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Sexually Transmitted Disease | STD Clinic & Testing, Singapore - Shim Clinic

Shim Clinic is a sexually transmitted disease (STD) clinic in Singapore, with a doctor specially focused on sexually transmitted infection (STI) testing, diagnosis and treatment. STIs occur after unprotected sex, like a condom break, slip or if no condom was used. Consultations are private & confidential.

What is STD?

STD is an abbreviation for “sexually transmitted disease”.

  • Sexually – or sex is having any part of the penis inserted into the vagina, anus, or mouth of another person. Or cunnilingus.
  • Transmitted – pass on from one person to another
  • Disease – is an infection which is symptomatic.

Therefore a STD is “a symptomatic infection which is passed on from one person to another by having any part of the penis inserted into the vagina, anus, or mouth of another person, or cunnilingus.”

What are the common STDs?

They are caused by viruses, bacteria, and parasites:

  1. HPV infection
  2. Genital herpes
  3. Chlamydia
  4. Gonorrhea
  5. Syphilis
  6. HIV infection

HPV infection is caused by a virus, called human papillomavirus or HPV. After infection, 3 to 6 months later, at the points of sexual skin contact, like the penis, pubic area, vagina, anus and mouth, there may appear growths called genital warts. Of the many types of HPV, some may cause cancer of the areas affected. The cancer risk is highest for the female cervix, when compared to other areas.

Genital herpes is caused by a virus, called herpes simplex virus or HSV. After infection, 1 day to 2 weeks later, at the points of sexual skin contact, like the penis, pubic area, vagina, anus, and mouth, there may appear blisters and ulcers.

Chlamydia is caused by a bacterium called Chlamydia trachomatis. After infection, 1 to 3 weeks later, while urinating, there may be an irritation. Also, there may be a grey to green discharge.

Gonorrhea is caused by a bacterium called Neisseria gonorrhoeae. After infection, 1 day to 2 weeks later, while urinating, it is usually painful. Also, there is usually a thick yellow discharge.

Syphilis is caused by a bacterium called Treponema pallidum. After infection, 9 to 90 days later, at the point of sexual skin contact, like the penis, vagina, anus and mouth, there may appear a chancre, which is a painless ulcer.

HIV infection is caused by a virus, called human immunodeficiency virus or HIV. After infection, 2 to 4 weeks later, there may be symptoms of acute HIV infection. Which are usually fever, malaise (general discomfort), muscle pain (myalgia), rash, headache, night sweats, sore throat, swollen lymph nodes, joint pain, and blocked nose.

Do I have an STD?

STDs often have no symptoms. Get your STD testing done to find out!

Disease Organism Incubation Symptoms Investigation
Viral
HIV infection Human immunodeficiency virus (HIV) 2-4w HIV symptoms
– 50% None
– 50% Flu-like
HIV test
Asymptomatic phase
3-20y
8y average
AIDS symptoms
Hepatitis B Hepatitis B virus (HBV) 40-160d Flu-like:
prodromal phase
Jaundice:
icteric phase
HBsAg
Genital herpes Herpes simplex virus (HSV) 1d-2w Multiple painful blisters & ulcers HSV Serology
HSV PCR
Genital warts Human papillomavirus (HPV) 3-6m Cauliflower growths HPV test
Molluscum contagiosum Molluscum contagiosum virus (MCV) 2-7w Pearly growths Histology
Bacterial
Syphilis Treponema pallidum 9-90d Chancre:
1° syphilis
VDRL test
RPR test
TPHA test
FTA-Abs test
2-6m Rash:
2° syphilis
<1 year Asymptomatic:
early latent
>1 year Asymptomatic:
late latent
5-10 years Benign gumma,
Cardiovascular syphilis,
Neurosyphilis:
3° syphilis
Gonorrhoea (UK)
Gonorrhea (US)
Neisseria gonorrhoeae 1d-2w Urethral 90%,
Cervical 50%,
Pharyngeal &
Rectal 10%:
pain & discharge
Gram-negative intracellular diplococci smear,
Gonococcal culture,
Gonococcal PCR
Chlamydia infection Chlamydia trachomatis 1-3w Pain & discharge Chlamydia PCR
Protozoal
Trichomoniasis Trichomonas vaginalis Female: foul discharge & itch
Male: urethritis
BD Affirm™ VP III
Fungal
Candidiasis
(Yeast infection)
Candida albicans Female: cheesy discharge & itch
Male: rash
BD Affirm™ VP III
Parasitic
Pubic lice
Scabies Sarcoptes scabiei


Blog articles about #STD


Latest News

Tanzania:South African Lawyers Arrested Dar for 'Promoting Homosexuality' Being Held 'Illegally'
Mon, 23 Oct 2017 18:20:57 +0800 | AllAfrica News: HIV-Aids and STDs
[News24Wire] The two South Africans arrested for "promoting homosexuality" in Tanzania last week were being held in the country's prisons "illegally", the Initiative for Strategic Litigation in Africa (ISLA) said on Monday. (Source: AllAfrica News: HIV-Aids and STDs)

Tanzania:Over 40m Infected With HIV in Two Decades - Govt
Mon, 23 Oct 2017 14:42:36 +0800 | AllAfrica News: HIV-Aids and STDs
[Citizen] Dodoma -The number of Tanzanians who are turning out for voluntary counseling and testing for HIV/Aids has increased from 1,898 in 1997 to 42, 021,146 by June, this year. (Source: AllAfrica News: HIV-Aids and STDs)

Tanzania:U.S. Aids Relief Body Targets Over 1,2 Million People
Mon, 23 Oct 2017 14:40:29 +0800 | AllAfrica News: HIV-Aids and STDs
[Citizen] In October last year, Tanzania launched an ambitious strategy known as "Test and Treat," to curtail HIV/Aids. The country aims at putting on ARV treatment everyone found to be HIV-positive, regardless of their CD4 count. (Source: AllAfrica News: HIV-Aids and STDs)

Men who perform oral sex on women 'more at risk of mouth and throat cancers'
Sat, 21 Oct 2017 00:00:00 +0800 | NHS News Feed
Conclusion This study uses a large amount of national data to give us an idea about which groups of people have the greatest risk of carrying potentially cancer-causing oral HPV . But while oral HPV may increase people's risk of mouth and throat cancers, the actual number who would go on to develop cancer is extremely small. This study has limitations, which are worth bearing in mind: It only looked at whether people had oral HPV at a single point in time. This makes it difficult to know at what point they became infected and how much this could be down to other risk factors such as smoking, oral sex and number of partners. The researchers were only able to make predictions about likelihood of going on to develop cancer once infected. We cannot put a definite number to this risk. The st...

Uganda:Nurse Who Battled Early HIV Storm Is Now MP
Thu, 19 Oct 2017 13:50:36 +0800 | AllAfrica News: HIV-Aids and STDs
[Observer] When HIV/Aids was first reported in parts of present-day Kyotera district, only a few wanted to associate with people suffering from the then mysterious killer disease that left its sufferers looking like walking skeletons. (Source: AllAfrica News: HIV-Aids and STDs)

7 Million American Men Carry Cancer-Causing HPV
Thu, 19 Oct 2017 05:52:29 +0800 | NYT Health
The incidence of mouth and throat cancers caused by the human papillomavirus in men has now surpassed the incidence of HPV-related cervical cancers in women. (Source: NYT Health)

Novan leans on its spinout, Know Bio, to bolster acne drug pipeline
Thu, 19 Oct 2017 02:08:19 +0800 | bizjournals.com Health Care:Biotechnology headlines
Morrisville-based Novan (Nasdaq: NOVN) is broadening its focus through acquiring new intellectual property rights and is closing in on a deal to move its acne product forward. Through a deal with Know Bio – which was spun out from Novan prior to Novan’s IPO last year – Novan has acquired the exclusive worldwide rights to applications of nitric-oxide-based products for the treatment of cancer-causing viruses. Those viruses include human papillomavirus (HPV)-associa ted sexually transmitted infections. Novan… (Source: bizjournals.com Health Care:Biotechnology headlines)

Malawi:Meeting Men Halfway - HIV Clinics Are Going Mobile to Reach Toughest Patients
Wed, 18 Oct 2017 21:05:46 +0800 | AllAfrica News: HIV-Aids and STDs
[Bhekisisa] For decades, we've struggled to solve the riddle: How do you get reluctant men to test for HIV. Could we finally have an answer? (Source: AllAfrica News: HIV-Aids and STDs)

Malawi:Daily Struggles of the Most Vulnerable in Malawi
Wed, 18 Oct 2017 20:19:45 +0800 | AllAfrica News: HIV-Aids and STDs
[MSF] Malawi -In 2016, MSF marked 30 years of presence in Malawi, initially to a refugee crisis in 1986 and then becoming heavily involved in the growing HIV response. (Source: AllAfrica News: HIV-Aids and STDs)

Zimbabwe:Night - Perfect Cover for Aids Testing
Tue, 17 Oct 2017 14:00:58 +0800 | AllAfrica News: HIV-Aids and STDs
[Thomson Reuters Foundation] Harare -"I was so filled with fear and shame to get tested for HIV/AIDS during the day because I just felt I could bump into some people who know me" (Source: AllAfrica News: HIV-Aids and STDs)


Related Concepts

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.


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