Sometimes we have sexual misadventures and sometime we have unintentionally passed a STD on to sexual partner and then sometimes even with due precaution taken through the use of condoms we contract a STD.
Most common STD Symptoms
Penis owners might experience burning sensation with urination, discharge from the penis opening, pelvic or testicular pain.
Other symptoms might include new ulceration or blisters on the genital skin, rash particular over the palms and soles of feet.
If you have such symptoms, it is imperative that you get tested and treated for STDs as soon as possible. There is no need to wait for specific window periods for testing as you are already symptomatic.
Treatments for HIV: PrEP & PEP
PrEP (Pre Exposure Prophlaxis)
- PrEP is a combination of two anti-viral medications (Tenofovir and Emtricitabine) available in a single pill, approved by the U.S. FDA and Singapore’s Health Sciences Authority.
- It is highly effective in reducing the risk of HIV transmission for HIV-negative individuals.
Who is suitable for PrEP?
HIV-negative individuals who:
- Have an HIV-positive partner not on suppressive ART.
- Engage in unprotected vaginal/anal sex with multiple partners.
- Have had sexually transmitted infections recently.
- Inject drugs and share needles.
How to Take PrEP:
- Daily PrEP: Most effective when taken daily for 7 days, reducing HIV risk by ~99%.
- On-Demand PrEP: Recommended for cis-gender men who have sex with men; involves a double dose of the pill 2-24 hours before the intended sexual enagement and single doses over the next 2 days.
Safety & Side Effects:
- PrEP generally has mild side effects like upset stomach or nausea, which typically improve over time.
- Does not protect against other STIs; safe sex practices should still be followed.
Post Exposure Prophylaxis (PEP)
- PEP is a short-term course of HIV medication taken after possible exposure to HIV to prevent infection.
- Must be started within 72 hours of exposure for maximum effectiveness.
When to Take PEP?
- After unprotected sex with an HIV-positive person or someone whose HIV status is unknown.
- After sharing needles or being exposed to contaminated blood.
- After sexual assault.
Effectiveness:
- PEP can reduce the risk of HIV infection by up to 80% if taken correctly and within the recommended time frame.
How is PEP Taken?
- Usually involves a combination of HIV medications (typically 3 drugs) for 28 days.
- It must be prescribed by a doctor after evaluation of the exposure risk.
Speak with us or book an appt if you are concerned about STDs or HIV testing prevention and treatment
If you do not have symptoms and are simply screening
STD Screening tests are readily accessible and easily done. Always ensure that you screen and test the part of the body that was involved in repertoire of your sexual activity.
- Urine test if penis was used
- Anal swab if anus was penetrated
- Throat swab if oral sex was given
Screen regularly every 3-6 months if you have multiple casual partner. Stay safe and responsible while enjoying the pleasure of sex.
Lesser Known STDs: Mycoplasma Genitalium
Mycoplasma genitalium is a lesser-known STD often missed in routine screenings in Singapore. It can cause subtle symptoms like urinary discomfort and pelvic pain, and if untreated, may lead to infertility or chronic infections like complicated prostatitis. This bacterium is resistant to antibiotics, requiring a combination treatment approach. If standard STD tests are negative but symptoms persist, testing for Mycoplasma genitalium is recommended.
Our Doctors
Dr Samuel
MB BCh, BaO (Ireland),
MRCS (England)
Dr Jess
BSc (S’pore), MBBS (Aus)
FECSM (Fellow of the European Committee Sexual Medicine)
Your Health, Your Confidence.
Don’t let health concerns hold you back. Early intervention can significantly improve quality of life.
