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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

Will This Startup Finally Turn Around STD Rates?
Wed, 24 May 2017 04:57:00 +0800 | Forbes.com Healthcare News
mLab Box is a socially conscious startup that takes the cost, time and taboo out of STD testing —promising to destigmatize regular testing and curb transmission rates, as half of U.S. adults will have a sexually transmitted disease. (Source: Forbes.com Healthcare News)

Tanzania: U.S. Dishes Out Sh1.2 Trillion to Tanzania for Combating HIV/Aids
Tue, 23 May 2017 14:23:12 +0800 | AllAfrica News: HIV-Aids and STDs
[Citizen] Dar es Salaam -The United States of America has announced the renewal of support of 526million US dollars (equivalent to Sh1.2 trillion) to the Tanzania government as assistance in combating HIV/Aids for the 2017/2018 period. (Source: AllAfrica News: HIV-Aids and STDs)

Scientists develop test to identify best treatment for gonorrhea
Tue, 23 May 2017 07:33:23 +0800 | UCLA Newsroom: Health Sciences
FINDINGSResearchers from UCLA have developed a laboratory test that helps physicians determine which people with gonorrhea may be more treatable with an antibiotic that has not been recommended since 2007 because of concerns that the resistance to the drug was growing.BACKGROUNDGonorrhea has developed increasing resistance to all current antibiotics. Due to the spread of multi-drug resistant gonorrhea, health authorities have declared it one of the top-three urgent threats to public health.Ciprofloxacin was used to combat the sexually transmitted infection until 2007, when the Centers for Disease Control and Prevention stopped recommending its use after gonococcal infections developed resistance to it. Nevertheless, about 80 percent of gonorrhea infections in the United States, however, co...

Gambia: AAITG Organise Open Field Day On HIV/Aids
Mon, 22 May 2017 21:53:24 +0800 | AllAfrica News: HIV-Aids and STDs
[Daily Observer] The Local Right Programme (LRP8), a project under Action Aid International The Gambia, Kudang Office, over the weekend organised an open field day on HIV/AIDS at Kudang village, in Niamina East District, in CRR South. The aim of the open HIV/AIDS field day was a forum used to discuss about HIV, mode of transmission, prevention and how to avoid stigma and discrimination of people living with HIV. (Source: AllAfrica News: HIV-Aids and STDs)

Namibia: U.S. Avails Funding to Fight HIV/Aids
Mon, 22 May 2017 20:29:17 +0800 | AllAfrica News: HIV-Aids and STDs
[New Era] Windhoek -The United States President's Emergency Plan for AIDS Relief (PEPFAR) has availed around N$1 billion towards the fight against HIV/AIDS in Namibia for this financial year. This year's budgetary allocation from PEPFAR (US$ 72.3) exceeds the N$731,86 million allocated by PEPFAR in the previous financial year. (Source: AllAfrica News: HIV-Aids and STDs)

Company offers online STD tests in age of dating apps
Sat, 20 May 2017 04:12:08 +0800 | Health News: CBSNews.com
STDs are at an all-time high in the United States, and myLAB Box is marketing itself as the online remedy (Source: Health News: CBSNews.com)

Nigeria: HIV Vaccine Realisable - NACA
Fri, 19 May 2017 14:31:59 +0800 | AllAfrica News: HIV-Aids and STDs
[Premium Times] Recent developments have indicated that the global efforts to develop an effective HIV/AIDS vaccine is realisable. (Source: AllAfrica News: HIV-Aids and STDs)

Tanzania: HIV/Aids Campaign Gets Cash Dole-Out
Fri, 19 May 2017 14:15:21 +0800 | AllAfrica News: HIV-Aids and STDs
[Daily News] National efforts to combat HIV/Aids - through scale-up treatment aimed at complete elimination in 2030 -- has received a financial boost from the President's Emergency Plan for AIDS Relief (PEPFAR) totalling some $526 million (1.177trl/- ). (Source: AllAfrica News: HIV-Aids and STDs)

Uganda: Government in Fresh Plan to Reduce New HIV Infections
Fri, 19 May 2017 14:03:55 +0800 | AllAfrica News: HIV-Aids and STDs
[Monitor] Kampala -Government has noted with concern the worrying and growing trend of new HIV infections levels in Uganda, particularly among young girls and women. (Source: AllAfrica News: HIV-Aids and STDs)

East Africa: Trump Increases HIV/Aids Funding to Uganda
Fri, 19 May 2017 13:50:01 +0800 | AllAfrica News: HIV-Aids and STDs
[Monitor] Kampala -The United States (US) government has increased its assistance to HIV treatment and prevention in Uganda by about Shs40 billion from last year's $391(Shs1.41 trillion) to $402 million (Shs1.45trillion) this year. (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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