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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

Toronto Public Health concerned new anti-HIV drug could contribute to spread of other STDs
Fri, 24 Feb 2017 17:00:00 +0800 | CBC | Health
Researchers call it a miracle drug: one blue pill, taken every day, that can reduce the risk of contracting HIV by almost 90 per cent. But one year after it was approved by Health Canada, Toronto Public Health is concerned PrEP provides a false sense of invincibility for some users that makes them less likely to wear condoms. (Source: CBC | Health)

Medical News Today: Sexual side effects of antidepressants: Symptoms and treatment
Thu, 23 Feb 2017 21:00:00 +0800 | Health News from Medical News Today
How do antidepressants cause sexual side effects and what are the side effects in men and women? Which antidepressants cause fewer sexual side effects? (Source: Health News from Medical News Today)

Zika infection shrinks testicles in mice
Thu, 23 Feb 2017 04:37:00 +0800 | Health News - UPI.com
Dennis Thompson, HealthDay News Zika virus can be sexually transmitted through semen, and a new mouse study could help explain why that occurs -- and how the virus might damage male fertility. (Source: Health News - UPI.com)

Zika Infection Shrinks Testicles in Mice
Wed, 22 Feb 2017 21:02:58 +0800 | Drugs.com - Daily MedNews
WEDNESDAY, Feb. 22, 2017 -- Zika virus can be sexually transmitted through semen, and a new mouse study could help explain why that occurs -- and how the virus might damage male fertility. In lab research, Zika attacked the testicles of mice,... (Source: Drugs.com - Daily MedNews)

Nigeria: Obasanjo Gave Private Sector Marching Order to Tackle HIV
Tue, 21 Feb 2017 14:25:46 +0800 | AllAfrica News: HIV-Aids and STDs
[Vanguard] When the news of the Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome, HIV/AIDS, ravaging the Eastern part of Africa broke about 14 years ago, former President Olusegun Obasanjo was gripped with fear and sleepless nights. (Source: AllAfrica News: HIV-Aids and STDs)

Malawi: Group Fighting TB, HIV and Aids Through an Integrated Approach
Mon, 20 Feb 2017 19:01:06 +0800 | AllAfrica News: HIV-Aids and STDs
[Nyasa Times] DAPP Malawi has since February 2015 been implementing the Integrated HIV/TB Project in Thyolo district which is funded by Comic Relief through TB Alert. (Source: AllAfrica News: HIV-Aids and STDs)

Rwanda: Govt Mulls HIV Self-Testing Kit
Mon, 20 Feb 2017 17:00:14 +0800 | AllAfrica News: HIV-Aids and STDs
[New Times] The Ministry of Health is planning to introduce an HIV self-testing (HIVST) service to supplement existing testing services such as health facility-based or mobile voluntary testing and counselling. (Source: AllAfrica News: HIV-Aids and STDs)

Tanzania: U.S Warns Govt Health Facilities Ban May Stall HIV Fight
Sun, 19 Feb 2017 16:58:17 +0800 | AllAfrica News: HIV-Aids and STDs
[Citizen] Dar es Salaam -The United States yesterday warned the government against its decision to ban HIV/Aids services at 40 health facilities, and introduce new guidelines for Key Populations (KP), saying the move could cause a flare-up of the epidemic among those afflicted. (Source: AllAfrica News: HIV-Aids and STDs)

Tanzania: Govt Halts HIV Services Over Homosexuality Claims
Fri, 17 Feb 2017 16:20:50 +0800 | AllAfrica News: HIV-Aids and STDs
[Citizen] Dar es Salaam -The government yesterday banned the provision of HIV/Aids services in at least 40 facilities that the authorities have accused of clandestinely promoting homosexuality. (Source: AllAfrica News: HIV-Aids and STDs)

Living With Cancer: Dating after your diagnosis
Fri, 17 Feb 2017 06:00:00 +0800 | News from Mayo Clinic
Tips for cancer survivors on dating and new relationships A new relationship can be challenging for anyone. A cancer diagnosis adds physical and emotional changes to the situation. HPV infection: A cause of cancer in men? The connection between sexually transmitted HPV and cervical cancer is widely understood. HPV infection increases cancer risk in men, [...] (Source: News from Mayo Clinic)


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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