Wed May 22 08:22:33 SGT 2013  
SHIM CLINIC
HIV STD TESTING TREATMENT™
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6100 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Web: www.ShimClinic.com 		Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Last registration: half hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.

Within 3 days after unprotected sex, stop HIV infection with Post-Exposure Prophylaxis treatment 10 days after unprotected sex, detect HIV infection with the DNA test 28 days after unprotected sex, accurately detect HIV infection with the 20 minute rapid test
Full & comprehensive sexually transmitted disease testing
Males: do not urinate for at least 4 hours before arriving
Females: testing is more accurate when you are not menstruating

STD Testing | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™

Summary

STD Testing | Shim Clinic, Singapore | HIV STD TESTING TREATMENT™: Full & comprehensive STD (sexually transmitted disease) testing clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

Full & Comprehensive STD Screen / STD Screening / STD Test / STD Testing / STD Check / STD Checking

Package STDs Screened / Tested / Checked Price Notes
Consultation
  • Clinical History
  • Physical Examination
    - Consider trimming or carefully shaving your pubic hair
    - It will be easier to see and treat any disease
  • Provisional Diagnosis
  • Discussion of investigation and treatment options
Basic 2 HIV, Syphilis
$12
2–3 days
to results
Basic 3 HIV, Syphilis, Hepatitis B
$20
2–3 days
to results
Basic 4 HIV, Syphilis, Hepatitis B & C
$60
2–3 days
to results
Basic 6 HIV, Syphilis, Hepatitis B & C, Herpes Simplex 1 & 2
$100
2–3 days
to results
Basic 8
"8 Test Panel" 		HIV, Syphilis, Hepatitis B & C, Herpes Simplex 1 & 2, Chlamydia, Gonorrhea
$250
3–5 days
to results
Comprehensive male Testing includes (a) & (b) below $409 3–5 days
to results
Comprehensive female Testing includes (a), (b) & (c) below $649 3–5 days
to results
(a)
Comprehensive Blood Testing:
  1. HIV I & II Antibodies
  2. Syphilis (VDRL/ TPHA)
  3. Hepatitis A IgG Antibody
  4. Hepatitis B Surface Antigen (HBsAg)
  5. Hepatitis B Surface Antibody
  6. Hepatitis C Antibody
  7. Herpes Simplex Type 1 IgG Antibody
  8. Herpes Simplex Type 2 IgG Antibody
  9. Chlamydia IgG Antibody
  10. Candida Antibody
$202 2–3 days
to results
(b)
Comprehensive
  • Urine
  • Vagina
  • Anus
  • Mouth
testing: 		$256
(per site) 		3–5 days
to results
Individual tests - NAT (nucleic acid test)
(c)
  1. Digene® test &
  2. SurePath® or
    ThinPrep®
  1. High cancer risk HPV (Human Papillomavirus) of cervix &
  2. Cervical Cancer
$240 3–5 days
to results
Digene® test High cancer risk HPV (Human Papillomavirus) of
Penis, Vagina, Anus, Mouth 		$200
(per site) 		3–5 days
to results
Chlamydia & Gonococcal PCR test Chlamydia & Gonorrhoea of
Urine, Vagina, Anus, Mouth 		$150
(per site) 		3–5 days
to results
Herpes Simplex PCR test HSV (Herpes Simplex Virus) $290 1–2 weeks
to results
BD Affirm™ VPIII Candida albicans, Gardnerella vaginalis, Trichomonas vaginalis of
Urine, Vagina, Anus, Mouth 		$120
(per site) 		3–5 days
to results
HIV DNA PCR
 HIV (Human Immunodeficiency Virus)
- accurate results 10 days or more after exposure 		$752 1–2 weeks
to results
Individual tests - Rapid tests
- If the clinic attendance is only for any of the rapid tests, then consultation fees are not added.
Alere™ Determine™
HIV Combo Test 		HIV (Human Immunodeficiency Virus) Antibody & p24 Antigen
- accurate results 1 month or more after exposure
 $180 20 minutes
to results
OraQuick® HIV (Human Immunodeficiency Virus) Antibody
- accurate results 3 months or more after exposure
 $60 20 minutes
to results
Alere™ Determine™
Syphilis Test 		Syphilis $50 20 minutes
to results
Alere™ Determine™
Hepatitis B Test 		HBsAg (Hepatitis B surface Antigen) $50 20 minutes
to results

Reference

STD symptoms include: STD pain STD Discharge is a symptom, and it refers to liquid exiting the external genitalia. The consistancy may range from thin to thick. It may be clear to opaque. The color may be white, yellow, red, or green. It is most frequently caused by gonorrhoea and/or chlamydia.

STD 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.
Venereal | Genitourinary | Urogenital | Genital | Sexual | Sex

References

STD Treatment

DiseaseOrganismInvestigationTreatment
Bacterial
Syphilis Treponema pallidum VDRL test
RPR test
TPHA test
FTA-Abs test		 Benzathine penicillin injection
Gonorrhoea (UK)
Gonorrhea (US)		 Neisseria gonorrhoeae Gram-negative intracellular diplococci smear,
Gonococcal culture,
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 prevention
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) HPV test 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 virus Hepatitis A ≥19y 2 m 0 & 6-12 $90/=
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
Inactivated / Fractional / Protein / Subunit / Recombinant
Engerix™-B 20 μg 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
Gardasil® HPV
types 6, 11, 16, & 18 		Genital warts
Cervical cancer 		9-26y 3 m 0, 2, & 6 or
m 0, 1, & 4		 $195/=
Cervarix® HPV
types 16, & 18
(31, 33, & 45)		 10-25y 3 m 0, 1, & 6
m 0, 1, & 5
m 0, 2½, 12		 $195/=
V503 HPV
types 6, 11, 16, 18,
31, 33, 45,
52, & 58 		3 m 0, 2, & 6 or
m 0, 1, & 4		 $???/=

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

Timeline Event / Available resources
HIV STD Pregnancy
Before exposure
Abstain from sex, Be faithful, or Condom use
Circumcision (males only)
 Contraception
(females only)
HIV PrEP (pre-exposure prophylaxis) STD vaccine:
- Hepatitis vaccine
- HPV vaccine
STD / HIV exposure
Unsafe sex / unprotected sex:
No condom / Condom broke / Condom slip
0-72 hours HIV prevention
HIV PEP (post-exposure prophylaxis) treatment
- Stop HIV infection after exposure.		 STD testing
If STD symptoms appear, then do STD treatment.
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating. 		Emergency contraception
(females only)
2 weeks HIV DNA PCR test
1 month 20 minute Alere™ Determine™ Combo HIV rapid test:
- Fingerprick blood sampling.
- Cost is SG$180/=
3 months 20 minute OraQuick® HIV rapid test:
- Oral saliva or
- Fingerprick blood sampling.
- Cost is SG$60/= 		Full & comprehensive STD testing
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating.

Note: If the clinic attendance is only for the HIV rapid test, then consultation fees are not added.

References

Latest News

Difference in Distribution of Chlamydia trachomatis Genotypes among Different Provinces: a Pilot Study from Four Provinces in China.
Fri, 01 Mar 2013 11:30:02 +0100 | Japanese Journal of Infectious Diseases
The objective of this study was to assess the distribution of Chlamydia trachomatis genovars in male sexually transmitted disease (STD) clinic patients from 1 province in eastern China (Jiangsu) and 3 provinces in southern China (Guangdong, Guangxi, and Hainan). Urine specimens (n = 140) were collected from 46 public STD clinics in the 4 provinces. Specimens that tested positive for C. trachomatis by polymerase chain reaction were genotyped for the infecting C. trachomatis strain by amplifying and sequencing the genovar-specific ompA gene, which encodes the chlamydial major outer-membrane protein. Nine C. trachomatis genovars were identified from 129 specimens; they consisted of the F (25.6%), E (17.1%), J (16.3%), D (15.5%), G (11.6%), K (5.4%), H (3.9%), I (1.6%), and B (0.8%) genovars. ...

The Future Of Syphilis Diagnosis: Rapid, Point-Of-Care Tests
Fri, 01 Mar 2013 08:00:00 +0100 | Health News from Medical News Today
Syphilis is on the rise worldwide and there is an urgent need for reliable and rapid screening, particularly for people who live in areas where access to healthcare is limited. An international research team, led by scientists at the Research Institute of the McGill University Health Centre (RI-MUHC) in Montreal, has demonstrated that rapid and point-of-care tests (POC) for syphilis are as accurate as conventional laboratory tests... (Source: Health News from Medical News Today)

[Report] Interferon-ε Protects the Female Reproductive Tract from Viral and Bacterial Infection
Fri, 01 Mar 2013 05:30:27 +0100 | Science: Current Issue
The cytokine interferon-ε is expressed in the female reproductive tract and protects against sexually transmitted diseases.Authors: Ka Yee Fung, Niamh E. Mangan, Helen Cumming, Jay C. Horvat, Jemma R. Mayall, Sebastian A. Stifter, Nicole De Weerd, Laila C. Roisman, Jamie Rossjohn, Sarah A. Robertson, John E. Schjenken, Belinda Parker, Caroline E. Gargett, Hong P. T. Nguyen, Daniel J. Carr, Philip M. Hansbro, Paul J. Hertzog (Source: Science: Current Issue)

Uganda: Rights Body Opposes Mandatory HIV Testing
Thu, 28 Feb 2013 18:11:05 +0100 | AllAfrica News: HIV-Aids and STDs
[New Vision]Uganda Human Rights Commission has opposed mandatory HIV testing as envisaged in the HIV and AIDS Prevention and Control Bill that is before Parliament. (Source: AllAfrica News: HIV-Aids and STDs)

Teens talk about sex – by text message, of course
Thu, 28 Feb 2013 13:20:10 +0100 | mobihealthnews
Teenagers love to text. Teenagers and young adults have a lot of questions about sexual health and sexually transmitted diseases. So it only makes sense that those who wish to disseminate information and help answer those questions would find a lot of value in text messaging.

South Africa: Vhembe Clinic Thankful for Volunteers
Thu, 28 Feb 2013 10:52:15 +0100 | AllAfrica News: HIV-Aids and STDs
[Health-e]A group of women from this community volunteers their time and services at the local Matavhela Clinic without expecting anything in return. (Source: AllAfrica News: HIV-Aids and STDs)

Zimbabwe: Street Kids Vulnerable to HIV
Thu, 28 Feb 2013 10:52:04 +0100 | AllAfrica News: HIV-Aids and STDs
[The Herald]HARARE'S streets were bustling with people hurrying home after a hard work's day. The traffic jam made it impossible for motorist to move from point A to B. Every peak hour is now turning Harare into a traffic jungle. In fact, it is no longer an hour, but hours which can even start at mid-afternoon on busy days like Fridays. (Source: AllAfrica News: HIV-Aids and STDs)

South Africa: Mayor Stresses Importance of Healthy Living
Thu, 28 Feb 2013 10:49:56 +0100 | AllAfrica News: HIV-Aids and STDs
[Health-e]The Executive Mayor here, Councillor Tshitereke Matibe, is encouraging the community to live healthily and try and avoid HIV/AIDS, TB, diabetes and other preventable diseases. (Source: AllAfrica News: HIV-Aids and STDs)

Africa: Elizabeth Glaser Pediatric Aids Foundation Announces Support for Pediatric HIV Treatment Agreement
Thu, 28 Feb 2013 09:37:54 +0100 | AllAfrica News: HIV-Aids and STDs
[E.G. Pediatric Aids Foundation]Collaboration between Medicines Patent Pool and ViiV Healthcare will save children's lives (Source: AllAfrica News: HIV-Aids and STDs)

Africa: Elizabeth Glaser Pediatric Aids Foundation Announces U.S.$1 Million Matching Gift
Thu, 28 Feb 2013 09:37:04 +0100 | AllAfrica News: HIV-Aids and STDs
[E.G. Pediatric Aids Foundation]Donation will support Foundation's continued efforts to eliminate pediatric AIDS (Source: AllAfrica News: HIV-Aids and STDs)


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