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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

Adverse experiences in childhood and sexually transmitted infection risk from adolescence into adulthood - London S, Quinn K, Scheidell JD, Frueh BC, Khan MR.
Thu, 17 Aug 2017 19:17:55 +0800 | SafetyLit
BACKGROUND: Childhood maltreatment, particularly sexual abuse, has been found to be associated with sexual risk behaviors later in life. We aimed to evaluate associations between a broad range of childhood traumas and sexual risk behaviors from adolescence... (Source: SafetyLit)

Uganda: Sex Workers Embrace Night HIV/Aids Testing Campaign
Thu, 17 Aug 2017 13:55:21 +0800 | AllAfrica News: HIV-Aids and STDs
[Monitor] Kakumiro/Kagadi -After divorcing her husband in February 2013, Agatha (not real name), left her village and started living in Igayaza Trading Centre in Birembo Sub-county on the Kakumiro-Hoima Road in Kakumiro District. (Source: AllAfrica News: HIV-Aids and STDs)

Zambia: Mandatory HIV Testing Unethical - Opposition
Wed, 16 Aug 2017 20:54:23 +0800 | AllAfrica News: HIV-Aids and STDs
[Zambia Reports] Opposition FDD has become the first prominent voice to oppose the announcement HIV testing will be mandatory. (Source: AllAfrica News: HIV-Aids and STDs)

Namibia: Namcor Makes Big Donations to Communties
Wed, 16 Aug 2017 20:36:20 +0800 | AllAfrica News: HIV-Aids and STDs
[New Era] Windhoek -The national petroleum company, the National Petroleum Corporation of Namibia (Namcor), has donated a bakery oven worth N$130 000 to Walvis Bay Sunshine Centre, and materials and equipment worth more than N$28 000 to an HIV support group in Kavango. (Source: AllAfrica News: HIV-Aids and STDs)

Zimbabwe: Media Emotionally Razed Me, Says HIV Activist Westerhof
Wed, 16 Aug 2017 19:57:15 +0800 | AllAfrica News: HIV-Aids and STDs
[New Zimbabwe] Fashion model turned fashion model Tendayi Westerhof-Kateketa said 16 years ago she lost everything after she came out publicly about her HIV status with the media ganging up against her. (Source: AllAfrica News: HIV-Aids and STDs)

Zambia: HIV Testing Now Compulsory - Presdent Lungu
Wed, 16 Aug 2017 18:34:35 +0800 | AllAfrica News: HIV-Aids and STDs
[Zambia Reports] The declaration by President Edgar Lungu that HIV testing will be mandatory at all health facilities in the country has ignited debate among the citizenry. (Source: AllAfrica News: HIV-Aids and STDs)

Zambia: President Declares Compulsory HIV Testing
Wed, 16 Aug 2017 17:18:02 +0800 | AllAfrica News: HIV-Aids and STDs
[Times of Zambia] HIV/AIDS testing is now mandatory in public health institutions as the Government acts to prevent further loss of life from the disease which has claimed hundreds of thousands of lives since the mid-80s, President Edgar Lungu has announced. (Source: AllAfrica News: HIV-Aids and STDs)

South Africa: Dialogue, HIV Testing Campaign Targets Men, Boys
Wed, 16 Aug 2017 17:05:54 +0800 | AllAfrica News: HIV-Aids and STDs
[SAnews.gov.za] Deputy President Cyril Ramaphosa will on Thursday participate in the launch of the Religious Leaders' Dialogue Series and HIV Testing Services Campaign in Soshanguve, north of Pretoria. (Source: AllAfrica News: HIV-Aids and STDs)

Angola: Bie - Health Authorities Record Increase in HIV/Aids Cases
Tue, 15 Aug 2017 21:32:45 +0800 | AllAfrica News: HIV-Aids and STDs
[ANGOP] Cuito -Health authorities in the central Bie Province recorded a considerable increase in HIV/Aids, in the first semester of the present year, with 660 new cases against 233 notified in the first semester of the year 2016. (Source: AllAfrica News: HIV-Aids and STDs)

Nigeria: Lack of Funds Thwarts HIV/Aids Control in Jigawa
Tue, 15 Aug 2017 16:22:24 +0800 | AllAfrica News: HIV-Aids and STDs
[Vanguard] Dutse -Lack of funds has been identified as a major hindrance affecting the conduct of HIV/AIDS test in the designated centres across Jigawa State. (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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