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The Importance of an STD Check
By Ben N Henson
Sexually transmitted diseases are becoming very rampant in today's society. There are a lot of these STDs and they are all very dangerous and horrifying to humans. Some may not be as severe as others but all of them have one thing in common, they strike whenever we are most vulnerable. STDs, as the name suggests, is passed on from one person to another via sexual contact. An act that people think is safe and enjoyable thus being a very vulnerable situation. Being explicitly rampant and dangerous, there are a lot of places where we can seek help and STD clinics are the best places for this kind of issue.
Many STD clinics offer confidential STD tests. Some clinics will address clients on a drop-in basis, although appointments are recommended. Treatment, prescriptions or immunizations may also be given, and referrals can be made to appropriate specialists when needed. The clinic staff is more than welcome to discuss any questions you might have regarding sexual health.
These STD clinics focus on the diagnosis and treatment of various STDs. They are not family planning clinics wherein birth control is offered. Pap smears are not done routinely meaning women still need to have these done through a family physician. However, a routine visit would include tests for: Gonorrhea, Chlamydia, Syphilis.
When going for consultations at a STD clinic, the health care provider will call you and take you to the examination room. After discussing why you asked for consult, the health care provider will ask questions about any symptoms you may be experiencing, as well as assess your risk for various STDs. This involves personal questions about your sexual history, sexual partner(s), and practices. Do not worry about personal information since all data gathered will be treated in a highly confidential manner.
Once your clinical and sexual history has been taken, the health care provider will now do a genital examination. He or she will examine your skin in general, and more specifically, the area around your genitals. Some STD tests require swabs from the genitals in order to determine the presence of the disease.
Some STDs are tested via blood tests: These include HIV, syphilis and hepatitis. These diseases are confirmed via the presence of the microorganism in the blood. If the tests result positive for an infection, treatment may be started on the same day. Also, do not worry, information that you give to a health care provider at a STD clinic as well as the results of any tests you get are strictly confidential. Some STDs (chlamydia, gonorrhea, syphilis) are required by law to be reported by the physician. Moreover, since there are no doctors in a STD clinic, confidentiality is guaranteed.
The question still remains, when would you need to get tested? Have you had more than one sex partner in the past year since your last STD check up? Are any of your sexual partners high risk for STDs? Do you think you may have symptoms of the STD? If so, then it is probably a good idea to get tested for STDs at your local STD clinic.
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STD Checks Through the Phone
By Shiwani Sinha
This step combines both medical science and technology to develop a new mode of sexually transmitted disease (STD) testing through the use of mobile phones. This step is to encourage more people into STD testing and prevent the disease that is said to cause more number of deaths around the world.
This has been incorporated in UK to curb the number of rising cases of STD among younger generation. Cell phone and computers are one of the popular modes of communication so better utilize it to the fullest. A new technology is being developed costing more than $6 million, where people could test them for this through mobile, computer, chip and saliva or urine sample.
The process is simple. People who suspect having any sort of STD symptom would keep saliva or urine sample on the chip for testing. The computer or the phone would test sample for numerous sexual infections through nanotechnology and micro fluidity, and the result is available within a moment. It's simple as pregnancy test done at home. Even if someone tests positive, he/she receive treatment information. Often people especially teenagers shy away from going to doctors and have this tested, so this test is beneficial for them.
The fact is these cases are steadily rising in UK in past few years. Number of cases was 482,696 in 2009 and the graph signifies upward trend. So it's essential that intelligent and innovative methods employed to prevent disease and reduce number of occurrence. Most people in this generation especially teenagers under 25 are tech savvy so this age group must be targeted.
Researchers believe this technique is best to increase number of screening test for sexual active individuals and their partners, and thus reduce this cases.
The Author is a Tech Support by profession. He is working in a leading software company. He has written many books and articles related to Sexual Health Clinic Dublin, Sexually Transmitted Disease
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Sexually Active in New York City? Visit One of the Local STD Testing Centers to Get Checked Out
By Haylie Greene
Watch out! Gonorrhea and Chlamydia are on the rise in New York City. So if you live in the Big Apple, are sexually active, and feel you may be at risk, you may want to visit one of your local STD testing centers to be screened.
According to a report released recently by the New York City Department of Health and Mental Hygiene, in 2009, Chlamydia had risen to 59,522 cases reported through the 4th quarter in 2009. This number is up from 56,448 cases in 2008.
Similarly, gonorrhea cases are also on the rise in New York City. In 2009, 10,980 cases were reported. Up from 10,483 cases in 2008.
Even though in the U.S. Chlamydia is 3 times more common than Gonorrhea, the two diseases often occur together. If you think you have been infected with either sexually transmitted disease, you can easily be screened.
Symptoms to Watch Out For
It is important to understand that some people can have chlamydia and/or gonorrhea and present no symptoms at all. However, here are the general symptoms of both diseases.
Symptoms in women-Infected women may have a yellow or green cervical discharge from the vagina. If the tube that eliminated urine (the urethra) is infected, you may experience pain while urinating.
Symptoms in men-Infected men may have a white, yellow, or green penile discharge or find urinating quite painful.
Both sexes can get a sore throat from gonorrhea (from oral sex), or an anal infection (from anal sex).
For more specific symptoms on each disease you can check out the CDC's website.
Getting Tested
If you think you may have an STD, it is essential for your health that you get tested.
Of course, you can call your doctor to set up a screening. But, if you either can't afford, or don't want to go to your doctor for a test, you might want to consider visiting one of the STD Testing Centers in the New York City area.
With everyone trying to tighten their budgets, direct lab testing has become very popular over the past few years. These testing centers essentially cut out the doctor visit. Instead of visiting your doctor who then will send your test off to a lab, you go directly to the lab testing facility. Direct lab testing is advantageous for a few reasons.
- First, it keeps your results confidential and off your permanent record.
- Second, it saves you time. No payment for an office visit to the doctor. In some cases, you can save 50% if you opt for direct lab testing.
- Third, your results usually come back faster. You don't have to wait for your doctor to call you with the results.
Testing has gotten less intimidating over the years. Now, a urine sample is all that is taken to determine if you have either disease.
Seeking Treatment
If you test positive for gonorrhea or chlamydia, both diseases are 100% curable and you can seek treatment right away.
In most cases, they are treated with a regimen of antibiotics.
STD testing can diagnose your std symptoms with a confidential test near you. Find a local New York City testing center today.
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Adult Film Industry Necessitates More Frequent HIV Testing
By Cassie Flanigan
When it became public that a porn actor had tested positive for HIV last month, the news sent shockwaves rippling through the adult film industry, to the point of shutting down production. The "Los Angeles Times" reported that officials within the industry had confirmed that a quarantine was in effect.
It goes without saying that HIV testing facilities in California were operating on overload in the wake of that announcement. Indeed, the newspaper article stated that "all exposed partners to the individual who tested positive for HIV" were in the process of being tested for the virus.
Overall, the adult film industry does a good job of keeping its actors safe and requiring routine testing. As ABC News reported, "The $13 billion porn industry, concentrated in Los Angeles' largely suburban San Fernando Valley, operates under a self-imposed system of monthly blood testing and monitoring".
In fact, the staggering news that a member of the adult film community had tested HIV positive was the first of its kind in over a year. That incidence led to no spreading of the disease. The last outbreak to occur was in 2004 when the HIV+ male porn star infecting three of his female leads had no idea he harbored the virus.
In the case of sex performers, routine HIV testing is of utmost importance. Perhaps that's why clinics and labs in the Los Angeles area where most filming takes place "have long promoted regular testing of porn performers for sexually transmitted diseases [especially HIV] as an effective way to prevent the spread of disease." But as ABC News points out, "Periodic [monthly] testing for HIV and other sexually transmitted diseases doesn't substitute for prevention."
Ideally these performers-and anyone who engages in risky sexual behavior-should be getting tested as often as possible. Unfortunately, however, the cost of HIV testing comes out of these actors' own pockets, making them far less likely to get the frequent testing they require.
Now they can turn to an online testing facility that has partnered with two of the nation's largest certified laboratories to receive the frequent HIV testing they need at a discount price point they afford... and they can do so anonymously.
All they need to do is log on to the site and order the STD / HIV tests they need. There are no hidden fees involved. The prices they see listed there are exactly what they will pay. In fact, the company is so sure its prices are the lowest in the business that it offers a 110% price guarantee.
Once their tests have been ordered, the individuals seeking testing show up at the lab of their choosing, at a time that is convenient for them. The results can then be viewed online anonymously, with many of the outcomes being available the same day. Typical turnaround times are generally no longer than three business days, far more quickly than the 10 days to two weeks ABC reported it would take the porn industry to complete its testing and analysis on the heels of the HIV+ announcement.
Cassie Flanigan is a Marketing Coordinator at WRIS Web Services. Request a Test is a nationally recognized HIV testing company, which also specializes in reliable and anonymous STD testing.
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5 Tips to Protect Against HPV and Genital Warts
By Brian Alexis
Genital warts are among the most widespread sexually transmitted infection, yet the general public is still in want of the proper information to prevent or treat this disease. Clear and up-to-date information about human papillomavirus (HPV) and genital warts is required for effective disease control.
Genital warts, also known as condyloma acuminata, have become a worldwide problem. The Centers for Disease Control and Prevention (CDC) in Atlanta reveals that, in the continental US alone, there at least 20 million human papillomavirus carriers. Furthermore, the CDC studies show that about 6.2 million new cases of warts infection are diagnosed in the US annually.
1. Visit your Doctor
HPV can stay dormant within your system for months or even years without manifesting any symptoms so it is difficult to determine if you are already infected. Visiting your doctor and having yourself tested is the best way to find out. If you are infected, your doctor will prescribe the most suitable treatment for you after assessing your medical and sexual background and the size and location of your warts infection. If the test results show that you are HPV-free, it doesn't mean your genital warts problem stops there; you should work on how to prevent it from spreading.
2. Genital Warts are Not True STD's
You may catch genital warts not only through vaginal and anal sex but also through direct skin-to-skin contact. Dr. Fredrik F. Broekhuizen, Professor of Obstetrics & Gynecology at the Medical College of Wisconsin states that since it does not depend on the exchange of bodily fluids during sex to be transmitted from one person to the other, but rather through direct skin contact, HPV is not considered a true sexually transmitted disease.
3. Are Condoms Reliable?
Condoms can be used as a protective barrier to reduce the risk of exposure to HPV. However, it cannot be relied upon to totally block out the virus since condoms do not cover the entire genital and anal region completely. This indicates that a lot of skin in the genital area is still vulnerable to HPV attack even if the penile shaft is protected by a condom. However, this doesn't mean you should stop wearing protection.
4. Practice Safer Sex
Practicing safer sex is the only guaranteed way to prevent yourself from contracting HPV. If your partner has visible genital warts, it would be best to abstain from having any form of sexual contact until all of the infection have been treated.
"It's unfortunate you noticed that your partner may be infected during a sexual experience, but perhaps she doesn't know either ...", said Dr. Laura Berman, director of the Berman Center in Chicago, when asked for genital warts advice. Dr. Berman is assistant Ob-Gyn professor at the Feinberg School of Medicine at Northwestern University.
Dr. Berman added that, first and foremost, infected couples must pay their doctor a visit without delay so some STD tests could be done immediately.
5. Get Immunized
Young girls and women can have themselves immunized against genital warts and cervical cancer. A new vaccine called Gardasil provides protection against four types of HPV that cause cervical cancer and genital warts. It was approved in 2006 by the Food and Drug Administration (FDA) for immunizing women from 13 to 26 years of age. It is recommended that Gardasil be administered to girls before they become sexually active. GP
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How STD Testing Can Give You Peace of Mind
By Graham Pratt
If you're sexually active and live in the Phoenix area, STD testing Phoenix is there to make sure you stay healthy, physically, sexually and even mentally. If you've contracted some kind of disease, it can take its toll on your mind, not to mention your body.
Contracting AIDS is a big worry for a lot of sexually active people. As frightening as AIDS may be, there are other more common STDs out there that may not be as life threatening, but if contracted, can still dramatically change how you live. You may have to avoid having sexual contact with certain disease, until they have been properly treated.
Genital warts are one of the common sexually transmitted diseases out there. Although most strains are nothing more than an unsightly bother, some strains may cause cervical cancer, or even lead to sterility. Men are usually the ones who are carriers of this disease, women tend to be the ones who show signs of having it. However, men can also develop symptoms.
Sexually active males and females should be tested before beginning a new sexual relationship. This will ensure that if you have been affected, you will be able to be cured (if it's one of the diseases that are curable) and you will not spread it to someone else.
Teenagers and young adults are the people who are most at risk, but anyone who is sexually active runs the risk of being stricken with a sexually transmitted disease. Condoms help prevent certain ones, but they are not 100 percent effective. No matter what your age, just to be safe and not to have to worry about being sick yourself, or causing harm to your partner, STD testing Phoenix can help ease your mind and point you in the right direction if you do happen to be afflicted.
Life Choices Women's Clinic ( http://www.lcwcaz.org/womens-services/ ) is a STD testing phoenix offer a free urine pregnancy test on a walk-in basis anytime during office hours. Blood tests are available for a small lab fee.
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Epidemiologic Analysis and Preventing the Spread of Human Immunodeficiency Virus (HIV)
By Dr. Gilton Grange
Human Immunodeficiency Virus (HIV) perspective
In the decade since the human immunodeficiency virus (HIV) was discovered, the epidemic has grown steadily each year. According to the Global Health Council (2006) by 2005, the number of those infected has grown to more than 40 million, double the number in 1995. By the end of 2005, 40.3 million people were living with HIV/AIDS world wide, including 17.5 million women and 2.3 million children under the age of 15. Without prevention efforts, 35% of children born to an HIV positive mother will become infected with HIV.
At least a quarter of newborns infected with HIV die before age one, and up to 60% will die before reaching their second birthdays. World-wide, only one in ten persons infected with HIV has been tested and knows his/her HIV status (Global Health Council, 2006).
As the HIV/AIDS epidemic in the United States has progressed, strategies that are associated with the prevention, treatment and monitoring of the disease are important in controlling the spread of the epidemic. Epidemiology plays an important role in decision making strategies by monitoring data which can give insights into the infection rates of HIV in various segments of the population.
The uses of epidemiologic data is crucial in the surveillance of the decrease in overall HIV incidence, the substantial increase in survival after AIDS diagnosis and the continued disparities among racial/ethnic minority populations. This paper will discuss the role and uses of epidemiologic data relating to HIV evolution, definition and refinement of a disease management programs.
Disease management of HIV
According to Wright (2005) the number of Americans living with HIV who are over 45 years old grew by 60 percent between 1999and 2002. The epidemic aging is a sign of success: "We have learned how to keep people alive with HIV. As individuals grow old with HIV, the treatment for the virus will begin to collide with treatment for a host of other health concerns that plague aging individuals.
There are about 20 antiretroviral drugs available in the U.S. to stop the loss of natural defenses in HIV infection. What is so troubling for individuals with HIV/AIDS is that protease inhibitors are associated with diabetes, heart disease liver and kidney disorders (Wright, 2005). Epidemiologic analyses/data in a hospital setting can be use to identifying these disorders in the population that are a result of the treatment of HIV/AIDS. The use of epidemiologic data can lead to a more effective care planning for individuals that will be effected by the prolong uses of antiretroviral medication.
HIV/AIDS surveillance
According to Fos and Fine (2005) most healthcare organizations have in place surveillance programs charged with the responsibility to monitor key indictors, such as infection rates. The focus of these surveillances is to target infections that are frequent and preventable, and that generate high treatment cost or serious effects on either morbidity or mortality (Fos and Fine, 2005 p.167). Organizations that seek to prevent HIV infection must utilize HIV surveillance to provide timely and accurate data that is relevant to the ever changing demographic, cultural and social economic spectrum of HIV/AIDS disease.
The Centers for Disease Control and Prevention (2006) indicate the HIV epidemic has continued to expand in the United States; at the end of 2003, approximately 1,039,000--1,185,000 persons in the United States were living with HIV/AIDS, an estimated 24%--27% of whom were unaware of their infection. In the United States there are an estimated 252,000--312,000 persons unaware that they are infected with HIV and, therefore, are unaware of their risk for HIV transmission. Analysis of data collected by the National HIV Behavioral Surveillance System, which surveys populations at high risk for HIV to assess prevalence and trends in risk behavior, HIV testing, and use of prevention services, revealed that of at risk population surveyed in five U.S. cities, 25% were infected with HIV and of those, 48% were unaware of their infection (Center for Disease Control and Prevention, 2006). These results underscore the need to increase HIV testing and prevention efforts among populations at high risk.
With in a hospital or community-based health care setting primary prevention is vital in the efforts to stop the spread of HIV/AIDS. The Center for Disease Control and Prevention (2006) indicates early studies of HIV counseling and testing observed considerable reductions in risk among persons who learned that they were HIV seropositive. A shift in client-centered counseling that emphasized increasing the client's perception of risk and developing a personalized risk-reduction plan substantially increased condom use and decreased new sexually transmitted diseases (STDs) among HIV-seronegative patients at STD clinics (Center for Disease Control and Prevention, 2006).
Since the HIV/AIDS epidemic was first recognized, there has been geographic clustering of AIDS cases with the United States. Morse, Lessner, Medvesky, Glebatis and Novick (1991) suggest clustering is related to pools of HIV infected individuals and to risk behavior activities which occur most frequently in metropolitan areas and states with large populations at risk. Identification of geographic clusters of cases can be useful in focusing preventive efforts and allocation of health care resources (Morse et. al, 1991).
Epidemiologic surveys
Surveys often provide reliable, in-depth, population based data on specific groups. According to Whitmore, Zaidi, and Dean (2005) epidemiologic surveys may be cohort, case control, longitudinal, or cross sectional studies. These studies are not considered a part of routine public health surveillance but help health care decision-makers identify populations at greater risk for HIV infection (Whitmore, Zaidi, & Dean, 2005). The unique feature about an epidemiologic survey is the collection of data comes directly for the population. This information can be compared to other collected epidemiological data such demographic or geographic indicators to provide a descriptive evaluation of morbidity and risk in the community. The inclusion of multiple data sources using epidemiologic information enables planners in hospitals to know the strengths and limitations of the services provided.
Prevention planning
Fos and Fine (2005) suggest rational efforts to prevent disease and disability are rooted solidly in clinical epidemiology. In fact, preventive practices not supported by clinical epidemiologic evidence may be dangerous or costly, or both. Epidemiology is critical to our understanding of the prevalence of any disease and its natural history (Fos & Fine, 2005 p. 244). Preventing and treating HIV/AIDS over a long period of time can be problematic in an era of limited health care resources. According to Whitmore, Zaidi, and Dean (2005) effective HIV prevention planning should be an evidence-based process.
Epidemiologic profiles and assessments of community services are primary sources of that evidence. In the past, epidemiologic profiles have emphasized HIV/AIDS surveillance data because of its universal availability and high quality. An ideal intergraded epidemiologic profile describes the effect of the HIV/AIDS epidemic in terms of social demographic, geographic, behavioral, and clinical characteristics for decision-makers to make informed decisions (Whitmore, Zaidi, and Dean, 2005). Epidemiologic data can aid in the decision-making processes in a hospital or community-based health care setting by developing a comprehensive picture of the HIV/AIDS epidemic in the community.
Data that describes the sociodemographic characteristics of the general population can provide a baseline for comparing educational status, poverty level, and insurance coverage of individuals infected with HIV. Epidemiologic data can also identify populations for whom HIV risk behavior or HIV/AIDS prevalence information is needed. Community-base organizations can use epidemiologic data to identify which racial/ethnic groups are at risk and to focus interventions appropriately. The use of epidemiologic data in a health care setting allows health care decisions-makers to identify which populations are receiving HIV primary medical care.
Conclusion
HIV prevention and care involves planning between health departments and HIV-affected communities. The inclusion of multiple data sources in the decision making process enables decision makers to optimize the strength and validity of finding presented in epidemiologic analyses/data. HIV/AIDS surveillance data along with social demographic, geographic, behavioral, and clinical characteristics must all be included in the decision making process to paint a three dimensional picture of HIV/AIDS epidemic.
Epidemiologic data has refine disease management by further describing the socialdemographic characteristics of persons infected with HIV and comorbid conditions, such as tuberculosis, hepatitis and other STDs. The application of epidemiologic analyzes/ data must continuously be developed and used to lead health care providers to more effective prevention and care planning for individuals infected with HIV. Fos and Fine (2005) suggest epidemiological data can help health care decision makers to identify, evaluate and select alternatives. Epidemiology can help decision makers set criteria on which solution in an epidemic will be the most cost effective utilization of health care resources (Fos & Fine, 2005). A health care decision maker can use epidemiological data to prioritize and focus prevention and care services to specific subpopulations. Data on STD morbidity, HIV and tuberculosis comorbidity, mortality data, seroprevalence studies may provide a more comprehensive picture of the HIV epidemic.
At present there is little known about the long-term effects of any of the anti-HIV medications now on the market. Even more alarming are the effectives that risk behaviors have on the transmission of HIV. In the future hospitals and community -based health care setting may one day use epidemiological data to answer some of these questions in the search for preventing and treating HIV/AIDS epidemic.
Reference
Centers for Disease Control and Prevention (2006). HIV/AIDS Retrieved April 25, 2006 from
http://www.cdc.gov/ncidod/diseases/hepatitis/c/plan/Implement.htm
Fos, P. J. & Fine, D. J. (2005). Managerial Epidemiology for health care organizations (2nd ed.).
San Francisco: Jossey-Bass
Global Health Council (2006) HIV/AIDS Retrieved June, 9, 2006 from
http://globalhealth.org/view_top.php3?id=227
Letendre, S. & Ellis, R. (2006) Neurologic complications of HIV disease and their treatments.
Topic in HIV Medicine 14(1)21, The International AIDS Society-USA
Morse, D. L., Lessner, L., Medvesky, M. G., Glebatis, D. M. & Novick, L. F. (1991). IV.
Geographic distribution of newborn HIV seroprevalence in relation to four sociodemographic variables. American Journal of Public Health Vol. 8 Retrieved June 10, 2005 from EBSCO host database
Whitmore, S. K., Zaidi, I. F., & Hazel, D. D. (2005). The integrated epidemiologic profile:
Using multiple data sources in developing profiles to inform HIV prevention and care planning. AIDS Education and Prevention, 17, supplement B, p. 3-16 Retrieved June 10, 2006 from EBSCO host database
Wright, K. (2005). The time is now. Los Angeles, CA. The Black AIDS Institute
Bio- Dr. Gilton C. Grange
Dr. Gilton Grange's formal education includes a Doctorate of Philosophy in Health Administration from the University of Phoenix, A Master of Public Administration from Long Island University and A Bachelor of Arts degree from State University of New York at Buffalo.
Dr. Grange has 12 years extensive experience in the Health Care arena and currently has concentrated his efforts in grant writing and grant development for organizations that seek to grow their businesses. Dr. Grange's company BridgeBuilder Consortium provides services in proposal writing, management and costing for firms and organizations bidding on government contracts and grants. Dr. Grange is currently working on his first comprehensive book that focuses on multi-disciplinary teams in an organizational construct.
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I Thought That STDs Are Caused Only Through Vaginal or Anal Sex But I Was Terribly Wrong
By Elva Jose
Herpes is one among the most common viral infections and is present in over 20 percent of the US population. It is often characterized by cold sores and blisters and spread through direct contact.
One of my friends was diagnosed with herpes when she was 23. She shares her experiences with Herpes. She shares how she managed to deal with the condition and the people around her.
• How old are you?
I am 29 and it has been 6 long years since I've been dealing with herpes.
• What made you think that you had been infected by HSV?
It started with fever. As the temperature wasn't very high, I did not pay attention to it. Soon, the skin around my lips started turning red and developed blisters. I thought of it as some form of allergy caused by an insect bite and continued with my daily routine.
In a few days, things went from bad to worse as the blisters started oozing. It was painful and this was when I consulted a doctor. Later, I was diagnosed with HSV type 1.
• What tests were you suggested for herpes diagnosis?
I was suggested two tests - the Herpes viral culture test and the herpes virus antigen detection test. In both these tests cells from the sores are scrapped off and tested for traces of the virus. My results came out positive in both of them.
• Do you know who gave you herpes?
I went to Miami with my friends during the vacation. It was there that I had oral sex with a guy. I was under the impression that STDs are caused only through vaginal or anal sex but I was terribly wrong. I was ignorant and regret not doing adequate research on this subject.
• How did people around you react on getting to know about this infection?
Not only was I but also my entire was devastated. They stopped speaking with me and I was left isolated from the rest fearing chances of transmission. When I told my friends about the condition, they distanced themselves from me.
• Are you looking for a special someone now or have you found it already?
After my family members left me high and dry, it was difficult for me to survive. My cousin became my support system and suggested me a herpes dating site. I met several amazing people on this platform who have either faced or are still facing rejection from those around them.
I could connect with them better. I made many friends but yes, I am still looking for my prince charming and hope to find him soon.
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STD Testing - Getting The Scoop on the Basics
By Slava Fuzayloff
What is it about tests that get the average person so stressed out? Math testing, SAT testing, especially medical testing of any kind. We wait for the results with a lump in our throat like a burdened bullfrog. If you are currently engaging in any sort of sexual activity it may be time for some STD testing. It's difficult to imagine that you may be infected by a sexually transmitted disease, but if the statistics are to be taken seriously (and they are!) it is time to get yourself to a certified STD clinic for testing immediately.
Why? That's simple. To begin with there are over twenty five separate sexually transmitted diseases that currently haunt human kind. If you're human (and we're betting you are, because monkeys have a difficult time perusing the internet) than you are susceptible to one or more of these current plagues. Testing is the key to gaining knowledge on your health. The more knowledge, the better position you are in to take care of yourself.
The following is a list of STDs and the testing procedures that accompany them. Do not be afraid of STD testing It is quick, fast, simple and pain free. (It is also the best way to combat any illness you may have, not to mention the stress that will be relieved if you know you are negative for all of the diseases you tricked yourself into thinking you had!)
Herpes
Fever blisters and/or cold sores around your mouth or genitals are the symptoms you should be on the lookout for. If these are present, it is recommended that you have testing done. A herpes test consists of taking a culture swab from one of the sores. It is painless.
HIV/AIDS
This is the disease that will not go away. It is an often fatal disease as time passes and it wrecks the body's immune system. There are over one million people living with HIV/AIDS in America today. It is estimated that there are an additional quarter million who may be infected but do not know it. Testing consists of a simple blood test. The only pain is the pin prick-and perhaps the positive diagnosis.
Genital Warts/HPV
This STD is not to be confused with herpes. This disease will show itself through the emergence of flesh colored bumps or warts around the privates area. Genital warts are known to cause cervical cancer in women, so testing is very important. Testing primarily consists of a visual inspection. Pain free!
Gonorrhea
Still so popular after all these years, gonorrhea is more than your grandpa's STD. Discharge and painful urination are the tell-tale signs of infection. Testing is commonly done through the analysis of urine. Results can also be had through the analysis of any discharge.
Scabies
This illness is typically diagnosed by a visual inspection. Symptoms include an awful reddish rash and well as painful itching and skin cracking. A physical exam by a medical professional is adequate, although a biopsy of infected skin is also possible to ascertain a person's status.
Syphilis
Another oldie but goodie, syphilis has been a plague to many a man (and woman, too!) over these past centuries. Famous people who have suffered from this disease are Italian explorer Christopher Columbus, French despot Napoleon Bonaparte, classical wunderkind Franz Shubert, and perhaps, most shockingly, it is believed that the wooden-teethed father of our country himself, one Mr. George Washington suffered from syphilis! Symptoms include that infamous razorblade-like pain while urinating, and the unsightly discharge. These days, testing for an STD like syphilis is commonplace, and done via blood test or a culture take from a syphilitic sore. If it were that easy in George Washington's day he may have lived to chop down some more cherry trees.
If you would like to begin your procedures STD testing NYC at a calm, discreet, professional medical facility, look no further than HIV testing NYC Log onto STD or simply dial 1-212-696-5900 to speak to a person and arrange a convenient appointment. Remember, knowing your status is the beginning of better health.
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STD Testing - What to Expect When Getting Tested
By Stefano Grossi
If you are sexually active with multiple partners, you've probably heard enough of the need to practice safe sex and get yourself tested for STD's regularly. But if you have not paid heed to the piece of advice and find yourself ready for a first ever visit to an STD clinic, here's what you can expect.
Choosing an STD Clinic
Once you have chosen the clinic you are going to visit, be prepared to answer a number of questions about your sex life. Healthcare providers need all the details they can garner about your sexual activity for effective diagnosis. It only helps you to cooperate and answer all the questions in a truthful manner. You will also need to fill in a few forms. You can request anonymity too.
What Happens During an STD Test?
For STD's, such as chlamydia and gonorrhea, a urine test is required for tests. A number of other STD's require blood test, swab tests and sight tests too. HIV testing involves blood or urine samples, or even a testing device rubbed on the inside of your cheek. Your physician will determine the best test method for you.
Remember that a visit to an STD clinic is no different than a regular check-up. Staff personnel at most of the health clinics and testing centers are extremely professional and even if the results are positive, they will help you deal with all kinds of STD's in the most suitable manner. With the advancements in science and medical research, a number of safe and effective medicines are available to help you deal with various STDs too. Also, they value your confidentiality, so you - and only you - will know your test results.
Knowledge is power - Learn more about STD testing and find a testing center near you. Intown Primary Care provides quality care in all areas related to adult medicine especially areas of HIV testing and treatment, Primary Care Medicine, and Psychiatry.
Stefano Grossi
Intown Primary Care
404-541-0944
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Mom Was Right About Getting Rest
By Renee Klepzig
According to sleep researchers in Boston, sleep deprivation may increase pleasure seeking activity in the brain. Without enough sleep, regions of the brain that usually control such cravings are dampened. Twenty-five volunteers' brains were compared after normal and limited hours of sleep. When sleep deprived volunteers viewed images of unhealthy foods their brain networks' association with craving and reward was more active than it was for volunteers who had experienced more sleep. So while more research is needed, the study shows that sleep deprived people are more prone to making unhealthy food choices. Where then, is the research for brain activity that does or doesn't occur when it comes to making unhealthy sex choices? Is sleep deprivation to blame or too much alcohol?
While the jury is still out, we have to default to mom's advice about getting enough rest and practicing moderation. Yep, mom was right, too little sleep and too much alcohol is never a good thing. "Nothing good ever happens after midnight." She used to say. For proof just look at what happened on Cinderella's ride home - broken down, no cell phone, no insurance and dressed in rags. She was just asking for trouble. But all jokes aside, it's up to you to eat right and protect your sexual health. So regardless of what researchers are "discovering" these days, the fact remains that it's up to you to use condoms, know your partners' sexual history and get STD testing. There's no fairy godmother to come to your rescue.
Aside from abstinence, condoms are the best protection against STDs. So why are so many singles still having unprotected sex with strangers? Do they think they're immune from contracting STDs? Some do and in fact, some have no idea they are already infected. That's because many STDs are asymptomatic, meaning they don't show signs or symptoms. This is why STDs are spread so easily. The trouble is when you think you aren't infected you don't get the treatment you need. If left untreated, STDs like chlamydia and gonorrhea can cause infertility, HPV (Human Papilloma Virus) can cause anal and cervical cancers and advanced syphilis can cause damage to the brain, heart and other organs. Once a person is infected with genital herpes they have the virus for life. They can't predict when they'll have another outbreak, nor can they guarantee their partners won't get infected. And contracting the HIV/AIDS virus is fatal.
Sadly, after know this many sexually active people are still reluctant to get anonymous STD testing because they don't have a primary physician, they have no health insurance, they're afraid of an embarrassing doctor's office visit or they don't want their STD test results submitted to their health insurance company, especially if infidelity is involved. But many have benefitted from anonymous STD testing because STD tests are conducted in a lab so they can avoid an embarrassing doctor's office visit. Anonymous STD testing accepts pre-paid credit cards so your STD test results aren't submitted to your health insurance company.
So there's no excuse for not getting tested. Anonymous STD testing is the only way to know your STD status for sure so you can get the treatment you need and further prevent the spread of STDs.
There are many ways to get an STD, and if you get one, find a location for STD Testing in San Diego [http://std-testing-san-diego.com].
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STDs in the City
By Tim Leach
During the shows six year history all of the female stars of Sex and the City, bar Carrie, received an STD scare at some point in the show's six seasons. So what can we learn from these scares and how will they can help us to prepare for an upcoming STD panel test.
Charlotte's Scares
#1 - Crabs
Amazingly it's Charlotte who's the first female character in Sex and the City to receive an STD scare. As the most prudish of the foursome she seems the least likely to catch anything, however you don't need to be reckless like Samantha to catch an STD and taking part in unprotected sex just once is enough to put you at risk. When Charlotte lies about her age to seduce a much younger man she comes down with a case of the crabs. This episode teaches us that you don't need to undertake an STD panel to treat crabs and they can be treated with a lotion purchased directly from the chemist. Samantha washes Charlotte's sheets on an extra hot wash as crabs can be caught and spread through infested bedclothes and towels.
#2 - A Rash Down There
When Charlotte spots a rash on her genitals she is reluctant to take an STD panel or visit her usual gynaecologist. Many people feel the same way and choose to take an STD panel at a surgery that is different to their usual, especially if they have been with their same gynaecologist for a while. When Charlotte finally plucks up the courage to go she discovers that her rash is the symptom of a depressed vagina. The moral of this tale is that what you think is an STD may not actually be a STD and until you get yourself tested there's no way of telling for sure.
Miranda's Scare
#1 - Chlamydia
In the episode entitled 'Are We Sluts?' Miranda receives a positive STD panel result for Chlamydia. The clinic advises her to contact all her recent sexual partners and encourage them to get tested. One of the people she asks to get tested is her current partner, Steve. At first Steve is reluctant as he doesn't have any symptoms, but Miranda explains to him that Chlamydia often has no symptoms in men. Miranda is right and for this reason many people refer to Chlamydia as 'The Silent Disease'. After an STD panel test, Steve is lucky enough to test negative for the STD.
Although Miranda was diagnosed with Chlamydia the fact that she tested for and treated it early meant she had a lower chance of catching any of the problems associated with Chlamydia. If Chlamydia is left untreated it can result in problems such as infertility and ectopic pregnancy. However, the birth of Brady in season four shows that Miranda was lucky enough to avoid these complications.
Samantha
#1 - The AIDS Test
Samantha may be known for her sexual exploits but she leaves her friends shocked when she reveals that she's never had an AIDS test. In fact, she's only thinking about having a test as Tom Reymi refuses to sleep with her until she's had one. She reveals that the main reason she hasn't taken the STD panel is because she's afraid of what the results may be. This is actually a fairly common reason and, as portrayed in the episode, counselling is in most states an integral part of the AIDS Test procedure. Samantha was luckily enough to receive a negative result and at the end of the episode she celebrated this fact by taking a swing with Mr Reymi.
Tim Leach is part of USALabTesting that can provide a confidential, online STD Panel [http://www.usalabtesting.com/index.php?mod=category&cmd=ourtests&id=16]. With over 2,000 clinics across the USA and a large range of STD Tests available, getting peace of mind is discreet, easy and painless.
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Oral Sex And Throat Cancer
By Edwin Alex
Many people are still led by the belief that oral sex is free from any kind of risk. But, experts opine that even oral sex has its own risks and sometimes these risks are quite enormous. On hearing the term oral sex, some people think that it bereft any significant enjoyment, while a few others believe that it is very safe and can be compared to the next stage of sexual abstinence. But oral sex is not abstinence, it is just another form of sex and believe me you that you stand a chance [though a relatively lower chance] of contacting STDs and some other diseases through oral sex and even scarier is the link between oral sex and throat cancer. YES! You can get throat cancer from oral sex, says American Cancer Society Chief Medical Officer Otis Brawley, MD.
It's not oral sex, per se, that causes cancer, but the Human Papillomavirus (HPV), which can be passed from person to person during sex, including oral sex.
Researchers have found that some cancers of the Oropharynx (the middle of the throat) and Tonsils are probably caused by a certain type of Human Papillomavirus (HPV). HPV is common, but it doesn't always cause cancer. If you aren't exposed to HPV during cunninlingus, you're not at risk for cancer.
Brawley says that hints of a link between HPV and Oropharyngeal cancer came in the late 1980s and early '90s. Researchers noticed an increase in this kind of cancer among people who hadn't been very prone to it before. In the early 2000s, scientists were able to use advanced DNA testing to find HPV 16 in many of these newer cancers. Brawley determined that sexual activity must be involved. Both men and women can have HPV infection in the throat. It doesn't discriminate against gender. Although performing oral sex on a male partner without a condom is riskier than other forms- Terri Warren, RN, owner of Westover Heights Clinic in Portland. Other risks involved with oral sex include:
With more people engaging in oral sex and more people are contacting STDs through it. It is absolutely essential (if you want a healthy sex life) for you know how to have oral sex safely - for you and your partner.
STEPS TO SAFER ORAL SEX.
On a Woman
In order to keep vaginal fluids out of your mouth:
On a Man
In order to keep cum out of your mouth:
GENERALLY
Test Yourself- There are many state-of-the-art technologies available in the market today to make sure that you are confident while engaging in sex. Once you come up negative in the results of these tests, you can rest assured that you are not a carrier of any infections. Hence, your partner can also be at peace.
Never go overboard- the fact that you and/or your partner is using condom or dermis gum doesn't mean you can throw caution to the wind remember that condom, if stretched too much can tear. Be cautious.
Good Hygiene- of cause you must learn to take proper care of yourself wash and clean your body regularly especially your genitals.
Recent studies have revealed that even a small cut or sore in your mouth can trigger the possibility of coming in contact with germs that can cause infections like genital warts or herpes. Parts like penis or anus are areas that can contain a lot of germs. Hence, you need to exercise care and caution while practicing oral sex
Lastly but most importantly, stick to one partner- The more partners you have the higher your risk of being infected with Sexually Transmitted Diseases {STDs}. Having many sex partners doesn't make you the ALPHA MALE/FEMALE- it only makes you a sex freak (excuse the expression). Be Wise, Play Safe and Stay Healthy.
For more safe sex tips and every other thing you ought to know about dating, love, sex and relationships go to http://lifestimulus.blogspot.com
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Managing Your Doctor - Make the Most of Your Visit
By Joshua Goldman
Managing your life is a lot like managing a company. You sit in the corner office as CEO and manage your team of employees who may include (but are by no means limited to) your accountant, personal trainer, lawyer, hair stylist, and, most relevantly, your physician. We often forget this relationship due to the dynamics of our interactions with these "employees" but at the end of the day, they really do work for you. That being said, you have an obligation to "manage" these individuals, informing them of your needs and expectations, so that they can do the best work possible on your behalf and subsequently allowing you to enjoy the fruits of their labor. The question then becomes, "How do you manage your doctor?"
Step 1: Hire the Right One
The first and most critical step is to find the right doctor for you. You want a physician that is personable and who you feel comfortable trusting with your health. You also want to make sure that your physician can provide you with the face time you deserve and need. Many doctors now have to rely on a larger volume of patients to compensate for the decreasing reimbursements they receive from insurers (i.e. they crank through 40+ patients per day and look a lot like this guy flying from exam room to exam room). So make sure that your doctor is willing to spend enough time with you each visit to address all of your medical needs. Another key is to make sure you're seeing the right type of doctor. Primary care doctors come in many forms (internists, family physicians, geriatricians, etc.) so make sure that the doctor you hire is the right one for you. How do you know what's right for you? Ask them about the types of patients in their practice. If 90% of their patients are 65+ and you're 24 years old, you may want to find another doctor with more experience with a younger population. If you're a female and don't feel comfortable with a male physician, you should probably find a female (females, by the way, have now surpassed men and become the majority in medical schools in America). The takeaway: Find someone that you can relate to and that you feel comfortable with.
Step 2: Schedule Your Meeting
Just as in business, there are good times and bad times to schedule appointments with your physician to maximize the attention you receive and prevent yourself from waiting for hours in a crowded waiting room (like the one we are all too familiar with seen here). Imagine the energy and enthusiasm you would bring to a board meeting at 4:30pm on a Friday afternoon. It would be a sad showing to say the least. A Monday morning seems like a more logical choice. So let's begin with when NOT to schedule an appointment:
With all this in mind, the first or second appointment in the morning seems to be the best time to see your doctor. They will be on time (we hope) and with a clear mind that can be entirely focused on your needs.
Scheduling your appointment is the next step. Behind every famous Senator has a wonderful assistant who holds the key to face time with that elected official. The same goes for doctors. Schedulers are the gatekeepers of the doctor's office. Find out who your doctor's scheduler is and shower that individual with love and kindness. If you do, they can make miracles happen. If you are rude to the, they can make your life miserable. Once you're on their good side they can squeeze you in at the last minute, give you a call if someone cancels and help you secure that perfect time first thing in the morning. You may have a longer wait time if you try to get an appointment the same day but the scheduler is the only one that can get you on the books. They're like wizards.
Step 3: Lead the Meeting
The most important part of this step is to BE ON TIME. How would it look if you showed up 15 minutes late to a board meeting you were running? Think of your appointment the same way. Your physician, unfortunately, may not be on time but if you're late and the doctor is on schedule, you run the risk of losing your appointment and having to start the process all over again. Also, you will undeniably have to do paperwork when you get there. We're not entirely sure where all this paperwork comes from or what it is used for (we doctors don't see the majority of those forms) but you will, without a doubt, have to fill out some new form and sign a document or two before the doctor sees you. It's as predictable as the weather in Seattle, so plan for it. Also, bring a book or a magazine to keep you entertained for the few minutes until your appointment but make sure you're there on time.
In addition, be prepared. Bring your personal medical records with you including any imaging and lab studies you've had performed (we'll cover what to include in your record in a minute). Many physicians will request to see these studied before they make any treatment decisions so save yourself an extra visit by having these tests performed in a timely manner and bringing the results with you. You only need to bring your full medical record to your first visit with a new doctor but always bring your most recent labs and imaging for the doctor's reference.
Now it's time to run the meeting. The key to any successful meeting is a clear agenda. As soon as the doctor walks in, set this agenda with him, outlining all of the issues you'd like to address as well as the questions you would like answered before you leave (remember that, on average, the doctor only has 15 minutes to spend with you each visit). It's amazing how many times patients, when asked why they have come to the doctor, reply, "I don't know. I thought you would know." Our advice: Know why. You've called the meeting for a reason and we can't help you unless we understand what you need so be sure to let us know why you have made the appointment as well as all of your specific questions and concerns. Many people also forget the questions they wanted to ask (we call it "White Coat Anxiety") so the best strategy is to write them down and bring them with you to your appointment.
The next key step is to recap and plan your treatment. Physicians are required to complete the note they write in your chart with an "Assessment & Plan." Your job is to make sure you understand both of these inside and out. It sounds simple but you'd be amazed how many people don't leave with this understanding. The number of patients who don't know why they're taking a certain medicine is astounding. Before you begin any treatment plan, you should ask these questions:
With this knowledge, you'll be able to make better decisions about your treatment and will understand why the treatment is necessary. Your health care is a team effort and there's no "I" in "team." You are the CEO of the company called "You" and are as accountable for your care (the doctor is your hired consultant, remember?). While we're talking about accountability, let's discuss your medical records.
Step 4: Manage your Records
Until the government and private industry resolve the battle over the ultimate solution to electronic medical records in America, you are responsible for keeping your thorough medical record. It is scary how many patients can't remember the name of their medications. The most common response to "What medications are you taking?" is "A little white pill for my blood pressure." Not a good answer (and a scary one at that) given the ridiculous number of blood pressure medications on the market and the catastrophic effects of medication interactions. Have we convinced you to keep your personal medical record yet? If not, we're happy to fill you in on all the gory details of medical mishaps from poor record-keeping.
What should you keep track of?
The medical profession is highly regimented. We are trained to follow a very specific (and thorough) format when recording a medical history. Below, is an outline of all the medical information your physician will need to know to provide you with the best care possible.
History of the Present Illness: This is the full story of your current medical problem. Write it all down so you don't forget any important details when you finally get face time with your doctor.
Past Medical History:
Family History: Many of the diseases that plague our society have a genetic component passed down from one generation to the next. Keep a detailed history of any major medical problems that have affected your parents, aunts & uncles, siblings, and children.
Imaging: X-Rays, CT Scans, Ultrasounds and MRI's are extremely expensive. These test are repeated too often because physicians cannot track down copies of the most recent imaging studies performed (the cost of which comes back to you as a patient). If they can't find it, they'll just do it again. Request a copy of every imaging study you have performed as well as the report from the radiologist who examined the study. This is a huge time and cost saver for you.
Lab Results: Same idea as the imaging studies. Keep a copy of all lab studies you've had including blood work and biopsies. For biopsies, you will want to keep a copy of the "Pathology Report" which contains a description of what the specialist saw when they examined the biopsied tissue. Nobody wants to have two biopsies done if they don't have to (they are not as much fun as they sound)!
How do you keep track of your personal medical record?
There are a number of ways you can manage your personal medical record depending on your personal preference and predilection for technology. There are thousands of additional options, but these should get you started.
Now that you've compiled your extensive medical record, take a copy with you each time you see a new physician. This document will save you a ton of time in the office with them (which you can use for your personal questions) and ensure that you receive the best care possible.
Armed with these strategies, you'll be able to make the most out of each meeting you have with your doctor. Remember, the most crucial step is finding the right doctor for you; someone you can trust, who spends time listening to your concerns and who leaves you feeling well cared for. Your health is a team effort and you are the team captain. Assume the helm and lead "You" to a happier, healthier life, beginning with more meaningful visits with your doctor.
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By Joshua Goldman, MD/MBA 2010
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