Have symptoms that you’re worried about? Wondering if you’re at risk of an STI? We can help with screenings, diagnosis and treatment, while giving you a clear explanation of what it all means. Sexually transmitted infections are passed through skin to skin contact, some across mucosal membranes such as mouth and lips, some through bodily fluids. Depending on what kind of sex you have, and who you have sex with, there will be a variable risk of you having been exposed to sexually transmitted infection (STI – previously known as an STD – sexually transmitted disease – a term done away with due to the pejorative implications of the word “disease”).
Symptoms of Common STIs
Common STIs are chlamydia, human papillomavirus, and herpes. Gonorrhoea is on the rise (and is showing worrisome patterns of resistance). Sometimes people develop symptoms of these infections, and sometimes they don’t. Sometimes there is a good test for these STIs, sometimes not! There are more unusual, blood-borne viruses which are usually symptomatic, but could be dangerous if not treated e.g. HIV or syphilis. For some STI/STDs, vaccination is available e.g. Hepatitis B, HPV.
Herpes is very common, and although it carries a big stigma, can be easily and well managed in primary care if you are getting regular outbreaks . The distinction between Type 1 and Type 2 herpes simplex is largely academic, so don’t get hung up on which type of herpes you have. The best way of diagnosing herpes is by taking a swab of the blisters. Blood testing is unhelpful and should be discouraged as blood test results for herpes infection are often misleading, and unhelpful with management of the condition.
Testing can be done, sometimes on a urine sample (chlamydia and gonorrhoea) though your doctor will probably want to examine you to see if there are any visible signs of STI/STD. If symptoms occur with STI, it might be a skin lesion ( lump or sore), penile discharge, itching, skin irritation or painful urination. Whether or not you have symptoms or (think) you have been exposed, come and see us in our Sydney sexual health clinic to discuss your risk and whether a screening and treatment is necessary.
HPV (Human Papilloma Virus) can’t be screened for, but it is a very common infection in people who are or who have ever been sexually active. You will probably never know that you have been infected with HPV. Some people however, may develop warty lesions around their genitals or anus. All boys in Australian schools are now getting HPV vaccination which is a good way of reducing the prevalence in society of the HPV infection. For men who have sex with men (MSM) we recommend you have the HPV vaccination at any age, as it can help prevent oral, throat and anal cancer.
Use a Condom!
Condoms are the only real option for protecting you against STIs. Some people complain that sensation is reduced with condom use, or that is difficult to negotiate use with a partner, especially if caught up in a passionate moment. For casual sex or with a new partner, condoms are really the only way to go. “If it’s not on, it’s NOT ON!”. Just make sure you anticipate that they might be needed, and carry some with you. Be prepared to just say the word before penetration occurs. Your partner will respect you for it! Condoms also reduce the risk of pregnancy by acting as a barrier contraceptive.
HIV prescribing (S100) and PrEP (Pre-Exposure Prophylaxis)
PrEP is available at our clinic in Chatswood for men who are at high risk of exposure to HIV. For a limited time, we can get you enrolled in the EPIC Study, which means you can access free medication. Or we can help you source it via the personal importation scheme. All our PrEP patients are health-conscious, fun-loving people who understand the risk of HIV transmission and the consequences. PrEP is a long-term commitment and requires you to take medication daily and have regular checkups.
Or, you may need a hand with management of an infection you already have, such as HIV or herpes. Here at Clinic 66, we are S100 prescribers which means we can look after clients with established HIV infection and provide them with medication as well as ongoing holistic care for all aspects of their health.