Dr Nicola Smith MBBS MRCP BSc DFFP is a Sexual Health Consultant and an expert in sexual health, sexually transmitted infections and genital dermatology. Dr Smiths clinical expertise includes penile dermatology and vulval dermatology and all aspects of sexually acquired infections. Her special interests include vulval problems such as chronic itch, pain during sex, chronic discharge, genital skin diseases such as lichen sclerosus, HPV related vulval diseases, genital warts, VIN and recurrent herpes. Dr Nicola Smith has a strong belief in holistic healthcare and patient empowerment.
Dr Nicola Smith is the lead Consultant for vulval and penile dermatology at Kent and Canterbury Hospital. She has published research papers on all aspects of sexual health including the medical management of vulval pre-cancer. Her research has taken her to Europe, Africa and America where she has addressed international scientific meetings.
Why you should see Dr Nicola Smith
Doctor Nicola Smith provides expertise in all aspects of sexual health. This includes the diagnosis and treatment of vulval and penile diseases, all sexual infections, rashes, discharge, itching, warts, HPV related diseases, herpes, exzema, psoroiasis, lichen sclerosus and lichen planus, VIN, PIN and pre-cancer.
Dr Nicola Smith can take a biopsy in clinic if needed, with the minimum of discomfort. Other procedures include cryotherapy and cervical cytology with HPV testing (previously known as the smear test). Comprehensive testing for sexual infections includes items not routinely available in the NHS.
Dr Nicola Smith is an expert in treating patients who experience pain during sex – known as dyspaerunia, this is very common and responds well to expert management.
Dr Nicola Smith has an interest in recurrent candidiasis and will make a thorough assessment of women diagnosed with chronic candida.
Recurrent herpes can be very distressing. Dr Nicola Smith provides expert care for men and women, including suppressive therapy and testing of partners for immunity.
Dr Nicola Smith provides testing for blood borne viruses such as HIV, Hepatitis B and C, with rapid turnaround of results.
Dr Smith can provide contraception and menopause assessment and treatment.
Dr Nicola Smith has a strong belief in holistic healthcare and the concepts of sexual health and patient empowerment. Her approach is to give patients as much information as they want and to guide them to the correct treatment, which is individualised for every patient. With years of experience in this intimate and sensitive area, she employs tact and understanding within a confidential consultation.
Dr Nicola Smith diagnoses and treats dermatology conditions affecting the penis and the vulva and genital skin diseases such as lichen sclerosus, HPV related vulval diseases, genital warts, VIN and recurrent herpes.
Areas of interest include all aspects of genito-urinary medicine, Vulval disease including chronic itch, pain and dyspaerunia; Genital dermatology; genital dermatoses, sexually transmitted infections; sexual health; HPV; Human papilloma virus; Herpes; recurrent herpes, warts; lichen sclerosus; vestibulitis; vulvodynia; chlamydia; gonorrhoea; painful sex (dyspareunia); eczema; psoriasis; VIN; vulval intra-epithelial neoplasia; vulval itch, vaginal itch, vulval pain, vaginal pain, cervical smear; HPV vaccination; Gardisil; genital itch; genital pain; recurrent candidiasis; thrush; vaginal discharge, chronic discharge, recurrent candida.
Tuesdays 3pm to 7pm
Dr Nicola Smith is registered with the General Medical Council and on the specialist register for genito-urinary medicine. Dr Smith is recognised by all UK private health insurers including BUPA, AXAPPP, Cigna, Vitality, WPA, Aviva and Healix.
Education and Training
Dr Nicola Smith qualified as a doctor from St George’s Hospital Medical School, London with an intercalated degree in immunology. She undertook her post-graduate training at St Thomas’ Hospital and Chelsea and Westminster Hospital, where she became a Consultant in Sexual Health and HIV in 1998.
Dr Nicola Smith has undertaken research at the prestigious Chester-Beatty Laboratories of the Royal Marsden Hospital and published research papers on all aspects of sexual health including the medical management of vulval pre-cancer, the transmission of HHV-8 and HTLV-1 and is the senior author of the British guidelines on the management of HIV-2 infection. Her research has taken her to Europe, Africa and America where she has addressed international scientific meetings.
Publications and Press
Dr Nicola Smith has written National guidelines, book chapters and published numerous research papers on all aspects of sexual health and her work has been presented at International scientific conferences throughout the world.
Some examples include:
- Gileece Y. Smith NA. Hawkins DA. Breuer J. Antiretroviral therapy for adults with HIV-2 infection. BHIVA.
- Smith NA. Vaginal discharge. In: Kohl, Bingham, Philpot and Zenilman eds. Sexually Transmitted Diseases (including AIDS) and Genitoanal Dermatoses. Antwerp, Lasion Europe 1998.
- Smith N. Barton SE. Purkayastha S. Smith J Richard. Screening for chlamydia infection. Lancet 1993; 342:687-8.
- Smith NA. Wood C. Asboe D. Bingham JS. Topical foscarnet for aciclovir resistant mucocutaneous herpes infections in AIDS. AIDS 1997; 11 (2): 254.
- Fox EF. Smith NA. Bradbeer CS. Eliminating poverty and ignorance is the solution. BMJ 1997; 314:221.
- Smith NA. Sabin C. Bourboulia D. Boshoff C. Best JM. Peters BS. de Ruiter A. Brown D. Gopal R. Weiss RA. Whitby D. Serological evidence of human herpesvirus-8 transmission by homosexual but not heterosexual sex. Journal of Infectious Disease . 1999; 180(3): 600-6.