Alongside the GMHS, the GUIDE Clinic at St. James's Hospital in Dublin is the other major powerhouse of Irish sexual health. While it serves the general population rather than being exclusively for gay men, it is highly competent in LGBTQ+ health, HIV management, and complex STI cases.

💶 Cost and Access

  • Cost: All STI testing and treatment is 100% free.
  • Insurance: No private insurance, PPSN, or medical card is required to be seen.
  • Booking: Like most public HSE clinics, you must book an appointment via the online Swiftqueue system or phone, and wait times for routine asymptomatic screening can be long.

🩸 What is Tested

The clinic adheres to best practices for men who have sex with men (MSM), meaning they will offer three-site testing:

  1. Blood test for HIV and Syphilis.
  2. Urine sample for Gonorrhea and Chlamydia.
  3. Throat and rectal swabs for Gonorrhea and Chlamydia.

🏥 When to Choose GUIDE over GMHS

While the GMHS is the community's primary hub, the GUIDE clinic is often the destination for:

  • Complex Care: As it is attached to St. James's Hospital, GUIDE handles complex infectious disease cases.
  • HIV Management: It is one of the primary centers for HIV diagnosis, treatment initiation, and ongoing management in Ireland.
  • Emergencies: If you need emergency PEP, you may be referred through the hospital system to GUIDE for your follow-up prescription.

Related: