause them break. Some lipsticks and lip balms can also damage a condom after oral sex, so a new condom should be used for any other type of sex.

If you are thinking of having sex or are having a sexual relationship, registering for a C-Card will mean you always have access to free condoms and lube. To find out more about the C-Card and where to register click here.


Don’t forget about consent!

Consent means giving your permission for something to happen, and when we talk about sex, this means a person giving their permission (saying yes) to taking part in sex or sexual contact (this could be anything from kissing to anal sex).

Consent must be given for each sexual act by everyone involved. You shouldn’t feel pressured to do something you’re not comfortable with because someone assumes that’s what you should be into because of your sexuality or gender identity.

Click here to learn more about consent.