Originally Posted by Hunkydunky (Post 21510072)

Thanks Dr tan.

BTW... when I use antiseptic cream to cure the thrush from me... it worked. However, it comes back again after few days. I wash my penis daily thou. What could be the trigger point?

Originally Posted by DoctorTan (Post 21439775)

Please allow me to give my take on this.

I see a lot of patients who request to be tested for "everything". I understand that what they want is a sort of guarantee to be free of diseases.

Now, the problem is such tests do not exist. Even without taking into account that testing can be inaccurate, the fact is there are diseases we are unable to test for.

For example Wart causing HPV, Scabies, Lice, Molluscum Contagiosum (and these days Monkeypox) etc. So don't be surprised that a month after your "full test on all type of sexual disease", you start developing symptoms.

The other problem is certain tests like test for Chlamydia and Gonorrhea are site specific. In other words, even if you test clear for Gonorrhea in your urine this does not mean you do not have it in your throat.

So if you test for all the STIs we can possibly test for in all the sites we can possibly test, honestly your total bill will be closer to $2,000. Yes two thousand dollars. Crazy. AND this does not even guarantee you that you are absolutely 100% disease free.

So what most clinics do is they come up with these "comprehensive STI screening packages" for a few hundred dollars which unfortunately are not very comprehensive.

My personal approach to this is to understand from the patient what his exposures have been and what his concerns are. Then tailor the tests accordingly. I will explain to the patient what we are NOT testing for and why. TBH most patient just need to screen for 4 things - HIV, Syphilis, Chlamydia and Gonorrhea. And the price tag for this should be closer to $200.

Originally Posted by DoctorTan (Post 21439775)

Please allow me to give my take on this.

I see a lot of patients who request to be tested for "everything". I understand that what they want is a sort of guarantee to be free of diseases.

Now, the problem is such tests do not exist. Even without taking into account that testing can be inaccurate, the fact is there are diseases we are unable to test for.

For example Wart causing HPV, Scabies, Lice, Molluscum Contagiosum (and these days Monkeypox) etc. So don't be surprised that a month after your "full test on all type of sexual disease", you start developing symptoms.

The other problem is certain tests like test for Chlamydia and Gonorrhea are site specific. In other words, even if you test clear for Gonorrhea in your urine this does not mean you do not have it in your throat.

So if you test for all the STIs we can possibly test for in all the sites we can possibly test, honestly your total bill will be closer to $2,000. Yes two thousand dollars. Crazy. AND this does not even guarantee you that you are absolutely 100% disease free.

So what most clinics do is they come up with these "comprehensive STI screening packages" for a few hundred dollars which unfortunately are not very comprehensive.

My personal approach to this is to understand from the patient what his exposures have been and what his concerns are. Then tailor the tests accordingly. I will explain to the patient what we are NOT testing for and why. TBH most patient just need to screen for 4 things - HIV, Syphilis, Chlamydia and Gonorrhea. And the price tag for this should be closer to $200.

Originally Posted by jaxel80 (Post 21559160)

Can anybody advise me which is the best place to get myself tested for these 4 (HIV, Syphilis, Chlamydia and Gonorrhea), and how many days after exposure should I go get tested for these 4 for the tests to be accurate?

Thanks in advance to all replies!

Originally Posted by jaxel80 (Post 21571375)

Errrr anybody can advise? Can PM me also if prefer. Thanks!

Originally Posted by Alphabeta123 (Post 21574846)

I want to check for STI due to Bjj cim exposure just wondering if I go to anonymous clinic like dr tan.. will I be subjected to contact tracing ie report to OC and MOh if it turns positive for STI and I need to do treatment? Is it anonymous is only if negative , if turns out for gonnorhea or syphillis etc , need to undergo treatment then must report to OC and MOH? I am abstaining for piak with Wife until this is cleared

Originally Posted by DoctorTan (Post 21319597)

This is the latest recommendations by the US CDC and BHIVA:

1. Lab based HIV 4th Generation tests - conclusive at 45 days post exposure

2. All rapid tests (regardless of Generation) - 90 days post exposure

Your Doctor may have differing recommendations based on your unique exposure risks.

Originally Posted by slickdick87 (Post 21614638)

Hi guys, I ve been chionging FL since 2010 and never get tested. Pls advice where to go get tested. Can i just walk in at Kelantan lane clinic ank tell emm i wanna do hiv test?

Originally Posted by Hunkydunky (Post 21615259)

Can. You know the address right?

Originally Posted by slickdick87 (Post 21615968)

yes. is it like a polyclinic setting? scared i bump into soneone i know.

Originally Posted by Hunkydunky (Post 21616066)

Yes. You'll get to see ppl sitting around at the "living room".
Wear face mask plus sunglasses lor. Wear cap then look at handphone.

Originally Posted by happyblade (Post 21635314)

Hi would like to get some advice on matters. Had previously had a session with a FL unprotected oral, protected vaginal sex. After 5 days found a small 'sore'? on the tip. No pain, just the sensation like water on open wound when peeing.

Got tested D+8 at DTAP, swab test on the sore for HSV1&2 and urine test for chlamydia and gonorrhea. Test results came back negative the next day. Was advised to monitor

Symptoms as follow below:
D+0 Exposure
D+5 Small sore on tip
D+8 Tested in afternoon, sore closes at night
D+9 Results negative, Small spots (3 of them) on tip.
D+10 Dry skin peeling from spots
D+11-14 spots disappear. discomfort on foreskin when stretching
D+15 small spots back on tip.

spots approx like 0.5mm? sore more like 2mmish
Would like some advice on my situation and if im just over thinking.