Rectal Inflammation Requiring Investigation
Proctitis causes rectal pain, discharge, and bleeding. In sexually active individuals, especially men who have sex with men, STIs are a common cause. Accurate diagnosis guides effective treatment.
Proctitis is inflammation of the lining of the rectum, causing discomfort, discharge, and bleeding. In sexually active individuals, particularly those who have receptive anal intercourse, proctitis is commonly caused by sexually transmitted infections including gonorrhoea, chlamydia, herpes, syphilis, and LGV. Non-infectious causes include inflammatory bowel disease. Identifying the cause is essential for appropriate treatment.
Diagnosis involves rectal swabs for STI testing (gonorrhoea, chlamydia including LGV typing, herpes), along with examination (proctoscopy if indicated). Blood tests for syphilis and HIV are included. If STI tests are negative, other causes are considered. A thorough sexual history helps guide appropriate testing. Don't be embarrassed - we see this regularly.
Treatment depends on the cause. Bacterial infections (gonorrhoea, chlamydia) require antibiotics - LGV needs extended 21-day treatment. Herpes is treated with antivirals. Syphilis requires penicillin. Multiple infections may be present simultaneously. Symptoms usually improve within days of starting correct treatment. Partners need testing and treatment.
Very common. Sexual health clinics regularly see proctitis and rectal STIs. There's nothing to be embarrassed about - we're here to help without judgment. Rectal symptoms need proper investigation because untreated infections can cause complications and spread to partners. We make examination as comfortable as possible.
Uncommonly, but possible. Infection can sometimes spread from genital sites or via fingers/toys. However, most rectal STIs result from receptive anal intercourse. Whatever your history, we test without assumptions and provide confidential care. Accurate history helps us test appropriately.
If you have receptive anal sex with multiple partners or new partners, we recommend rectal screening at least every 3 months. Those at very high risk (many partners, chemsex) might test more frequently. Always test if you have symptoms or a partner is diagnosed with an STI.
Yes, proctitis can be caused by inflammatory bowel disease, radiation effects, or other conditions. This is why proper assessment is important - we don't assume. If STI tests are negative but symptoms persist, we'll discuss other possibilities and referral if needed. Many non-STI causes are treatable.
Book a confidential consultation or STI test at our South Kensington clinic. Walk-in appointments available.
At STI Clinic, our GPs and nurses are highly trained in sexual health and general medicine. We are committed to delivering confidential, non-judgemental care in a safe and supportive environment.
Our clinicians are fully registered and regulated to practise in the United Kingdom. We adhere strictly to national clinical standards and professional guidelines because patient safety, governance, and trust are non-negotiable.
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Real reviews from our South Kensington clinic. We take pride in our professional medical staff and rapid diagnostic turnaround.
"Absolutely fantastic service. I was very nervous about the blood draw, but Nurse Luciana was so professional and gentle. She made the whole process painless. Results came back via secure email in 24 hours. Best clinic in South Kensington."
"Discreet, professional, and efficient. I walked in for an STI screening and was seen almost immediately. Luciana is an expert - she handled the blood test perfectly. Total peace of mind."
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