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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

Africa:Eight Ways to Make HIV Stories Meaningful
Fri, 22 Jun 2018 18:34:16 +0800 | AllAfrica News: HIV-Aids and STDs
[Bhekisisa] HIV is a mirror that reflects how we think about society. It exposes our prejudices. Find out how to tell interesting stories about it. (Source: AllAfrica News: HIV-Aids and STDs)

Digital health news briefs: STD testing at home, VR distraction therapy
Fri, 22 Jun 2018 03:41:42 +0800 | mobihealthnews
Finding time to get tested. Patients may now be able to address sexual healthcare issues through video conferencing. KnowNow Health has just launched a new website called App:KnowNOWSTD.com. The platform offers online lab testing for STDs including HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis C and Hepatitis B. The platform will also be able to offer care for women health conditions including urinary tract infections, bacterial vaginosis and yeast infections. (Source: mobihealthnews)

Medical News Today: What do white spots on testicles mean?
Fri, 22 Jun 2018 00:00:00 +0800 | Health News from Medical News Today
White spots on the testicles are usually harmless, but they sometimes indicate a sexually transmitted infection or another health condition. They often require no treatment, but some people may wish to remove them. Here, we look at the possible causes, as well as prevention and treatment, and when to see a doctor. (Source: Health News from Medical News Today)

Liberia:HIV Drugs Shortage Hits Nation
Thu, 21 Jun 2018 23:02:53 +0800 | AllAfrica News: HIV-Aids and STDs
[New Liberia] The lives of over 35,000 people living with HIV and AIDS are being put at serious risk as the country runs out of antiretroviral (ARVs) drugs, a drug given to people living with HIV and AIDS to help fight infections. (Source: AllAfrica News: HIV-Aids and STDs)

Zimbabwe:Kwekwe, Mberengwa Lead As HIV Prevalence Surges in Midlands
Thu, 21 Jun 2018 21:43:42 +0800 | AllAfrica News: HIV-Aids and STDs
[New Zimbabwe] Statistics from the National Aids Council (NAC) has revealed that Midlands is in the red when it comes to HIV infection and AIDS. (Source: AllAfrica News: HIV-Aids and STDs)

Medical News Today: What to know about RPR testing for syphilis
Thu, 21 Jun 2018 14:00:00 +0800 | Health News from Medical News Today
The rapid plasma reagin test is a simple blood test that screens for syphilis. Doctors recommend the RPR test when they suspect that a person may have a syphilis infection. Positive results can indicate an infection, but the time course of the infection and other infections can influence the results. Learn more. (Source: Health News from Medical News Today)

Nigeria:2018 Budget - Cancer, HIV/Aids Treatment Funding Among Those Cut By Senators, Reps
Thu, 21 Jun 2018 13:10:44 +0800 | AllAfrica News: HIV-Aids and STDs
[Premium Times] Funding for cancer treatment and HIV drugs were amongst those either cut or completely removed by the National Assembly in the 2018 budget signed by President Muhammadu Buhari on Wednesday, PREMIUM TIMES can authoritatively report. (Source: AllAfrica News: HIV-Aids and STDs)

Nigeria:National Assembly Budget Cuts to Stifle Vaccines, HIV Drugs
Thu, 21 Jun 2018 12:24:07 +0800 | AllAfrica News: HIV-Aids and STDs
[Daily Trust] A total of N7.45 billion has been cut from funds allocated for strategic interventions in health care, after lawmakers adjusted portions of the 2018 Budget signed into law on Wednesday. (Source: AllAfrica News: HIV-Aids and STDs)

Namibia:HIV/AIDS Deaths Drop From 10 000 to 4 000
Wed, 20 Jun 2018 16:12:37 +0800 | AllAfrica News: HIV-Aids and STDs
[Namibian] FIGURES released by the United States President's Emergency Plan for AIDS Relief have revealed that the number of people dying of HIV-AIDS has dropped from 10 000 per year to 4 000 between 1991 and 2016 in Namibia. (Source: AllAfrica News: HIV-Aids and STDs)

Zimbabwe:National AIDS Council Assesses Sexual Behaviour of Prison Inmates
Wed, 20 Jun 2018 16:06:07 +0800 | AllAfrica News: HIV-Aids and STDs
[The Herald] The National AIDS Council (NAC) has embarked on a survey to assess sexual behaviour of prison inmates as well as drug abuse, to ascertain whether there is HIV transmission in prisons. (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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