Diagnosing and treating gonorrhoea

The symptoms of gonorrhoea usually appear 1 to 14 days after the infection has been caught, but in many cases symptoms may not appear for a few months or until the infection has been passed to other areas of the body.

Symptoms of gonorrhoea typically include a coloured and often smelly discharge from the penis and vagina, a frequent need to urinate and pain or tenderness in the lower abdomen or genital area.

It is thought that around 50% of women and 10% of men who have been infected with gonorrhoea experience little or no symptoms, meaning that the infection can go untreated for many months.

Testing for gonorrhoea is quite straight forward; the doctor or nurse will use a swab (similar to a cotton bud) and take a sample from the cervix or penis to test for the presence of Neisseria Gonorrhoeae, which is the bacterium that causes gonorrhoea. Depending on where you are tested, the results can be given on the same day or up to 2 weeks. Better2Know can get you results 2 days after your sample reaches our laboratory.

If you are diagnosed with gonorrhoea, it is suggested that you get tested for other STD’s, as nearly 40% of women diagnosed also have the Chlamydia infection. Gonorrhoea is treated using a single dose of antibiotics; this can be in the form or a pill or an injection. Another test should be booked for three days after treatment to ensure that the treatment has been effective.

GP clinics using texts for sexual health programmes

Due to the rapid increase of STDs in the UK over the past few years, an increasing number of GP Clinics in London are adopting a new texting system to boost awareness of their sexual health programmes. It is hoped that the new texting system will urge patients to go and have screening tests for STDs such as Chlamydia and Syphilis.

Site offers anonymous emails to encourage STD tests

Not the sort of email that you would like to receive, but a website called inspot.org offers people the chance to send their partner an e-card to notify them that they may have an STD. Visitors to the site can select one of six e-cards, urging their partners to get tested for sexually transmitted diseases.

The site was created in 2004 by the Internet Sexuality Information Services (ISIS), and was in response to the huge rise in syphilis amongst gay men in California.

Andrew Woodruff, who is the program director for ISIS said: “We wanted to figure out a way for men to tell their partners if they’ve been exposed to an STD. It was initially for gay men, but we had focus groups and decided the service should be available for everybody.”

Mr Woodruff went to say that: “Increasingly, more and more people are using the Internet to find partners and meet people for sex, so it makes sense to use it for sex education,” Woodruff said. “It’s only logical people use it to notify their partners they’ve been exposed to an STD.”

After users choose an e-card, they can write a personal message and must select the appropriate STD from a list. The e-card is then sent anonymously, or the sender can put their details on if they so wish.

The recipient of the e-card will be taken to the inspot.org website, where they can read information about STD’s and helps them find a local testing clinic.

60% of under 25s fear they have caught an STD over Christmas

A NHS survey has found that six out of ten people under the age of 25 fears that they have been infected with Chlamydia over the Christmas holidays. The survey, which questioned 509 people aged between 16 and 24, also found that 69% of them had engaged in unprotected sex during the holiday period.

The recent figures have stunned health experts and they urge anyone who thinks that they may have the infection to get tested.

Chris Morgan of the Westside Contraceptive Service said: “Chlamydia is the most prevalent STI in the UK and it also does not have any symptoms”.

In a separate initiative, NHS officials in East Essex have started a new £250,000 project for Chlamydia screening. The trust will be giving away free cinema tickets to anyone aged between 18 and 24, who take a Chlamydia test.

A spokesman for NHS North East Essex said: “There is a national target from the Department of Health which says you need to screen 35 per cent of young people in that age bracket to make an impact.”

And added that, “We’re already working with GPs and pharmacists to get people tested but we are hoping this will provide more of an incentive.”

Scientists develop cream to prevent spread of genital herpes

Scientists in the US have developed a cream that could prevent genital herpes from spreading from an infected person to a new host. The cream, which has been successfully tested on mice, prevents the infection from replicating in a new person.

Herpes is caused by the virus herpes simplex (HSV) and there are two types of the infection; HSV 1 and HSV 2. HSV 1 is typically associated with cold sores or whitlows (sores on the hands and fingers), and HSV 2 is associated with genital sores, but both types can produce genital blisters.

The cream, which was developed at the Harvard Medical School, stops the virus from replicating and it is hoped that the cream will be developed for human use in the near future.

Professor Judy Lieberman, who led the research said: “This aspect has a real practicality to it. If we can reproduce these results in people, this could have a powerful impact on preventing transmission.”

High-risk groups for HIV infection

The HIV virus is very difficult to diagnose from symptoms alone, and it is estimated that 1 in 3 people who have the infection in the UK remain undiagnosed. There are a number of high-risk groups that could potentially catch the infection and these include:

  • Men who have unprotected sex with other men,
  • People who have been travelling or lived in sub-Saharan Africa,
  • People who have had sex with a person who has been travelling or lived in sub-Saharan Africa,
  • People who inject illegal recreational drugs,
  • People who have had sex with a person who inject illegal recreational drugs,
  • People who have been infected with another sexually transmitted disease, or
  • People who have had a blood transfusion whilst in Africa, Southern America or Eastern Europe.

It is of the utmost importance that you have a HIV test if you are in one of these high-risk groups. The HIV test is done by taking blood and testing it for the presence of the HIV virus, but the test will only detect the presence of the virus after three months of the initial infection. It is advised that a second test be taken three months after the first one.

What is Syphilis?

Syphilis is a form of bacterial infection and is particularly dangerous because after some initial symptoms, it can lay dormant for years, only to reoccur causing damage to the nervous system, brain, heart and eyes, which can be potentially deadly.

Syphilis is usually transmitted through sexual contact, though it can be caught through sharing infected needles and blood transfusions; it can also be passed from mother to child during pregnancy; this is called congenital syphilis.

The symptoms of syphilis usually begin with painless sores on the skin, which are called chancres. These are highly infectious and anyone that comes into contact with them, usually during sexual contact, can be infected. This is called Primary Syphilis.

Secondary Syphilis symptoms will develop if the infection is not treated between 2 and 10 weeks and include non specific symptoms like, a sore throat, skin rash, tiredness and headaches. The symptoms will then subside even before treatment.

The infection may then lay dormant for many years and then return, causing damage to the body and organs, even causing death. This is the most dangerous stage of Syphilis and is known as Tertiary Syphilis.

Hepatitis C sufferers on the rise in the UK

Recent figures released by the Department of Health have reported a rise in the number of sufferers of Hepatitis C. The report shows that there are more than 7,500 cases of Hepatitis C nationwide, but the Department of Health warns that there is an estimated 200,000 people that have it in the UK without realising it.

The figures also show that the North West had the most cases, with over 1,600 sufferers in 2007. A national Hepatitis C campaign has been launched this week in a bid to teach people about the disease, its symptoms and to get people to be tested for the infection.

Hepatitis C is a virus that can lead to lasting liver damage if it is not treated. It is usually transmitted through blood to blood contact such as sharing needles, getting tattoos or piercings from unsterile needles and unprotected sex with an infected person.

Speaking about Hepatitis C, the UK’s Chief Medical Officer Sir Liam Donaldson said, “It can take years or even decades for symptoms to appear, if at all. If left untreated, it can lead to liver damage and premature death.”

He also added that: “Fortunately, effective treatment is available, so it is vital that people who may have been at risk of infection seek medical advice and get tested.”

People who are worried about the risk of Hepatitis C, or think that they might of been exposed to the virus, should contact their GP or nearest STD testing clinic. Better2Know has clinics across the UK which provide confidential STD testing services with fast results.

Why should I get tested for STD’s?

There has been a substantial increase in the spread of STD’s (Sexually Transmitted Diseases) over the past 10 years in the UK, and with a number of STD’s having little or no symptoms, many people are unaware that they are infected.

It is important that you get tested for STD’s if you have had various sexual partners, especially if you have had more than one partner in a short space of time and if you have unprotected sex. Although some STD’s do not have symptoms or have little evidence, there are serious medical risks if an infection is not treated.

Potential risks include: infertility; an increased risk of cancer in both men and women; a potential to transmit the infection to a child during childbirth; and an increased risk of a miscarriage or premature birth.

If you are infected with an STD, there is also an increased risk of getting another infection and if Chlamydia or gonorrhoea are not treated, there is also a risk of Pelvic Inflammatory Disease (PID) in women and could cause swollen testicles, arthritis and infertility in men.

If you feel that there may be a chance that you have an STD, Better2Know firmly advise that you should get tested, even if just to give peace of mind. The quicker an STD is diagnosed, the better, as you can be given the appropriate treatment and tackle the potential risks of STD’s.

Chlamydia – Symptoms and treatment

Since 1998 there has been a huge rise in the sexually transmitted infection Chlamydia, and it has now become the most frequently diagnosed STI in the UK. Chlamydia is often known as ‘the silent disease’ due to the lack of symptoms and is caused by a bacterium called Chlamydia Trachomatis.

Chlamydia is transmitted through unprotected sexual contact, and due to its lack of noticeable symptoms goes largely undiagnosed. Over 50% of men and 70% of women who are infected with Chlamydia experience no symptoms and many other people have minor symptoms that go unnoticed.

Women that have Chlamydia may experience some mild symptoms like, cystitis, vaginal discharge and abdominal pain, and if left untreated can cause pain during sex, pelvic pain or bleeding or spotting between periods. In some cases it can lead to Pelvic Inflammatory Disease (PID).

Men that have been infected with Chlamydia can experience discharge from the penis or a mild irritation on the tip of the penis, which will generally disappear in a couple of days. In some cases the testes may become inflamed or swollen.

The most common treatments for Chlamydia are antibiotics, and if taken as advised can be more than 95% effective. They come in either a single dose (Azithromycin), or a series of pills that can last up to two weeks (Doxycycline). If you are prescribed either of these antibiotics, you must ensure that you follow the instructions and finish the course; if this is not done properly the infection could come back.

Better2Know offers confidential HIV and STD testing

If you are sexually active, especially if you have multiple partners or change partners regularly, you may be worried that you have been exposed to a sexually transmitted disease (STD). This can be an upsetting time and you will want to get an STD test, which is fast and efficient as well as totally confidential.

Better2Know has HIV and STD testing clinics throughout the UK, including London, Birmingham, Liverpool and Edinburgh, and their service is 100% confidential. No medical records will be kept and if you should wish, a false name can be given. Please note that if you go to your NHS doctor for an STD test, the results will be recorded on your medical documents and may be seen by third parties.

If you feel that you may have been exposed to a sexually transmitted disease, a Full STD Screen is the best option. The STD screen will test for the most common STD’s including, Chlamydia, gonorrhoea and Syphilis and includes a 28 day HIV test.

STD Symptoms – Gonorrhoea (aka The Clap)

Gonorrhoea, also known as The Clap, is caused by a highly contagious bacteria called neisseria gonorrhoeae, which is spread through infected semen or vaginal fluids. During unprotected sex, gonorrhoea can be passed onto anything that comes into contact with the infection, including the penis, vagina, anus, throat and eyes.

Anyone who is sexually active can catch gonorrhoea, especially if they change partners regularly and do not use a barrier method of protection. Once infected, an individual is more at risk of contracting other forms of STD’s including HIV.

The symptoms of gonorrhoea typically show up within the first two weeks after infection, but may not appear for a number of months, or until it has moved to another part of the body. Around 50% of women and 90% of men that have contracted gonorrhoea experience some sort of symptoms, which include:

• A thick and often smelly yellow or green coloured discharge from the penis or vagina.
• Pain and tenderness of the genitals.
• Irritation or discharge from the anus, and
• A need to urinate frequently.

Women may also experience bleeding between periods or heavier periods.

If left untreated, gonorrhoea can cause Pelvic Inflammatory Disease (PID) in women, which can lead to infertility and causes infections of the prostate gland and testicles in men.

If you think you have been exposed to gonorrhoea or another STD, Better2Know can provide you with confidential STD tests with fast results at any of our clinics across the UK.

STD letters sent out to children by mistake

Harrow Primary Care Trust sent out over 10,000 STD letters to children by mistake. Sparking nearly 1,000 complaints by parents, who were left thinking their children had Chlamydia, a leaked report states.

The confidential documents, which were released under the Freedom of Information Act, stated that children as young as seven years old received the letter, urging them to have an STD test.

The inquiry blames a mistake that happened when a worker put the wrong date of birth into the database. The letters had not been checked by the Harrow Primary Care Trust.  They were sent out to over 10,000 homes in the surrounding area.

The letter, sent out on the 22nd of October was intended for 15-24 year olds and offered a chance of winning an iPod if a Chlamydia test was taken. From now on all mail shots that are posted by the Trust will be checked, before they are sent out.

In a statement Dr Andrew Howe, the Director of Public Health said, “I would like to sincerely apologise to the families affected by this mistake, and assure them that, of course, Chlamydia screening is only necessary for sexually active adults and young people, in line with the national programme to offer Chlamydia screening to those aged 15 to 24.”

Chlamydia home testing kits to be offered in clubs

In a bid to encourage young people to be tested for Sexually Transmitted Diseases (STD’s), a new trial has been set up to offer clubbers and pub goers home testing kits. The trial will be offered to under 25’s in the Ealing, Greenford and Southall areas of London and will test for the most common STD, Chlamydia.

If the trial is successful, the initiative will be made available across the UK. The Chlamydia home testing kits will be available in dispensers located in pub and club toilets and contain a urine sample jar and a leaflet about Chlamydia as well as a form to fill in and a freepost envelope.

The test will be totally confidential and the results can either be received by post, text or by visiting a doctor.

Chlamydia is the most common STD in the UK, and up to 50% of males and 70% of females who are infected show no symptoms at all. If undiagnosed, Chlamydia can affect different parts of the body and cause infertility.

Better2know HIV and STD Testing

Welcome to the Better2Know blog. We understand the worry of sexually transmitted diseases and the need to get a quick and confidential test in a convenient location. Better2Know have STD testing clinics in London, Birmingham, Manchester and Nottingham and other UK locations.

All of our clinics maintain strict anonymity. When booking an STD test with us a PIN code will be received that will not in any way identify your personal details.

In modern times there are so many reasons why you should get tested for STD’s, ranging from infertility in both men and women and high risks of other infections such as HIV.