Penile Discharge – What You Should Know

Penile discharge is a symptom where any substance coming from the tip of the penis is not semen or urine. These substances accumulate in the urinary tract and pass through the urethra to the tip of the penis and emit from the head.

Types of Penile Discharge

The penile discharge can be clear and watery or opaque thick and white. It may sometimes appear pus-like and yellow in colour. The consistency of the discharge may even change throughout the day. 

Sometimes there are other associating symptoms that appear with this discharge such as itch and irritation at the tip of the penis, dysuria (pain when passing urine) or pain during ejaculation.

Penile discharge is a common symptom of STI or STDs. The common ones are Chlamydia and Gonorrhoea. Chlamydia and Gonorrhoea are the top 2 STIs diagnosed in Singapore each year with data in 2018 showing 2700 and 2000 cases per 100,000 population for Chlamydia and Gonorrhoea respectively.

Testing Penile Discharge

Penile discharge is easily tested with a DTAP Express Urine STD test or DTAP Express FULL Urine STD test. The DTAP Express Urine STD test will pick up Chlamydia and Gonorrhoea from the urine samples and results notified to your preferred mode of communication in 72 hours. 

For the DTAP Express Full Urine STD test however, additional infections such as mycoplasma hominis, ureaplasma urealyticum, trichomonas, gardnerella, candida, urine bacteria (Ufeme) which cause NGU or NSU (non gonococcal urethritis or non specific urethritis) can be further detected.

Chlamydia, Gonorrhoea, NGU/NSU can be passed from one person to another person through sexual contact. Vaginal sex, Oral Sex and Anal Sex.

Symptoms

Symptoms may appear anywhere from 3 days to a week after sexual exposure but most times, it can remain as a “silent” asymptomatic infection. This is common for conditions such as Chlamydia or even NSU.

If left untreated, Chlamydia, Gonorrhoea or NSU can cause further health complications such as pain and swelling in the testes or prostate, fertility issues in males and females and even organ damage.

If your partner has been diagnosed with an STI or STD, DTAP Express offers rapid testing and expedited treatment for you and your partner. 

Throat Swabs For STDs

STIs and STDs are transmitted not just through vaginal sex or anal sex but also oral sex. This can either be insertive or receptive oral sex.

Symptoms

Symptoms one may experience after picking up an STI after insertive oral sex (given oral sex to partner), with or without condoms include sore throat, fevers, enlarged neck glands, enlarged tonsils, or a general persistent discomfort at the back of one’s throat.

In fact, a medical study in 2019 by the international journal of STD & AIDS reported 90% of pharyngeal chlamydia and gonorrhoea in both men (straight or MSM) and women were symptomless.

If symptoms do appear, they tend to occur anywhere between days or up to a week after the oral sex episode.

Swab Tests

DTAP Express throat swab gives you quick access to addressing the niggling throat symptoms or worries you may have from a possible throat Chlamydia or Gonorrhoea infection.

DTAP Express throat swab involves a simple soft swab, self administered to tickle the back and surrounds of your throat. All this done in the comfort and privacy of our DTAP Express self testing clinic. Designed with your needs in mind.

This laboratory test predominantly diagnoses Chlamydia in the throat and Gonorrhoea in the throat. Pharyngeal Chlamydia or Pharyngeal Gonorrhoea are treatable and curable STIs that infect a person after the engagement of insertive oral sex. 

If left untreated, this often symptomless STI in the throat can pass on to your partner if you engage in insertive oral sex (give oral sex) with or without the use of condoms.

Oral STDs are Treatable

Oral STDs and STIs are all curable with the right antibiotics after the throat swab. 2 weeks after receiving treatment, it is advisable to obtain a test of clearance and repeat test to document complete clearance of infection. This allows you to document successful treatment and thereby closing the chapter behind you.

Vaginal Discharge – What Is Considered Abnormal?

Most women have vaginal discharge that comes out of the vagina. Some have it daily, whereas some have it once in a while. The amounts can be less and infrequent, or heavy and continuous.  Most of the time healthy vaginal discharge is one that is clear or whitish, may have a slight odor that is not strong smelling, may even leave a yellow stain on the underwear.

Abnormal Vaginal Discharge

The abnormal vagina discharge is one that arises from within the walls of the vagina. This discharge can either be clear and watery, thick and white, or even have other colour changes such as yellow, pink, red or even green. 

This discharge can also accompany other symptoms such as vagina Odour – foul smell or fishy smell, vagina pain during sex, vagina pain, vagina itch and discomfort. The consistency of this discharge can also become thicker and more opaque as well.

Again this discharge can be caused by an infection, whether hygiene related or STI related. 

Causes of Abnormal Vaginal Discharge

Causes of hygiene related vagina discharge include Yeast, Monilla, Candida, group B streptococcus, Gardnerella (also known as bacteria vaginosis). 

Causes of STI related vagina discharge are chlamydia, gonorrhoea, trichomonas, mycoplasma hominis, ureaplasma urealyticum or other vaginal bacteria. Symptoms may appear from 3 days after receptive vaginal intercourse or even receptive female oral fellatio. Many times, conditions such as Chlamydia can remain asymptomatic or symptomless in 7 out of 10 women.

If left untreated, the infections from STI related vagina discharge can cause long term problems such as infertility and even organ damage such as pelvic inflammatory disease. All these are easily preventable with a simple, confidential and fuss free DTAP Express vaginal STD swab. Rapid results for common STIs such as chlamydia and gonorrhoea allow for quick peace of mind and expedited treatment for you and or your partner. Expedited partner therapy allows you to collect medications for your partner also.

STD Testing For Abnormalities

If you opt instead for the DTAP Express FULL Vaginal STD swab, this will pick up both STI related causes of vagina discharge and non STI, or hygiene related causes of vagina discharge. These are all curable with treatments after the results. A repeat swab test is also advised 2 weeks after the end of treatment to document treatment success. 

In some rarer instances, some ladies experience repeated abnormal discharge every month nearing their periods, or even abnormal discharge each time after sex even though both partners have been tested clear for STIs. The results after the swab can then be discussed with our DTAP clinic doctors to further investigate the causes of these repeated symptoms. Our DTAP Clinics at DUO, Robertson and Holland Village have doctors that regularly see Women’s health conditions such as repeated vaginal discharge even after testing and treatment.

Quick, confidential and fuss-free testing in the comfort and privacy of our DTAP Express clinic, designed around the comforts and needs of You the patient, allow for rapid results and expedited treatment for you and or your partner.

References

Carla Re et. l., 2019 J. Int STD & Aids

Vaginal Pain – Causes And Possible Complications

Vagina pain can be caused by infections, hormone related problems or even cysts. The pain can be located on the outer genital region at the vulva involving the skin and labia or the pain can be located from within the walls of the vagina.

Causes of Vaginal Pain

Vaginal pain during periods or menstruations are often associated with gynecological problems and require further women’s health investigations such as a thorough examination, blood test and even scans.

Vaginal pain that is however associated with vaginal discharge, itch and discomfort are then likely due to infections. These infections can either be STI or STD related or Non STI related vaginal infections. The pain arising from infections can either be at the outer genital region or even during sex within the walls of the vagina.

One reason why the pain occurs during an infection is that the walls of the vagina get inflamed and irritated. And upon contact during sex, pain is triggered. 

Non-STI Infections

The infections that can give rise to vagina pain include the non STI infections such as Yeast, Monilla, Candida, group B streptococcus, Gardnerella (also known as bacteria vaginosis). These infections can occur due to a change in hormones, hygiene concerns or even hygiene bacteria from your partner after sex. Sometimes these infections occur with a discharge that may have an odour or smell present. This discharge can either be clear and watery, thick and white, or even yellow or green in colour.

If however the infection was caused by an STI or STD such as chlamydia, gonorrhoea, trichomonas, mycoplasma hominis, ureaplasma urealyticum or other vaginal bacteria, it can also lead to vagina pain, with or without discharge, without or without odour and sometimes even without any symptoms at all. In the event there are symptoms, they may appear 3-5 days after sexual exposure.

Getting Tested

If you are concerned about STDs, especially the common ones like Chlamydia and Gonorrhoea, DTAP Express vagina STD swab allows one to pick up the common STD infections with the aid of a soft self swab, in a circular motion up the walls of the vagina. Studies have shown that self assessed swabs were as accurate as those taken by a healthcare worker and the added benefit of privacy and overcoming any embarrassment or shyness one may have seeing a healthcare worker.

However for ladies who prefer a comprehensive investigation, the DTAP Express FULL Vaginal STD swab will pick up the remaining causes of an infection whether hygiene related such as Yeast, Monila, Candida, group B streptococcus, Gardnerella (also known as bacteria vaginosis). Or the remaining STI related ones such as trichomonas, mycoplasma hominis, ureaplasma urealyticum or other vaginal bacteria. 

STD Testing – Who Should Get Tested

  • Those who have symptoms
  • Those without symptoms
  • Those who have been treated 2 weeks ago

It’s especially important to get tested if:

  • Your partner has been tested positive for an STD such as Chlamydia and Gonorrhoea.
  • You are beginning a new relationship
  • You and your partner are deciding on not using condoms
  • Your partner may have cheated on you or has other partners
  • You have more than 1 partner
  • You have symptoms that suggest an STD infection

People in a long-term, mutually monogamous relationship, and both partners tested before entering the relationship – may not need regular STI testing.

But most in long-term relationships do not get tested prior. And it is possible that one or both partners may carry an undiagnosed STD for years.

The safest choice always, is to get tested. – STD Testing, STD Testing Singapore, STD Test