EDITOR,—We agree with the main thrust of Yvonne Stedman and Max Elstein's editorial advocating more cohesive provision of sexual health services.1 But have the authors taken too narrow a view of where and when patients present? There is no mention of the work of accident and emergency departments in this field.

Males who present to accident and emergency departments with problems of a sexual nature can usually be managed with either reassurance or referral for investigation in the relevant clinic, …