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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

Constructing risk and responsibility: a gender, race, and class analysis of news representations of adolescent sexuality - Chmielewski JF, Tolman DL, Kincaid H.
Mon, 16 Jul 2018 23:24:03 +0800 | SafetyLit
Teen sexuality has been portrayed as dangerous (i.e., risk of pregnancy, STIs, sexual victimization for girls) yet pervasive in a growing post-feminist culture of sexualization. Adolescents are tasked with negotiating the difficult terrain of desire and da... (Source: SafetyLit)

Sexually transmitted infections and spousal violence: the experience of married women in India - Shabnam S.
Mon, 16 Jul 2018 23:24:03 +0800 | SafetyLit
A growing body of research has documented that spousal violence has several adverse effects on the reproductive health of women. Using the dataset of the third National Family Health Survey (NFHS-3) conducted in India in 2005-2006, the present study tries ... (Source: SafetyLit)

Kenya:Eight Grilled Over Theft of Sh5 Million HIV Kits From Murang'a Hospital
Mon, 16 Jul 2018 16:39:44 +0800 | AllAfrica News: HIV-Aids and STDs
[Nation] Detectives from the Directorate of Criminal Investigations have recorded statements from eight people following the theft of Sh5 million reagents kits used for testing HIV from the Murang'a Level Five Hospital. (Source: AllAfrica News: HIV-Aids and STDs)

Southern Africa:Zimbabwe On the Verge of Eliminating Aids
Fri, 13 Jul 2018 19:19:23 +0800 | AllAfrica News: HIV-Aids and STDs
[CAJ News] Bulawayo -Zimbabwe is on course to attain global targets set by the United Nations (UN) to eradicate the HIV/AIDS scourge. (Source: AllAfrica News: HIV-Aids and STDs)

Stopping potential sexually transmitted superbug
Thu, 12 Jul 2018 21:15:58 +0800 | CNN.com - Health
The British Association of Sexual Health and HIV has published new treatment guidelines in an attempt to prevent the sexually transmitted infection mycoplasma genitalium, also known as MGem or MG, from developing into a superbug. (Source: CNN.com - Health)

New UK guidelines aimed at stopping potential sexually transmitted superbug
Thu, 12 Jul 2018 01:27:41 +0800 | CNN.com - Health
The British Association of Sexual Health and HIV has published new treatment guidelines in an attempt to prevent the sexually transmitted infection mycoplasma genitalium, also known as MGem or MG, from developing into a superbug. (Source: CNN.com - Health)

Warning to women over dangerous STI that could lead to infertility
Wed, 11 Jul 2018 13:37:13 +0800 | the Mail online | Health
Women have been warned about the spread of an increasingly dangerous 'stealth' sexually transmitted infection that makes women infertile. (Source: the Mail online | Health)

Warning to thousands of women over STI that could lead to infertility
Wed, 11 Jul 2018 13:34:05 +0800 | the Mail online | Health
Women have been warned about the spread of an increasingly dangerous 'stealth' sexually transmitted infection that makes women infertile. (Source: the Mail online | Health)

Zimbabwe:Govt Giving Out ARVs to High-Risk Groups
Mon, 09 Jul 2018 17:02:30 +0800 | AllAfrica News: HIV-Aids and STDs
[The Herald] Gweru -Government has started giving out antiretroviral drugs to selected HIV negative people who are at high risk of contracting the virus, to reduce chances of infection, Dreams and Key Population coordinator in the Ministry of Health and Child Care Mr Taurai Bhatasara has said. (Source: AllAfrica News: HIV-Aids and STDs)

Rwanda:How Access to ARVs Became a Right in Rwanda
Fri, 06 Jul 2018 17:52:36 +0800 | AllAfrica News: HIV-Aids and STDs
[New Times] Statistics from Rwanda Biomedical Centre show that at least 10,000 people get new infections in Rwanda, while 5,000 of the HIV positive die every 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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