Sexual Health Clinic & Testing Singapore | Shim Clinic

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Shim Clinic is a sexual health clinic in Singapore, with a doctor specially focused on sexual health testing, diagnosis and treatment. Infections occur after unprotected sex, like a condom break, slip or if no condom was used. Consultations are private & confidential.

Definition of sexual health though the years:

2002 January 28-31st: Word Health Organization

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

wp-content/uploads/sexual-health/defining_sexual_health.pdf
http://www.who.int/reproductivehealth/publications/sexual_health/defining_sexual_health.pdf

2002: Beatrice ‘Bean’ E. Robinson, Walter O. Bockting, B. R. Simon Rosser, Michael Miner and Eli Coleman

Sexual health is an approach to sexuality founded in accurate knowledge, personal awareness and self-acceptance, such that one’s behavior, values and emotions are congruent and integrated within a person’s wider personality structure and self-definition. Sexual health involves an ability to be intimate with a partner, to communicate explicitly about sexual needs and desires, to be sexually functional (to have desire, become aroused, and obtain sexual fulfillment), to act intentionally and responsibly, and to set appropriate sexual boundaries. Sexual health has a communal aspect, reflecting not only self-acceptance and respect, but also respect and appreciation for individual differences and diversity, as well as a feeling of belonging to and involvement in one’s sexual culture(s). Sexual health includes a sense of self-esteem, personal attractiveness and competence, as well as freedom from sexual dysfunction, sexually transmitted diseases, and sexual assault and coercion. Sexual health affirms sexuality as a positive force, enhancing other dimensions of one’s life.

wp-content/uploads/sexual-health/Abril_VIH-SIDA_PDF.pdf
http://bvs.insp.mx/articulos/5/21/Abril_VIH-SIDA_PDF.pdf

2001 July: U.K. Department of Health

Sexual health is an important part of physical and mental health. It is a key part of our identity as human beings together with the fundamental human rights to privacy, a family life and living free from discrimination. Essential elements of good sexual health are equitable relationships and sexual fulfilment with access to information and services to avoid the risk of unintended pregnancy, illness or disease.

wp-content/uploads/sexual-health/DH-National-strategy-for-sexual-health-and-HIV.pdf
http://antibiotic-action.com/wp-content/uploads/2011/07/DH-National-strategy-for-sexual-health-and-HIV.pdf

2001 July 9th: U.S. Department of Health and Human Services

Sexual health is inextricably bound to both physical and mental health. Just as physical and mental health problems can contribute to sexual dysfunction and diseases, those dysfunctions and diseases can contribute to physical and mental health problems. Sexual health is not limited to the absence of disease or dysfunction, nor is its importance confined to just the reproductive years. It includes the ability to understand and weigh the risks, responsibilities, outcomes and impacts of sexual actions and to practice abstinence when appropriate. It includes freedom from sexual abuse and discrimination and the ability of individuals to integrate their sexuality into their lives, derive pleasure from it, and to reproduce if they so choose.

wp-content/uploads/sexual-health/Bookshelf_NBK44216.pdf
http://www.ncbi.nlm.nih.gov/books/NBK44216/pdf/Bookshelf_NBK44216.pdf
http://www.ncbi.nlm.nih.gov/books/NBK44216/

2000 July: The Family Federation of Finland

Sexual health is the ability of women and men to enjoy and express their sexuality and to do so free from risk of sexually transmitted diseases, unwanted pregnancy, coercion, violence and discrimination. In order to be sexually healthy, one must be able to have informed, enjoyable and safe sex, based on self esteem, a positive approach to human sexuality, and mutual respect in sexual relations. Sexually healthy experiences enhance life quality and pleasure, personal relationships and communication, and the expression of one’s sexual identity.

wp-content/uploads/sexual-health/New%20views%20on%20Sexualhealth_1.pdf
http://vaestoliitto-fi-bin.directo.fi/@Bin/b5fca4f33ec519ef559093eec9ba2d5a/1442396580/application/pdf/320403/New%20views%20on%20Sexualhealth_1.pdf

2000 May 19-22: Pan American Health Organization (PAHO) / World Health Organization (WHO) / In collaboration with the World Association of Sexology (WAS / now the World Association for Sexual Health)

Sexual health is the experience of the ongoing process of physical, psychological and social-cultural well-being related to sexuality. Sexual health is evidenced in the free and responsible expressions of sexual capabilities that foster harmonious personal and social wellness, enriching individual and social life. It is not merely the absence of dysfunction, disease and/or infirmity. For sexual health to be attained and maintained it is necessary that the sexual rights of all people to be recognized and upheld.

wp-content/uploads/sexual-health/PromotionSexualHealth.pdf
http://new.paho.org/hq/dmdocuments/2008/PromotionSexualHealth.pdf

1995: National Commission on Adolescent Sexual Health, Sexuality Information and Education Council of the United States (SIECUS)

Sexual health encompasses sexual development and reproductive health, and such characteristics as the ability to develop and maintain meaningful interpersonal relationships; appreciate one’s own body; interact with both genders in respectful and appropriate ways; and express affection, love, and intimacy in ways consistent with one’s own values.

wp-content/uploads/sexual-health/ED391779.pdf
http://files.eric.ed.gov/fulltext/ED391779.pdf
http://eric.ed.gov/?id=ED391779

1986: Langfeldt T; Porter M

3 basic elements of sexual health were identified: 1) a capacity to enjoy and control sexual and reproductive behavior in accordance with social and personal ethics; 2) freedom from fear, shame, guilt, false beliefs, and other psychological factors inhibiting sexual response and impairing sexual relationships; and 3) freedom from organic disorders, diseases, and deficiencies that interfere with sexual and reproductive functions.

http://www.popline.org/node/353106

1975: World Health Organization Technical Report Series

Sexual health is the integration of the somatic, emotional, intellectual and social aspects of sexual being, in ways that are positively enriching and that enhance personality, communication and love.

wp-content/uploads/sexual-health/WHO_TRS_572_eng.pdf
http://apps.who.int/iris/bitstream/10665/38247/1/WHO_TRS_572_eng.pdf

References

Wernersbach, Brenna M., “Healthy Sexuality: Evaluating a Psychoeducational Group Promoting Knowledge, Communication, and Positive Experiences” (2013). All Graduate Theses and Dissertations. Paper 1525.
http://digitalcommons.usu.edu/etd/1525

Definitions of Sexual Health
http://www.health.state.mn.us/topics/sexualhealth/definitions.html

Defining Sexual Health: A Descriptive Overview
http://link.springer.com/article/10.1023/B:ASEB.0000026619.95734.d5



Sexual risk (of HIV/STD/pregnancy), and what you can do before and after exposure.
Timeline HIV STD Pregnancy
Before exposure
Abstain from sex, Be faithful, or Condom use
Circumcision (males only)
Contraception (females only)
HIV PrEP (pre-exposure prophylaxis) - Stop HIV infection before exposure STD vaccine: - Hepatitis vaccine - HPV vaccine
STD / HIV exposure
Unsafe sex / unprotected sex: No condom / Condom broke / Condom slip
0-72 hours HIV PEP (post-exposure prophylaxis) - Stop HIV infection after exposure STD testing * - Screening test - to look for asymptomatic infections - from previous exposures Emergency contraception with the morning-after pill (females only)
2 weeks HIV DNA Test
1 month HIV 4th Generation Test - SD Bioline HIV Ag/Ab Combo - Fingerprick blood sampling. - 20 minutes to results
3 months HIV 3rd Generation Test - OraQuick® HIV-1/2 Antibody - Oral fluid or - Fingerprick blood sampling. - 20 minutes to results STD testing * - Full & comprehensive - diagnostic test - to look for current infections
Watch for HIV Symptoms STD Symptoms
If infected HIV Treatment STD Treatment Abortion
* Males: Do not urinate for at least 4 hours before arriving. * Females: testing is more accurate when you are not menstruating.

References

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