STATUS
Student sexual health guide by CSRH
Free Ages 16–24 England
Sexual health • Contraception • Relationships • Identity • Getting support All NHS services are free and confidential

Sexual
health,
no filter.

Everything you need to know about sexual health — tested, honest, and written for you. No embarrassment. No jargon. Five topics, one place.

STI diagnoses, under-25s, England 2024
100K+
New cases every year — most with no symptoms at all
Cost of NHS testing
Free
No GP referral. Walk-in clinics across England
Contraception options on NHS
15+
Methods available — all free for everyone
In this issue
01
Issue 1 — Testing & Sexual Health
STIs & Testing
Issue 1
Most common STI in under-25s
Chlamydia
Usually has no symptoms — the only way to know is to get tested
The real problem
Silent
Most STIs show no signs at all — testing is the only thing that tells you your status
NHS testing cost
£0
Completely free. No GP needed. Walk into any NHS sexual health clinic — it's confidential

Sexually transmitted infections (STIs) are passed between people during sexual contact. Many STIs — including chlamydia, the most common STI in young people — produce no symptoms at all. The only way to know your status is to get tested.

Testing is free, quick, and confidential at NHS sexual health clinics. You can often order a free home test kit too. Getting tested is a normal part of looking after your health — nothing to feel embarrassed about.

If you're sexually active, testing at least once a year is generally recommended, or whenever you have a new partner.

Most STIs are easily treated, especially when caught early. Bacterial infections like chlamydia, gonorrhoea, and syphilis are curable with antibiotics. Viral infections like herpes and HIV are manageable with medication.

A positive result doesn't define you. The clinic will explain your options, treat you, and can help notify any partners if you'd like support with that. Everything is confidential.

PrEP (pre-exposure prophylaxis) is medication that significantly reduces the risk of getting HIV. Available free on the NHS from sexual health clinics for people at higher risk.

PEP (post-exposure prophylaxis) can prevent HIV infection if taken within 72 hours of possible exposure. Go to A&E or an urgent sexual health clinic as soon as possible if you think you need PEP.

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02
Issue 1 — Birth Control & Protection
Contraception
Issue 1
Options on the NHS
15+
All free — pill, implant, IUD, injection, condoms and more
The only double protection
Both
Condoms guard against pregnancy and most STIs — the only method that does both
Emergency window
72 hrs
Morning after pill most effective as soon as possible — up to 72 hours after sex
Your options

15+ methods, all free

From the daily pill to longer-acting methods like the implant, IUD, and injection. All available free on the NHS. A sexual health clinic can help you find what works for you — no pressure, no judgment.

Double protection

Condoms do both

Condoms are the only method that protects against both pregnancy and most STIs. Using them alongside another method gives you the strongest protection. Free from sexual health clinics.

Communication

Talk to your partner

Bringing up contraception is a normal, healthy part of any sexual relationship. A partner who reacts badly to that conversation is telling you something important about how they see your wellbeing.

There are more than 15 types of contraception available free on the NHS — including condoms, the pill, patch, vaginal ring, implant, IUD (coil), IUS (hormonal coil), injection, and more. Different methods suit different people and lifestyles. A sexual health clinic or GP can walk you through the options without pressure.

Emergency contraception can be used after unprotected sex to reduce the risk of pregnancy. The morning after pill is most effective taken as soon as possible — within 72 hours. ellaOne can be taken up to 120 hours after. The copper IUD is the most effective option and can be fitted up to 5 days after. Both are available free from a pharmacy, sexual health clinic, or GP.

It can feel awkward, but raising contraception with a partner is a normal, important part of any sexual relationship. It's a sign of mutual respect — not distrust. A partner who reacts badly to this conversation is telling you something important about how they approach your wellbeing.

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03
Issue 1 — Consent & Healthy Relationships
Relationships & Consent
Issue 1
Consent must be freely given, reversible, informed, enthusiastic, and specific — every single time.
The legal standard — England
Someone cannot consent if they're asleep, unconscious, very drunk, or afraid. Consent to one thing isn't consent to everything. It can be withdrawn at any time. In England, the legal age of consent is 16.
Freely given Reversible Informed Enthusiastic Specific

Consent means actively agreeing to take part in a sexual activity — every time, with every person. It must be freely given, reversible, informed, enthusiastic, and specific.

Someone cannot consent if they are asleep, unconscious, very drunk, or afraid. Consent to one thing is not consent to everything. Consent can be withdrawn at any time. In England, the legal age of consent is 16.

A healthy relationship involves mutual respect, open communication, trust, and the freedom to be yourself. Both people feel safe to say no, disagree, and make their own decisions.

Unhealthy patterns can include controlling behaviour, jealousy used as pressure, isolation from friends and family, or feeling unable to say no. Recognising these patterns early matters. Support is available if something doesn't feel right.

The four things that matter most for safer sex are: consent, condoms, contraception, and regular STI testing.

Condoms are the only contraception that also protect against most STIs. Using them alongside another method gives you the strongest protection. Regular testing — at least once a year if you have new or multiple partners — is a normal part of looking after your sexual health.

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04
Issue 1 — Who You Are
Identity & Sexuality
Issue 1
Orientation
No label needed
You don't need to label yourself. You don't owe anyone an explanation about who you're attracted to.
Gender identity
Every community
Trans, non-binary, and gender-diverse people are part of every community. You don't have to navigate this alone.
Timeline
No rush
Many people's understanding of their sexuality or gender identity shifts over time. That's completely normal. No deadline.

Sexual orientation describes who you are attracted to. Being gay, lesbian, bisexual, pansexual, asexual, or straight are all normal variations of human experience. You do not need to label yourself, and you do not owe anyone an explanation.

Gender identity is your internal sense of your own gender, which may or may not match the sex you were assigned at birth. Trans, non-binary, and gender-diverse people are part of every community. You do not have to work through questions about identity alone.

Many people find their understanding of their own sexuality or gender identity changes over time, and that's normal. There is no timeline you need to follow.

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05
Issue 1 — Where to Go, Who to Call
Get Support
Issue 1

NHS Sexual Health Clinics — Free & Confidential

Free STI testing, contraception, and sexual health support across England. No GP referral needed. Walk in or book online. Always confidential.

Find Your Nearest Clinic →
Sexual health & mental wellbeing

Sexual health and mental wellbeing are closely linked. Anxiety about STIs, difficult experiences in relationships, or uncertainty about identity can all affect how you feel day to day.

Talking to someone — a GP, counsellor, or trusted adult — is a valid and important step. Your university or college may offer free counselling. You can also get a referral through your GP.

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Please note: This page signposts to NHS England information and services. CSRH does not provide clinical services. If you need urgent medical help, contact NHS 111 or attend your nearest sexual health clinic.
Copyright & Permissions

© 2026 Campus Sexual and Repro Health (CSRH). All rights reserved.

STATUS is a publication of Campus Sexual and Repro Health. The content, design, and layout of this publication may not be reproduced, distributed, or transmitted in any form without prior written permission from CSRH, except for personal, non-commercial use or fair dealing for the purposes of research, private study, criticism, or review.

All NHS information signposted within this publication remains the intellectual property of NHS England. CSRH is an independent organisation and is not affiliated with, endorsed by, or acting on behalf of NHS England or any NHS body.

Reproduction & Distribution

STATUS is provided free of charge as a public health resource. If you would like to reproduce or distribute this publication in whole or in part — including for use in educational or institutional settings — please contact us before doing so.

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STATUS by CSRH