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Total : 151 Questions. Displaying Page : 1 of 8 |
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| Date: |
07-Aug-2008 |
| Question: |
Hi, I had unprotected oral sex at the health centre. Have the following questions:
1. Is a penile smear test painful?
2. Can I do a culture test for NGU & Gonorrhoea instead of a Smear test?
Thank you for your time.
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| Answer - |
Unprotected oral sex poses a low risk for HIV but other STIs such as Gonorrhoea, Herpes and Syphilis can be transmitted. The risk of HIV transmission through unprotected sex increases if there is contact with body fluids such as semen, vaginal fluids and blood, with the presence of sores and broken skin.
Do not put yourself at such risk. Condoms, when used correctly and consistently and where there is no breakage or leakage, provide effective protection against sexually transmitted infections and HIV.
The feeling of having a smear test is subjective to individuals, moreover, different individuals do have different pain threshold. Generally, the discomfort of a smear test is tolerable. Both the culture and smear test do require a penile loop to obtain the required specimen. In certain setting like the DSC Clinic, the availability of the PCR technique allows urine to be used for testing of both Gonorrhoea and Chlamydia. |
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| Date: |
26-Jul-2008 |
| Question: |
I believe to have Gonorrhea, so I went to a doctor to confirm, and he took my urine samples, and gave me Mortin DS for antibiotics, I am just worry this is not the proper medication to be used, needing advise. Thanks |
| Answer - |
We do not have experience with this medication. In Singapore, we use antibiotics like Ceftriaxone to treat Gonorrhoea. You may wish to check with your attending doctor about the management of your case. |
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| Date: |
14-Jul-2008 |
| Question: |
Hi Doc.,
I did the test at DSC.
1) Does the urethera smear test done at DSC check for (a) gonorrea (b) NGU? Is this the same as "Gram Stain"?
2) If the smear test is negative, does it mean that both (a) and (b) above are clear?
3) Is PCR urine test for Chamlydia the only test to confirm Chamlydia? Will the smear test reveal any signs of Chamlydia?
4) If smear test and PCR urine test are CLEARED, does it mean that ALL clear?
5) No culture test was done in my case. Is it reliable just based on a negative smear test?
Thank you.
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| Answer - |
1 & 2. The urethral smear test is a gram stain microscopic test for males to determine the presence of abnormal cells. This basic screening is able to cover both Non-Gonoccocal Urethritis(NGU) and Gonorrhoea.
NGU is a sexually transmitted infection in males who present with urethral discharge and dysuria. Several bacteria may be responsible, the most common ones being chlamydia trachomatis and ureaplasma urealyticum.
Gonorrhoea is a sexually transmitted infection(STI) that is caused by the bacteria neisseria gonorrheae.
3. A specific test for Chlamydia can be done by a swab taken from the cervix for female and urethra for male or other relevant sites, and sent for an EIA test in the laboratory. Another recent method is by a PCR test and urine can also be used for screening. A blood test is not reliable in the diagnosis of Chlamydia infection.
The smear test is able to detect NGU generally, but a specific Chlamydia test is done by the above-mentioned methods.
4. The smear test and the Chlamydia PCR test will be able to show reliability for exclusion of NGU / Chlamydia.
5. The culture test is used for exclusion of Neisseria Gonorrheae. If there are no specific signs and symptoms, and other complications, a negative smear test will be reliable. |
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| Date: |
08-Jul-2008 |
| Question: |
hi..if i think i contacted Gonorrhoea, other than DSC, where can i seek help? |
| Answer - |
You can go to any doctor of your choice or an STI specialist like the DSC Clinic. |
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| Date: |
03-Jul-2008 |
| Question: |
Hi Dr.,
I have two accounts of pain during urination. MY GP did an urine "dip-stick" test and informed me that I had an urine infection. He suspects that it was caused by E Coli bacteria. Is this UTI?
He then prescibed me with Bactrim 400/80MG (20Tabs) and Citravescent 4MG (10 packets). A week later, I did an urine FEME test at a lab and no other infections were present i.e., all clear results.
I am worried that I had Gonorrea/NGU and have intentions to do a swap/PCR test at your clinic soon. I was told to wait for 2 weeks before coming to DSC because of the antibiotics that I was taking.
My questions are:-
1) After 2 weeks (count from the date I completed my antibiotics)will Bactrim still mask the swap test results?
2) Assuming if my swap test for Gonorrea/NGU is cleared after two weeks, does it mean that I DID NOT have the infection(s)? Is there any so called "window-period" for the swap tests?
3) Will the antibiotics (Bactrim) somehow killed the bacteria of Gonorrea/NGU? I am asking this because the dip-stick test showed an infection and after on Bactrim, the urine FEME test showed negative after 1 week. Hence, the antibiotic was effective somehow.
Thanks. |
| Answer - |
Bactrim is not used for the treatment of Gonorrhoea and NGU / Chlamydia. The Bactrim that you are taking can impact on the test for Gonorrhoea and NGU / Chlamydia. You may wish to visit the DSC Clinic, as we will be in a better position to ascertain with the understanding of your sexual and medical history. |
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| Date: |
21-Jun-2008 |
| Question: |
I have a friend residing in Thailand, and he just got diagnosed with Gonorrhoea at a clinic in bangkok. But he's not sure about the quality of healthcare over there
He was prescribed and given treatment for both NGU and Gonorrhoea, 1g of Azrithromicyn and 1g of Cefuroxime - Azithromicyn taken before meal, and Cefurocime after.
I was wondering if this treatment is okay for a a patient, as my friend feels taking 2g worth of antibiotics all at once may be too much for his body to handle. Is it a normal procedure here in SG's DSC?
Is he being treated for prevention of NGU or is he infected? Docs in Thailand says hes not infected but still must take.
Ive go for checkups at DSC regularly and have never encountered any STDs before (thank goodness), so I dont really know about this.
Thanks and look forward to your advice,
Davidoff |
| Answer - |
Cefuroxime is a new medication for the treatment of Gonorrhoea while Azithromycin is used to treat NGU. The Azithromycin prescribed for your friend might be used to cover for NGU just in case he had the infection, as patients with Gonorrhoea infection can carry NGU as well. He may wish to clarify the details with the doctor he had seen. |
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| Date: |
20-Jun-2008 |
| Question: |
Treatment options for Gonorrhoea in Patients allergic to Cephalosporins
I had a very adverse reaction to Cephalosporin when I was a child. Thus was very concerned to learn that Quinolones are no longer recommended in the treatment of Gonorrhea because of resistance. Would you be able to advise what treatment options are there as I was diagnosed with Gonorrhea. When I visited my GP he did not have any other options other than to suggest that I try out Ciprofloxacin.
thank you very much for your time.
Brandon
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| Answer - |
At the DSC Clinic, the treatment of choice in use is Ceftriaxone, Cefixime or Spectinomycin. Ciprofloxacin is not a treatment of choice in this region because of resistance. |
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| Date: |
02-Jun-2008 |
| Question: |
Thank you Dr, for answering all my queries. I'm really very glad Singapore have DSC clinic. Just a few questions about other STI.
1) If a guy like me contact Gonorrhoea, usually I should experience urethral discharge and burning pain or irritation when urinating (dysuria) 2-7 days? If no such symptoms after a month then can I say I did not contact Gonorrhoea.
2)For NGU: DSC only check for Chlamydia. How about other bacteria such as Ureaplasma urealyticum and Mycoplasm genitalium that casues NGU. Do DSC check for them? What is the test? What is the cost? For NGU, can I say usually should experience urethral discharge and burning pain or irritation when urinating.
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| Answer - |
Both Non-Gonoccocal Urethritis(NGU) and Gonorrhoea can present with rather similar signs and symptoms like abnormal genital discharges and pain when urinating. These infections are cause by different bacteria. A specific test will be able to show the different causative agent.
If one does not experience signs and symptoms after 1 month from possible exposure, this may mean the absence of infection. However, the surest way is to perform a screening.
There are several bacteria known to have cause NGU with the common ones like Chlamydia Trachomatis, Ureaplasma Urealyticum and Mycoplasma Genitalium. A smear test is use to determine the presence of NGU. Chlamydia Trachomatis has been known to be a common cause of urethritis and the screening method is available. A test for the other bacteria is uncommon.
For the management of NGU be it cause by Chlamydia Trachomatis or other bacteria, a similar treatment is being used. So long as one has this infection and treated with the appropriate antibiotics, this will lead to a cure. |
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| Date: |
26-May-2008 |
| Question: |
I had unprotected sex with someone from a massage parlor and after a few days, I had some discoloration in my penis and had a hard time urinating. That was 4 months ago. The skin dicolorations have vanished and I don't feel pain when urinating. However, I had sex with my GF and she PID. She is now taking Doxycycline and under medication. Can your test still screen for Gonorreah or Chlamydia even if I think I have been infected 4 months ago? If there a chance that the infection vanishes and let my normal immune system kill it? |
| Answer - |
Unprotected oral, vaginal and anal sex with someone of unknown status will put one at risk for STI and HIV. Do not put yourself at risk. Condoms, when used correctly and consistently and where there is no breakage or leakage, provide effective protection against STI and HIV.
If you are worried about your condition, we recommend that you do a screening. For a male, this involves swabs to be taken from the penis. Additional swabs may also be taken from the rectum and throat. He will need to hold urine for 4 hours before the swabs can be taken. The tests will screen for:
- Gonorrhoea
- NGU/Chlamydia
In STI screening, a person can go for a blood test 3 months after exposure for HIV, Syphilis and Hepatitis B. A Herpes blood test will be reliable if done under the Type Specific Serology Test (HSV TSST) for Herpes but it may not be widely available. This screens for previous exposure to the virus, which can be done 8 weeks after the exposure.
In the meantime, you should abstain from sex. |
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| Date: |
23-May-2008 |
| Question: |
How long do I have to wait for the results for Gonorhea and Chlamydia after the test.
Also is the test done by taking urine or blood samples. |
| Answer - |
The turn around time for any test result is dependant on the respective laboratory. This can range from a few days to weeks.
A test for Gonorrhoea is usually screened through smear and culture tests.
Chlamydia is detected by a swab and sent for an EIA test in the laboratory. Another recent method is by a PCR test.
The PCR test can also use urine samples for screening of both infections. A blood test is not reliable in the diagnosis of these infections.
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| Date: |
19-May-2008 |
| Question: |
i had unprotected sec 3months ago and contracted gonorrhea , i was treated for it and never had sex since. suddenly i think the gonorrhea came back , why is this happeneing? |
| Answer - |
So long as you receive the appropriate treatment, you will be cured of Gonorrhoea. We are not able to comment on your condition now, but advise that you see a doctor to get assurance. |
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| Date: |
13-May-2008 |
| Question: |
hi im a male and i got infected with gonnorhea 2 days after having anal sex with my boyfriend.that was happened last february first week.i was cured after taking doxy and injected with Ceftriazone. 2months after, last april 25 to be exact, symptoms of gonorrhea came back after i had sex again with my boyfriend(unprotected)..im wondering why is there so many blood in my urine/blood stain in my undies except from the ordinary dicharge.. i consulted different doctors but they have the same opinion.for the second time i took doxy for 1 week and got injected with Ceftriazone.i came back to my doctor to have an urinalysis and it says its negative.AM I ALREADY CURED? and please help us because were wondering why i always get gonorrhea when i making anal sex with my boyfriend although he has no symptoms at all.. please help us. |
| Answer - |
Gonorrhoea is a sexually transmitted infection(STI) that is caused by the bacteria Neisseria Gonorrheae. One can get infected only if there is unprotected oral, vaginal and anal sex with an infected partner.
Once appropriate treatment has been given, one can recover from Gonorrhoea in a few days to 2 weeks. One should complete the course of antibiotics and should also abstain from sex for 2 weeks. If you still find that you are unwell, you can visit a doctor. Most importantly, your partner should receive treatment as well.
You should use protection when having oral and anal sex with your partner. Condoms, when used correctly and consistently and where there is no breakage or leakage, provide effective protection against sexually transmitted infections and HIV
Licking of anus can be protected by using a dental dam, household food wrap like Glad Wrap and a latex condom cut up and opened flat. Dental dams are small, thin, square pieces of latex that are used by dentists but can also be used for oral-vaginal or oral-anal sex. They get their names from their use in dental procedures. This is available from the dentist and pharmacy as well. |
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| Date: |
12-Apr-2008 |
| Question: |
Hi, i had unprotected sex many months back. and now i have got clear or yellowish discharge but no burning sensation during urination. does it means i am infected with gonorrhea? will the symptoms last for that long period? and lastly if gonorrhea is left untreated what are the consequences?
Thank you. |
| Answer - |
We would not be able to speculate on what could be the cause of your problem. We would advice you to consult a doctor for a physical examination in order to know the cause.
Gonorrhoea is a treatable and curable infection. If left untreated, the infection may spread to the other parts of the reproductive organ. This may lead to infertility and chronic pain. There may also be complications affecting the skin, joints and eyes.
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| Date: |
12-Apr-2008 |
| Question: |
Is the treatment for gonorrhea in the genitals same as the one for throat gonorrhea? bcos i was treated at dsc for genital gonorrhea, i was given a jab of penicillin. will that cure throat gonorrhea? and how is throat gonorrhea spread? |
| Answer - |
Gonorrhoea is a sexually transmitted infection(STI) that is caused by the bacteria Neisseria Gonorrheae. One can get infected only if there is unprotected oral, vaginal and anal sex with an infected partner.
At the DSC Clinic, we use non-penicillin based antibiotics for the treatment of Gonorrhoea. The treatment is effective in eradicating Gonorrhoea of the throat, genital and rectum. |
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| Date: |
07-Apr-2008 |
| Question: |
Recently, my girlfriend and i had unprotected oral and vaginal sex. After a few days, my girlfriend complained of having a sore throat and itchness in the vagina. For me, i do no have any symptoms. What could my girlfriend be suffering from? Could it be gonorrhoea? Is it normal for males not to experience any symptoms? How can testing be done for males? understand it is done by a swab but where will it be taken from? will there be any pain or discomfort? |
| Answer - |
We would not be able to speculate on what could be the cause of the problem. We would advice her to consult a doctor for a physical examination in order to know the cause.
Gonorrhoea is a sexually transmitted infection(STI) that is caused by the bacteria Neisseria Gonorrheae. One can get infected only if there is unprotected oral, vaginal and anal sex with an infected partner. The signs and symptoms usually experienced are white or yellow discharge from the genital with burning sensation when urinating. However, the female may not experience these. Similarly, the throat and rectum can be infected if there is sexual contact.
A test for Gonorrhoea can be done by a smear from the urethra of a male and cervix of a female; the result is quite immediate. In addition, a culture test can be done but the result will take a few days to be ready. Additional smear may also be taken from the throat and rectum. A blood test is not reliable in the diagnosis of Gonorrhoea. |
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| Date: |
27-Mar-2008 |
| Question: |
Hi!
I have a few questions to ask,
firstly, i have unprotected sex 2 weeks ago. tis few days i have fever flu and headache symptoms which went away with panadol. whereas my bf was diagnosed with gonorrhea bcos wen he pee, there was a burning sensation, and there were discharge. he was given a jab and then he has recovered.
however, i realise this symptoms and herpes symptoms match closely. and i have mosquito like appearance on my different parts of my body, as i read e QnA section, i realise another positive herpes carrier has the same symptoms, the reply said that it was rare, but it is possible for this symptoms to occur rite? could my bf be misdiagnosed for gonorrhea when he actually has herpes?
so far i have no lesion or blisters on my genitals. i want to b tested but have to wait for the 6 weeks window period.
secondly, if i am a herpes carrier, and if my sister kissed me on the hand, would i transmit this disease to her, bcos theres such thing as viral shedding which cant b seen. what if it was on the skin of my hand and she kissed it, would she get HSV type 1? cos she has got ulcers on the lips, after she burst it, she got better.
Thanks for spending time on this matter, would like to hear from u soon as i m very confuse and lost. |
| Answer - |
We are not in the position to comment on the diagnosis of your boyfriend, as there is a need for physical examination by a doctor. However, if you did have sex with your boyfriend and he was being diagnosed to have Gonorrhoea, there is a need for you to receive the treatment in order to break the chain of infection. Gonorrhoea infection is caused by bacteria that is treatable and curable with the appropriate antibiotics.
You may wish to read about Herpes:
Herpes is transmitted through direct skin-to-skin contact. This occurs when a contagious area comes into contact with a tiny break in the skin or mucous membrane tissue, primarily the mouth and genitals. Herpes can be transmitted both when symptoms are present and sometimes when symptoms are not present.
Herpes, especially type 1(cold sores) on the mouth can be transmitted through kissing. Genital Herpes (usually type 2) is transmitted from sexual intercourse(oral, vaginal and anal). However, an individual with cold sores on the mouth may transmit the virus to the genital if there is oral sex being performed on another partner, and vice versa.
STI like Herpes or Gonorrhoea is unable to be transmitted by kissing on the hand.
The “classic” symptoms that most people associate with genital herpes are sores, vesicles, or ulcers – all of which can also be called lesions. These classic lesions of genital herpes often resemble small pimples or blisters that eventually crust over and finally scab like a small cut. However, many cases would not develop these lesions, which could be known as asymptomatic carrier. Many times, transmission does take place during this phase.
Herpes is usually diagnosed at the time of presentation. A specimen from a blister can be sent to the laboratory for viral culture, which is still the current gold standard for diagnosis. A blood test is reliable if it is done by the latest method, which is known as Type Specific Serology Test (HSV TSST) for Herpes but it may not be widely available. This screens for previous exposure to the virus, which can be done 8 weeks after the exposure.
All other forms of blood tests have not been known to be reliable. |
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| Date: |
18-Mar-2008 |
| Question: |
1) is Gonorrhea and NGU/Chlamydia test 1 month after possible exposure accurate?
2) I read that oral sex can transmit herpes, but I also read that genital to mouth/mouth to genital normally transmit HSV1 only and very rare of a HSV2. Any comments on this? |
| Answer - |
1. These infections can be screened quite soon after being exposed and a test after 1 month is reliable.
2. Herpes, especially type 1(cold sores) on the mouth can be transmitted through kissing. Genital Herpes (usually type 2) is transmitted from sexual intercourse(oral, vaginal and anal). However, an individual with cold sores on the mouth may transmit the virus to the genital if there is oral sex being performed on another partner, and vice versa. It has been known that HSV 1 tends to affect the mouth whereas HSV 2 impacts more on the genital. |
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| Date: |
06-Mar-2008 |
| Question: |
Dear Doctor,
I found out that my husband had sex with a prostitude. I decide to go for a check at DSC. I found I got gonorrhoea of the throat. Later my husband went for the test too. But, he is clear of everthing except for no immunity to hep.B only. How can that be possible ? Can a person pass something to someone and yet not infected by it ? And the result for every tests done on male can be obtain after 2 weeks.? Every single tests ?? |
| Answer - |
Gonorrhoea is a sexually transmitted infection(STI) that is caused by the bacteria Neisseria Gonorrheae. One can get infected only if there is unprotected oral, vaginal and anal sex with an infected partner. The signs and symptoms usually experienced are white or yellow discharge from the genital with burning sensation when urinating. However, the female may not experience these. Similarly, the throat and rectum can be infected if there is sexual contact.
A test for Gonorrhoea can be done by a smear from the urethra of a male and cervix of a female; the result is quite immediate. In addition, a culture test can be done but the result will take a few days to be ready. Additional smear may also be taken from the throat and rectum. A blood test is not reliable in the diagnosis of Gonorrhoea.
Once appropriate treatment has been given, one can recover from Gonorrhoea in a few days to 2 weeks. One should complete the course of antibiotics and should also abstain from sex for 2 weeks. The partner(s) should receive treatment as well.
Since both of you had attended the Clinic, you can return for further understanding of your case as we have the details of the records. |
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| Date: |
26-Feb-2008 |
| Question: |
how long do it take for gonorrhea to cure |
| Answer - |
Once appropriate treatment has been given, one can recover from Gonorrhoea in a few days to 2 weeks. One should complete the course of antibiotics and should also abstain from sex for 2 weeks. The partner(s) should receive treatment as well.
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| Date: |
23-Feb-2008 |
| Question: |
HELLO,
I did a gonorrhea test back in summer of 2007 and I was positive I went for my treatment they gave me 1 big white pill and four red pills. I still had a little bit of white discharge, I told my doctor and they gave me a medication called FLAGYSTATIN APP METRONIDAZOLE & NYSTATIN.I used for ten days without having sex,it went away no more odor or discharge then a couple months after the discharge came back but there was no odor.So I went for a pops test they found that I had gonorrhea but the thing is that I am a month pregnant with my third child I had ask me doctor if it was okay to take the treatment even though I'm pregnant he didn't look so sure to me. Anyway I took the same pills again, so I guess my first question is : will the drug affect my baby? and even though I got treated would my baby still come out premature, with blindness or be a still born? because I did a little reading on the Inet and I found that have this STD and being pregnant at the same time can lead to premature pregnancy , stillbirth, and blindness when the baby is passing through the birth canal. I have told my partner that I got it again so he is going to get tested we have been together for almost a year. PLEASE DOC I NEED TO KNOW IF THIS WOULD STILL AFFECT MY BABY EVEN THOUGH I GOT THE TREATMENT AND IF THE DRUG WOULD AFFECT THE BABY TOO?.
I HOPE TO HERE FROM YOU SOON |
| Answer - |
The names of medications that you had provided are safe for use in pregnancy. However, we are not able to comment about the one big white pill and four red pills, we need the appropriate names.
If appropriate treatment that is safe for use in pregnancy had been administered to you, the infection would be cured. Both the infection and treatment would not impact on the foetus. These will not give rise to complications for yourself and the child. |
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