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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

Nigeria:Govt to Hands-Off HIV/Aids Control to States
Thu, 24 May 2018 12:34:17 +0800 | AllAfrica News: HIV-Aids and STDs
[Guardian] Udeajah -The Federal Government may next year hand over the management of HIV/AIDS to states.The coordinator of the Abia State AIDS Control/Programme, Dr. Rock Hemuka disclosed this yesterday.He spoke at an advocacy meeting on maternal, new born and child health forum in Umuahia, the state capital. (Source: AllAfrica News: HIV-Aids and STDs)

Nigeria:Your Letter Is Blackmail, Govt Tells Those Living With HIV
Wed, 23 May 2018 12:26:58 +0800 | AllAfrica News: HIV-Aids and STDs
[Vanguard] The Federal Government Tuesday described the petition written by the Civil Society for HIV/AIDS in Nigeria, CISHAN and Network of People Living with HIV/AIDS in Nigeria, NEPWHAN and 11 other Civil Society Organisations, CSOs, as an attempt to blackmail President Muhammadu Buhari led administration. (Source: AllAfrica News: HIV-Aids and STDs)

Chemsex linked with increased diagnoses of HIV and other sexually transmitted infections
Wed, 23 May 2018 11:00:00 +0800 | EurekAlert! - Medicine and Health
(Wiley) Chemsex -- the use of crystallized methamphetamine, mephedrone,&#947;-hydroxybutyrate or&#947;-butyrolactone and to a lesser extent cocaine and ketamine to facilitate sex -- has emerged as a new phenomenon in the UK and across Europe among gay, bisexual and other men who have sex with men (GBMSM). (Source: EurekAlert! - Medicine and Health)

Sexual violence against women and care in the health sector in Santa Catarina - Brazil - Delziovo CR, Coelho EBS, d'Orsi E, Lindner SR.
Mon, 21 May 2018 23:39:29 +0800 | SafetyLit
This is a study on sexual violence against women in the Brazilian State of Santa Catarina notified to the Notifiable Diseases Information System (SINAN) in the period 20082013. It aimed to estimate pregnancy and sexually transmitted infections (STIs) resul... (Source: SafetyLit)

Social connections may prevent HIV infection among black men who have sex with men
Thu, 17 May 2018 06:28:39 +0800 | UCLA Newsroom: Health Sciences
FINDINGSUCLA-led research suggests that receiving support from friends and acquaintances can help prevent black men who have sex with men from becoming infected with HIV.BACKGROUNDBlack men who have sex with men have disproportionately high rates of HIV infection. While social connections are known to influence the behaviors that influence people ’s risk for HIV, little is known about whether they affect the risk for becoming infected with HIV.METHODThe researchers analyzed data from a 2009 –11 study that examined a multifaceted intervention for black men who have sex with men in six U.S. cities. They analyzed the associations between measures of network support — personal and emotional, financial, medical, social participation and others — and time to HIV seroconversion, which i s...

Tanzania:Plan Launched to Dispense HIV Drugs in Centres
Wed, 16 May 2018 14:42:40 +0800 | AllAfrica News: HIV-Aids and STDs
[Daily News] Minister for Health, Community Development, Gender, Elderly and Children, Ms Ummy Mwalimu (Source: AllAfrica News: HIV-Aids and STDs)

Medical News Today: When can I have sex after being pregnant?
Wed, 16 May 2018 14:00:00 +0800 | Health News from Medical News Today
What are the recommendations for how long women should wait before resuming sexual intercourse after pregnancy? How does giving birth affect sex? Factors influencing the decision to resume sexual activity include pain, stress, the healing process after delivery, and the impact of hormonal changes. (Source: Health News from Medical News Today)

Understanding drug-resistant gonorrhea
Wed, 16 May 2018 11:00:00 +0800 | EurekAlert! - Infectious and Emerging Diseases
(European Centre for Disease Prevention and Control (ECDC)) Can whole genome sequencing illustrate changes in drug susceptibility of gonorrhea to antimicrobials used for treatment and so help to define more effective treatment regimens? The first study of this kind within an international surveillance program for sexually transmitted infections shows distribution of drug-resistant gonorrhea strains across Europe. The study results are published in an ECDC report and summarized in The Lancet Infectious Diseases. (Source: EurekAlert! - Infectious and Emerging Diseases)

STDs Hit Record High in California
Wed, 16 May 2018 03:14:08 +0800 | WebMD Health
The report noted 30 stillbirths stemming from cases of syphilis, the highest number in more than 20 years. (Source: WebMD Health)

Novartis/Trump Nexus; Medical Cannabis Scandal; Racism Promotes STDs
Tue, 15 May 2018 21:30:00 +0800 | MedPage Today Public Health
(MedPage Today) -- The past week in healthcare-related investigations (Source: MedPage Today Public Health)


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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