Sexual Health
Screening, Testing & Treatment
This service may involve anything from a single HIV test, always carried out with counselling to a full Sexual Health Screen for men and women where over ten different sexually transmitted diseases are screened for.
The HIV results are usually available within four hours and involve the combined test for HIV 1 & 2 antibodies and P24 antigen which allows for earlier detection in some cases.
For even earlier detection of HIV 1 the HIV 1 PCR blood test the DNA Viral Load is offered from Day 10 to contact and the advantages and disadvantages of this test are discussed at the consultation.
SEXUALLY RELATED ANXIETY AND GUILT
Dr. Malcolm VandenBurg specialises in the anxieties related to possible transmission of sexually transmitted disease as well as the guilt related to this.
ERECTILE DYSFUNCTION
Treatments for erectile dysfunction such as Viagra and Ciallis are available after a consultation to assess the safety of these medicines.
STANDARD GENERAL SEXUAL HEALTH SCREEN
Blood tests for HIV I and II, P24 antigen, Hepatitis B and two tests for syphilis.
FOR MEN two urethral swabs for Gonorrhoea and Chlamydia, Mycoplasma, Ureaplasma and many other bacteria.
FOR WOMEN swabs for Gonorrhoea, Chlamydia, Trichomonas, Gardnerella Vaginalis, Bacterial Vaginosis and many other bacteria.
Additional Options for STD and STI Tests
Depending on the risk it may be appropriate to do additional swabs of the pharynx and anus for an additional charge.
If appropriate, screening for Herpes may be undertaken with both swabs for the virus and blood tests to detect the early and dormant antibodies for Herpes I and II.
Screening for HIV and Herpes can start soon after contact, but repeated blood samples are usually required. For HIV we recommend a final blood sample three months after contact.
REGULAR STD and STI SCREENING
Fee structures can be negotiated depending on the workload for those whose careers or lifestyle requires frequent screening or testing.
STD and STI
Testing, treatment and counselling offered for all the following sexual transmitted diseases (STD) and sexually transmitted infections (STI):
Bacterial
- Chancroid (Haemophilus ducreyi)
- Donovanosis (Granuloma inguinale or Calymmatobacterium granulomatis)
- Gonorrhea (Neisseria gonorrhoeae)
- Lymphogranuloma venereum (LGV)
- (Chlamydia trachomatis serotypes L1, L2, L3. See Chlamydia)
- Non-gonococcal urethritis (NGU) (Ureaplasma urealyticum or Mycoplasma hominis)
- Staphylococcus aureus, MRSA.
- Syphilis (Treponema pallidum)
Fungal
Viral
- Cytomegalovirus (CMV) through skin to skin contact, saliva, not only sexually.
- Hepatitis B.
(Note: Hepatitis A and Hepatitis E are transmitted via the fæcal-oral route, not sexually; Hepatitis C is rarely sexually transmittable, and the route of transmission of Hepatitis D is uncertain, but may include sexual transmission.)
- Herpes simplex
- Herpes simplex virus implicated in Alzheimer's disease.
- Human Immunodeficiency Virus (HIV/AIDS)
- Human papillomavirus (HPV)
- Certain strains of HPV cause genital warts
- Certain strains of HPV cause cervical dysplasias which can lead to cervical cancer, penis cancer, anal cancer, oral cancer, head and neck cancer.
- Molluscum (MC)
- Mononucleosis is spread through saliva, can occur during sex.
- Kaposi's sarcoma-associated herpesvirus (KSHV/HHV8)
- The cause of Kaposi's sarcoma.
Parasites
- Pubic lice, colloquially known as "crabs" (Phthirius pubis)
- Scabies (Sarcoptes scabiei)