Genital Pain | Shim Clinic, STD CLINIC SINGAPORE™

Genital Pain | Shim Clinic, STD CLINIC SINGAPORE™: Genital symptoms in men/women, screening/diagnosis, testing/check, treatment clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

• Genital Classification and Terminology
• Genital Symptoms
  • Genital Pain
  • Genital Discharge
• Genital Screening / Genital Testing / Genital Check
• Genital Treatment
• Genital Vaccine

• Painful urination (dysuria) is one of the STD symptoms in men. It is due to urethritis.
• Vaginal pain is one of the STD symptoms in women. It is due to cervicitis when she engages in vaginal sex.
• Anal pain is one of the STD symptoms in gay men and women, It is due to proctitis when they engage in anal sex

• Genital pain
• Genital discharge
• Genital ulcer may be caused by genital herpes, syphilis or chancroid.
• Genital blisters may be caused by genital herpes
• Genital growths may be caused by genital warts, or molluscum contagiosum.
• Genital rash may be caused by candidiasis
• No symptoms may appear in HIV infection.

• Uretheral discharge is discharge from the urethra, a STD symptom in men. It is a symptom of urethritis.
• Vaginal discharge, is discharge from the vagina, a STD symptom in women. It is a symptom of cervicitis.
• Anal discharge is discharge from the anus. a STD symptom in gay men and women, It is a symptom of Proctitis.

Full/Total/Complete STD Testing / STD Check / Sexual Health Screening packages (price includes consultation fees):

• Men who practice insertive sex SG$497/=
• Women who practice vaginal sex SG$737/= (includes Digene® HPV DNA & ThinPrep® test)
• Either sex practicing anal sex SG$697/= (includes Digene® HPV DNA test)
• Other variations - discuss with the doctor.

• Clinical History
• Physical Examination - Consider trimming your pubic hair with a scissors to about 1mm length. It will be easier to see and treat any disease. Do not shave. Shaving cuts the skin, and may spread any existing disease.
• Laboratory Testing - When you arrive at the clinic, do not go to the toilet. Should we need to sample your urine for testing, it is recommended that the urine be retained in your bladder for 4 hours or more.

Optional tests:

• OraQuick® Rapid HIV-1/2 Antibody Test SG$60/=. Results in 20 minutes.
• Digene® HPV DNA test SG$200/=, or
• Digene® HPV DNA & ThinPrep® test (females only) SG$240/=

Classification and terminology

• Sexually transmitted disease (STD) - refers only to infections that are causing symptoms.
• Sexually transmitted infection (STI) - refers to infection with any germ that can cause an STD, even if the infected person has no symptoms.
• Venereal disease (VD) - term used before the 1990s.
• Genitourinary medicine (GUM) is an expanding specialty which is primarily related to the treatment and prevention of sexually transmitted infections (STIs).
• Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.

• Defining sexual health

Disease	Organism	Investigation	Treatment
Bacterial
Syphilis	Treponema pallidum	VDRL test RPR test TPHA test FTA-Abs test	Benzathine penicillin injection
Gonorrhoea / gonorrhea	Neisseria gonorrhoeae	Gonococcal PCR	Ceftriaxone injection
Chlamydia infection	Chlamydia trachomatis	Chlamydia PCR	Doxycycline or Azithromycin orally
Protozoal
Trichomoniasis	Trichomonas vaginalis	fishy smell	Metronidazole or Tinidazole orally
Fungal
Candidiasis (Yeast infection)	Candida albicans	cheesy discharge	Fluconazole orally, and Clotrimazole pessaries in females
Viral
HIV infection	Human immunodeficiency virus (HIV)	HIV test	HIV PEP (post-exposure prophylaxis)
Hepatitis B	Hepatitis B virus (HBV)	HBsAg+ = infection, HBsAb+ = immunity	Hepatitis B vaccine if not immune
Genital herpes	Herpes simplex virus (HSV)	Serology	Aciclovir/Acyclovir
Genital warts	Human papillomavirus (HPV)	Clinical	Liquid nitrogen cryosurgery and HPV vaccine
Molluscum contagiosum	Molluscum contagiosum virus (MCV)	Clinical	Liquid nitrogen cryosurgery
Parasitic
Pubic lice
Scabies

STD vaccine / hepatitis vaccine shot/jab/injection to prevent some STDs

Vaccine	Against	Disease	Age	D o s e s	Dose schedule	Price per dose (SG$)
Havrix™ 1440 Adult Hepatitis A vaccine	Hepatitis A virus	Hepatitis A	≥19y	2	m 0 & 6-12	$90/=
Engerix™-B 20 μg Hepatitis B vaccine	Hepatitis B virus	Hepatitis B	11-15y	2	m 0, & 6	$50/=
			≥20y	3	m 0, 1, & 6
				4	m 0, 1, 2, & 12 or d 0, 7, 21 & m 12
Twinrix®	Hepatitis A virus Hepatitis B virus	Hepatitis A Hepatitis B	1-15y	2	m 0, 6-12	$120/=
			≥16y	3	m 0, 1, 6
				4	d 0, 7, 21 & m 12
Gardasil® - HPV vaccine	HPV types 6, 11, 16 and 18	Genital warts Cervical cancer	9-26y	3	m 0, 2, & 6 or m 0, 1, & 4	$195/=
Cervarix® - HPV vaccine	HPV types 16 and 18 (31, 33, and 45)	Genital warts Cervical cancer	10-25y	3	m 0, 1, & 6 m 0, 1, & 5 m 0, 2½, 12	$195/=
V503 - HPV vaccine	HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58	Genital warts Cervical cancer		3	m 0, 2, & 6 or m 0, 1, & 4	$???/=

Sexual risk (of STD/HIV/pregnancy), and what you can do before and after exposure.

Sexual risk (of STD/HIV/pregnancy), and what you can do before and after exposure.

References

• Genital pain - Wikipedia, the free encyclopedia
• Genital pain: Definition from Answers.com
• Genital pain - definition of Genital pain in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia.
• WHO | Sexually transmitted infections
• Sexually Transmitted Diseases - Information from CDC
• Sexually Transmitted Diseases (HPB publication)

High prevalence of preventable infections in pregnancy in sub-Saharan Africa
Wed, 16 May 2012 12:47:34 +0100 | MedWire News - Infectious Diseases
Malaria, sexually transmitted infections, and reproductive tract infections are highly prevalent in sub-Saharan Africa, suggest results from a systematic review and meta-analysis. (Source: MedWire News - Infectious Diseases)

South Africa: Resubmit Proposals for Sex Actually 2012
Wed, 16 May 2012 09:12:47 +0100 | AllAfrica News: HIV----- and STDs
[Biz-Community] Drama for Life is requesting artists to resubmit proposals for Sex Actually 2012. This is due to technical problems on the website. Drama for Life apologises for the inconvenience and has consequently extended the entry deadline to 21 May 2012. (Source: AllAfrica News: HIV----- and STDs)

Nigeria: 'HIV/---- On the Increase in Abia'
Wed, 16 May 2012 09:08:36 +0100 | AllAfrica News: HIV----- and STDs
[Daily Trust] Umuahia - Project Manager of the Abia State Agency for the Control of HIV/---- in the state, Dr Sam Ohaeri yesterday said the HIV/---- prevalence in the state has increased from three per cent to almost ten per cent. (Source: AllAfrica News: HIV----- and STDs)

High prevalence of preventable infections in pregnancy in sub-Saharan Africa
Wed, 16 May 2012 00:00:00 +0100 | MedWire News - Ob/Gyn
Malaria, sexually transmitted infections, and reproductive tract infections are highly prevalent in sub-Saharan Africa, suggest results from a systematic review and meta-analysis. (Source: MedWire News - Ob/Gyn)

Knowledge of Sexually Transmitted Infections Among Adolescents in the Houston Area Presenting for Reproductive Healthcare at Texas Children’s Hospital
Tue, 15 May 2012 21:43:57 +0100 | Journal of Pediatric and Adolescent Gynecology
Conclusions: Current efforts at STI education are not effective. Different approaches to STI education are necessary to increase knowledge and motivate adolescents to reduce high risk behaviors. (Source: Journal of Pediatric and Adolescent Gynecology)

The Consumer: The Consumer: A TV Show Adds to the Muddle on HPV Testing
Tue, 15 May 2012 17:24:43 +0100 | NYT
The girls of "Girls" are asking, and so is everyone else: What does it mean to be infected with HPV? (Source: NYT)

Kenya: Bunyala Gets Relief Food
Tue, 15 May 2012 16:04:09 +0100 | AllAfrica News: HIV----- and STDs
[The Star] THE Ministry of Special Programmes through the Bunyala District Disaster Management Committee has distributed relief food to people living with Hiv/---- and orphaned vulnerable children from Ruambwa sub location in Bunyala East location. (Source: AllAfrica News: HIV----- and STDs)

Africa: GBCHealth Conference Introduces MDG Health Alliance
Tue, 15 May 2012 13:59:28 +0100 | AllAfrica News: HIV----- and STDs
[GBCHealth] NEW YORK CITY (May 15, 2012) - The MDG Health Alliance, an innovative new private sector organization created and led by eminent business leaders to tackle urgent global health problems, was introduced today in the United States at the GBCHealth Conference. (Source: AllAfrica News: HIV----- and STDs)

Zimbabwe: Nacs ARV Programme Not Free Entitlement for Those Affording
Tue, 15 May 2012 13:29:13 +0100 | AllAfrica News: HIV----- and STDs
[The Herald] The National ---- Council is worried about the growing gap in funding anti-retroviral drugs for people living with HIV. (Source: AllAfrica News: HIV----- and STDs)

ABOUT TRUST ONLINE