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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

Screening for Syphilis and Other Sexually Transmitted Infections in Pregnant Women — Guam, 2014
Fri, 23 Jun 2017 00:00:00 +0800 | CDC Morbidity and Mortality Weekly Report
(Source: CDC Morbidity and Mortality Weekly Report)

Liberia: UNAIDS, Partners Raps On HIV Issues Here
Thu, 22 Jun 2017 20:33:03 +0800 | AllAfrica News: HIV-Aids and STDs
[New Dawn] The Joint United Nations Programme on AIDS (UNAIDS) in and partners in collaboration with the National AIDS Commission of Liberia (NAC) are initiating a two-day HIV and social protection Assessment workshop in Monrovia. (Source: AllAfrica News: HIV-Aids and STDs)

#SaferSex Tip: #condoms + birth control=DBL protection against pregnancy, HIV/#STDs < https://go.usa.gov/xNv4j   pic.twitter.com/1O3p03oL7W
Thu, 22 Jun 2017 19:10:03 +0800 | Food and Drug Adminstration (FDA): CDRHNew
#SaferSex Tip: #condoms + birth control=DBL protection against pregnancy, HIV/ #STDs&lt; https://go.usa.gov/xNv4j&nbsp; pic.twitter.com/1O3p03oL7W (Source: Food and Drug Adminstration (FDA): CDRHNew)

Antibiotic Eye Drops Often Unhelpful for Pinkeye
Thu, 22 Jun 2017 17:00:02 +0800 | NYT Health
Conjunctivitis, or pinkeye, often goes away without treatment. (Source: NYT Health)

Tanzania: Gains Made, but Aids Gains Made, but Aids Gains Made, Still a Threat, Report Says
Thu, 22 Jun 2017 13:08:02 +0800 | AllAfrica News: HIV-Aids and STDs
[Daily News] Zanzibar -Despite recent progress in the fight against HIV/Aids, infection is still alarming among Zanzibaris, a new human rights report has warned. (Source: AllAfrica News: HIV-Aids and STDs)

Zimbabwe: Child Poverty and the Risks of HIV
Wed, 21 Jun 2017 16:55:24 +0800 | AllAfrica News: HIV-Aids and STDs
[The Herald] Our Children, Our Future It goes without saying that children are at higher risk of poverty and deprivation. Girls and boys experience all forms of poverty more acutely than adults because of their vulnerability due to age and dependency. (Source: AllAfrica News: HIV-Aids and STDs)

South Africa: 'Now I Am Not Scared of Testing for HIV'
Tue, 20 Jun 2017 19:00:47 +0800 | AllAfrica News: HIV-Aids and STDs
[What'sUpHIV] THABO MOLELEKWA writes: When Samkelisiwe Chiliza from Durban heard about Pre-Exposure Prophylaxis or PrEP, she did not hesitate to join the PrEP study through the Centre for Aids Programme and Research in South Africa (Caprisa). (Source: AllAfrica News: HIV-Aids and STDs)

South Africa: Former AIDS Council Head Criticises Government Plan
Mon, 19 Jun 2017 15:00:37 +0800 | AllAfrica News: HIV-Aids and STDs
[GroundUp] But Fareed Abdullah says it is not too late to improve it (Source: AllAfrica News: HIV-Aids and STDs)

Nigeria: Govt to Mandate Genotype, HIV Tests for Intending Couples
Mon, 19 Jun 2017 14:46:08 +0800 | AllAfrica News: HIV-Aids and STDs
[Daily Trust] Sokoto -As part of moves to check sickle cell disease, the Sokoto State Government is to promulgate a law to make it compulsory for would-be couples to undergo genotype testing before marriage. (Source: AllAfrica News: HIV-Aids and STDs)

What Causes Urinary Hesitancy?
Mon, 19 Jun 2017 07:36:26 +0800 | PediatricEducation.org
Discussion &#8220;Hesitancy&#8221; denotes difficulty in initiating voiding when the child is ready to void,&#8221; according to the International Children&#8217;s Continence Society. It is not seen that often in pediatrics in isolation, but is commonly associated with other symptoms such as dysuria, frequency, abdominal or anal pain which may indicate common problems such as a urinary tract infection, vaginal/perineal irritation, or constipation. Communication problems can also confound the accuracy of the history as patients and families can have a difficult time describing the urinary problem they are experiencing or may be embarrassed to fully communicate their concerns. Symptom diaries are often helpful to more accurately discern the frequency, and pattern of the problem, along with o...


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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