STD Clinic Singapore | Shim Clinic
Help me about STD Clinic ! |
Permalink: https://shimclinic.sg/std |
Sexually transmitted disease (STD) clinic. Doctor especially 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. Private & confidential consultation.
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 an 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:
- HPV infection
- Genital herpes
- Chlamydia
- Gonorrhoea
- Syphilis
- 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.
Gonorrhoea 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 |
Timeline | HIV | STD | Pregnancy |
---|---|---|---|
Before exposure | |||
Contraception (females only) | |||
HIV PrEP (pre-exposure prophylaxis) - Stop HIV infection before exposure | STD vaccine: - Hepatitis vaccine - HPV vaccine | ||
STD / HIV exposure | |||
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 |
References
Help me about STD Clinic ! |
Related Concepts
- Sexually transmitted disease (STD)
- Sexually transmitted infection (STI)
- Venereal disease (VD)
- Genitourinary medicine (GUM)
- Sexual health
- Sex means "sexual activity"