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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

Online sperm donors are pressuring women into unprotected sex
Mon, 24 Sep 2018 20:42:20 +0800 | the Mail online | Health
Growing numbers of women are reportedly using unregulated websites to find free sperm donors and are putting themselves at risk of abuse and STIs, experts have warned. (Source: the Mail online | Health)

Online sperm donors are harassing women and pressuring them into unprotected sex
Mon, 24 Sep 2018 19:21:34 +0800 | the Mail online | Health
Growing numbers of women are reportedly using unregulated websites to find free sperm donors and are putting themselves at risk of abuse and STIs, experts have warned. (Source: the Mail online | Health)

Sexual and reproductive healthcare for women asylum seekers in Switzerland: a multi-method evaluation - Cignacco E, Zu Sayn-Wittgenstein F, S énac C, Hurni A, Wyssmüller D, Grand-Guillaume-Perrenoud JA, Berger A.
Sat, 22 Sep 2018 06:35:27 +0800 | SafetyLit
BACKGROUND: Forced migration significantly endangers health. Women face numerous health risks, including sexual violence, lack of contraception, sexually transmitted disease, and adverse perinatal outcomes. Therefore, sexual and reproductive healthcare is ... (Source: SafetyLit)

Rwanda:City of Kigali Seeks to Reduce HIV Prevalence in the Next Five Years
Fri, 21 Sep 2018 17:53:40 +0800 | AllAfrica News: HIV-Aids and STDs
[New Times] The City of Kigali and its partners have committed to reducing HIV/AIDS prevalence under a new strategic plan to fight the disease. (Source: AllAfrica News: HIV-Aids and STDs)

Medical News Today: Signs and symptoms of STDs in men
Thu, 20 Sep 2018 21:00:00 +0800 | Health News from Medical News Today
Sexually transmitted diseases (STDs), or sexually transmitted infections (STIs), can affect anyone, but some symptoms are different for men and women. In this article, we look at the signs and symptoms of common STIs in men and when they typically occur. We also discuss how to diagnose, prevent, and treat STIs in men. (Source: Health News from Medical News Today)

Nigeria:Beyond the Violence in Northern Nigeria
Thu, 20 Sep 2018 20:40:39 +0800 | AllAfrica News: HIV-Aids and STDs
[Wellbeing Women] Imagine your little daughter -- real or hypothetical -- at the age of 8 years.   Imagine her being left without a home, school, or even a parent to look after her.  Imagine her being left to the mercy of traffickers who will commodity her; trade her for money or sex. (Source: AllAfrica News: HIV-Aids and STDs)

Africa:The Role of Family Planning in Preventing Mother-to-Child Transmission of HIV
Thu, 20 Sep 2018 20:24:26 +0800 | AllAfrica News: HIV-Aids and STDs
[Wellbeing Women] Women continue to bear a disproportionate burden of the HIV/AIDS epidemic, with women accounting for more than half of the number of people living with HIV/AIDs worldwide.   A 2013 UNAIDS report showed that an estimated 1.5 million women living with HIV gave birth to children, and 240,000 children worldwide acquire HIV yearly -- the majority of whom contract the disease from their mothers during pregnancy, labor, delivery, or breastfeeding, and it is described by the terms "vertical transmis (Source: AllAfrica News: HIV-Aids and STDs)

Liberia:Liwen Steps Up Fight Against HIV
Wed, 19 Sep 2018 21:39:05 +0800 | AllAfrica News: HIV-Aids and STDs
[Observer] The Liberian Women Empowerment Network (LIWEN) in collaboration with Action Aid Liberia, along with support from Swedish International Development Agency (Sida), over the weekend distributed condoms to 385 persons in Montserrado County, in the fight against the spread of HIV/AIDS, Sexually Transmitted Diseases (STDs) and unwanted pregnancies. (Source: AllAfrica News: HIV-Aids and STDs)

Zimbabwe:Impressive Efforts to End HIV Get Recognition
Wed, 19 Sep 2018 17:26:58 +0800 | AllAfrica News: HIV-Aids and STDs
[The Herald] Zimbabwe could see new HIV infections among 15- to 29-year-olds drop by a third within a decade if the country scales up available prevention tools over the next five years, the second annual Goalkeepers Data Report launched yesterday by The Bill& Melinda Gates Foundation has said. (Source: AllAfrica News: HIV-Aids and STDs)

Tanzania:RC Calls for Intensified Campaign to Address HIV/Aids in Region
Wed, 19 Sep 2018 16:52:46 +0800 | AllAfrica News: HIV-Aids and STDs
[Daily News] KAGERA Regional Commissioner (RC), Brigadier General Marco Gigati has appealed to the area residents to increase awareness on fighting HIV/AIDS as a warning that the disease was still a major killer in the world. (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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