Sexual Infection | Shim Clinic, STD CLINIC SINGAPORE™

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

Description

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

• 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

• 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.

• 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

• 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/=

STD Treatment

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

• Sexual health - Wikipedia, the free encyclopedia
• Sexual health: Definition from Answers.com
• Sexual health - definition of Sexual health 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)

Executive Director Encourages Thailand to Support Young People’s Reproductive Health and Rights - 16 May 2012
Thu, 17 May 2012 02:53:01 +0100 | UNFPA News
BANGKOK—Dr. Babatunde Osotimehin, Executive Director of UNFPA, and Dr. Paijit Warachit, Permanent Secretary of the Ministry of Public Health, met today to discuss Thailand’s progress and challenges in promoting better reproductive and sexual health, especially among adolescents and youth. (Source: UNFPA News)

HIV post-exposure prophylaxis: guidance from the chief medical officer
Wed, 16 May 2012 04:00:00 +0100 | NHS Networks
Queries on the guidance should be raised via a members of the advisory group or by contacting the secretariat. Complementary guidance on PEP following sexual exposure is available from the British Association for Sexual Health and HIV. (Source: NHS Networks)

Sexual correctness gone mad
Tue, 15 May 2012 15:19:00 +0100 | Guardian Unlimited Science
Are lads' mags, tabloids or the porn industry doing a better job of informing us which women we're allowed to call 'sexy', and what our sexual preferences should be?It's almost impossible to know which women are sexy. Until now I've had to discreetly compare lovers to the life-sized cardboard cut-out of Wonder Woman that stands next to my bed; but thankfully, the good folks at FHM have produced a definitive guide to sexiness that we can measure all women against. Their ingenious approach: asking thousands of judgmental young w.ers to whom they would most like to masturbate. The result: women need to be more like somebody called Tulisa. There's an early episode of Star Trek, "Mudd's Women", that features three mysterious and beautiful women whose overpowering sexuality exerts a near-catastr...

Sexual correctness gone mad | Martin Robbins
Tue, 15 May 2012 15:19:00 +0100 | Guardian Unlimited Science
Are lads' mags, tabloids or the porn industry doing a better job of informing us which women we're allowed to call 'sexy', and what our sexual preferences should be?It's almost impossible to know which women are sexy. Until now I've had to discreetly compare lovers to the life-sized cardboard cut-out of Wonder Woman that stands next to my bed; but thankfully, the good folks at FHM have produced a definitive guide to sexiness that we can measure all women against. Their ingenious approach: asking thousands of judgmental young w.ers to whom they would most like to masturbate. The result: women need to be more like somebody called Tulisa. There's an early episode of Star Trek, "Mudd's Women", that features three mysterious and beautiful women whose overpowering sexuality exerts a near-catastr...

Terrence Higgins Trust relaunches healthier lifestyle website for Africans
Tue, 15 May 2012 15:14:11 +0100 | Terrence Higgins Trust
HIV and sexual health charity Terrence Higgins Trust has announced the relaunch of Mambo Online (www.mambo.org.uk), their healthier lifestyle website for London’s African community. The new site went live earlier this month and replaces an original version that was launched in 2009.Mambo Online offers Africans in London the information they need so they can make good decisions about their sexual health. But the content is not limited to sexual health information: there’s a mix of features, profiles, and blogs that should appeal to Africans from all backgrounds and interests. Whether it is about assessing the risk from HIV infection following an encounter with a stranger on a night out or cooking new recipes with maize meal, visitors can expect concise, up-to-date information.There is a...

Gaps in Sexual Health Care for Male Teens
Mon, 14 May 2012 17:52:48 +0100 | Public Health News Headlines from Johns Hopkins
(Source: Public Health News Headlines from Johns Hopkins)

How common are repeat abortions?
Mon, 14 May 2012 17:00:00 +0100 | NHS News Feed
The NHS “spends £1m a week on repeat abortions”, the Daily Mail reported. The newspaper claimed that single women are using terminations “as another form of contraceptive”, and that some will have “seven, eight or even as many as nine terminations in their lifetime”. The Mail’s coverage seems to be a response to a request for data on repeat abortions that was made in parliament in April 2012. The article appears to draw on 2010 abortion statistics available from a Department of Health report. The annual report provides data on the number of abortions (medically termed “termination of pregnancy”) performed in the UK, and includes a section on repeat abortions. Despite the Daily Mail's headline, the report does not provide any data or information on women’s reasons or mo...

Highlights from this issue
Sat, 12 May 2012 04:00:00 +0100 | Sexually Transmitted Infections
By the time you read this, Olympic fever will be upon those of us in the UK—leave is cancelled in the public health agencies, road closure imminent, and a frenzy of emergency planning and resilience exercises is reaching its final stages. Where does sexual health fit in to Olympic preparation? Traditionally, large construction projects and major public events have been seen a magnet for sex work, bringing together large communities of men living apart from partners and families. A before and after analysis exploring Canada's 2010 Winter Olympics suggests that an influx of sex workers is no longer to be expected in a developed setting, but displacement and perceived police harassment need to be addressed.1 Significantly, the researchers noted no increase in new reports of youth or tra...

Why we like clinical guidelines
Sat, 12 May 2012 04:00:00 +0100 | Sexually Transmitted Infections
"What are the best things about BASHH (British Association for Sexual Health and HIV)?" was a question posed in the strategy consultation held in August 2011. Patient care and clinical governance was seen as an ‘extremely high’ priority for BASHH by almost everyone responding, and the ‘best thing’ chosen by 96% of the 258 members participating were the clinical guidelines (J Wilson, personal communication). These were given as the main reasons for using the BASHH website by 98% of those responding, and were said to be ‘completely’ or ‘mostly’ relevant to their clinical practice. The usage figures for the website substantiate this, with the guidelines receiving nearly 100 000 hits each year,1 a dramatic growth since the first national guidelin...

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