Opening Hours: 8.30am to 2.30pm (daily)
6.30 pm – 10.30 pm(on Mon, Wed, Fri & Sun)
Telephone Number:+65 9662 5512

[ Health Screening Packages ]

Essential $98

 

Full blood count
ESR ( inflammation marker )
* Highly sensitive CRP
Diabetes screen ( fasting required from midnight )
Cholesterol panel ( fasting required from midnight )
Kidney screen
Urinary protein screening
Liver panel
Uric acid
 * Calcium & Phosphate levels
Urine microscopy ( No culture )

 

 

Essential Plus $138


Full blood count
* Blood group & typing
ESR ( inflammation marker )
Diabetes screen ( fasting required )
Cholesterol panel ( fasting required )
Kidney screen
Urinary protein screening
* Bicarbonate ( acid-base balance )
* Thyroid panel ( free T4 / TSH )
Liver panel
* Hepatitis A & B screen
Uric Acid
Urine microscopy
* Urine culture ( if microscopy is suspicious for infection )

 

Standard $228


Full blood count
Blood group & typing
ESR ( inflammation marker )
* Highly-sensitive CRP
Diabetes screen ( fasting required )
Cholesterol panel ( fasting required )
Kidney screen
Urinary protein screening
Bicarbonate ( acid-base balance )
Thyroid panel
Liver panel
* Hepatitis A, B and C markers
Uric acid
* Calcium & Phosphate levels
* Rheumatoid factor
* Syphilis ( VDRL )
* HIV
* Cancer markers ( AFP, CEA, PSA/Ca125, Ca 19.9 )
Urine microscopy
Urine culture ( if microscopy is suspicious for infection )
* Stool occult blood 

 

Comprehensive Male $328


Full blood count 
Blood group & typing 
* Reticulocytes 
ESR ( inflammation marker )
Highly-sensitive CRP 
* Iron studies
Diabetes screen ( fasting required )
Cholesterol panel ( fasting required )
Kidney screen
Urinary protein screening 
Liver panel
* Thyroid panel ( incl T3 )
* Total testosterone
Uric Acid
Calcium & Phosphate levels
Rheumatoid factor
Syphilis ( VDRL ) 
HIV serology
Hepatitis A, B and C markers
Cancer markers ( AFP, CEA, PSA, Ca19.9 )
* Helicobacter pylori serology
Urine microscopy
Urine culture ( if microscopy is suspicious for infection ) 
Stool occult blood

 

Comprehensive Female $ 338

 

Full blood count
Blood group & typing
* Reticulocytes
ESR ( inflammation marker )
Highly-sensitive CRP
* Iron studies
Diabetes screen ( fasting required )
Cholesterol panel ( fasting required )
Kidney screen incl Urine ACR
Liver panel
* Thyroid panel ( incl T3 )
Uric Acid
Calcium & Phosphate levels
Rheumatoid factor
Syphilis ( VDRL )
HIV serology
Hepatitis A, B and C markers
Cancer markers ( AFP, CEA, Ca125, Ca19.9 )
* Helicobacter pylori serology
Urine microscopy
Urine Culture ( if microscopy is suspicious for infection )
Stool occult blood
* Pap Smear using Thin Prep ( avoid doing test during the menstrual period )

 

All package prices include 1 review of test results.

 

 

Pre-marriage / Pre-natal Tests
Fertility screen ( male ) – FS02 + SA                           $200
  • Seminal analysis
  • Total testosterone
  • LH and FSH
  • Prolactin levels
 Fertility screen ( female ) – FS01 + QTP2                  $200

  • Free T4 / TSH
  • Progesterone levels
  • Estrogen levels
  • LH and FSH
  • Prolactin levels
  • HCG levels

 

Add-on tests

 

A large number of other tests are available for add on, including ECG, Chest X rays and other radiological investigations, PAP smears, HPV tests, HIV and STD tests, and a large number of other blood or urine tests. Some genetic tests may also be available.

Our health screening packages can be tailored to your needs and concerns. Feel free to discuss your screening or testing needs with our doctor during your appointment and we will try out best to assist. Call us at 6251 5512.

 

 


[ Condom Breaks ]

What to do when the condom tears / breaks / slips out:

1) Stop having sex immediately.

2) Remove condom and wash yourself with warm water. For ladies, if you suspect your partner has ejaculated inside you, DO NOT try to scrape the ejaculate out with your fingers or other objects as that risks injuring the vaginal walls and may increase the risk of infection. For the same reason, DO NOT use strong antiseptics and caustic soaps to wash the intimate areas.


3) There can be a risk of sexually transmitted infections, including HIV. Do come down to our clinic for a discussion on whether you may be suitable for Post-Exposure Prophylaxis for HIV. In addition, screening tests for STDs may be required after an appropriate interval.

4) For ladies, if you are not on regular oral contraception, emergency contraception is also available and can be considered.
 
It is great that you use condoms. Even if you do not require contraception, condoms serve as an important pillar in the prevention of sexually transmissible infections. For other measures to reduce or prevent STDs or STIs, click here.
 
If you ( or your partner ) have experienced a condom break or slip, or have had unprotected sex, do give us a call or SMS at 9662 5512 immediately.
 
Condoms tear / break because:

  • poor quality or expired condoms
  • condom was not kept properly ( eg. left in the car in the sun )
  • damaged by nails or teeth when opening condom
  • insufficient lubrication – most condoms available in Singapore are pre-lubricated but if the receptive ( anal or vaginal ) partner is too dry, or if sex was prolonged, it may not be sufficient.
  • rough sex
  • inappropriate lubricant – always use water-based lubricants with condoms; oil-based ones such as massage oils can increase the risk of breaks.
  • 2 condoms were used simultaneously – double condoms actually increase the risk of breakage when the 2 condoms rub against each other.

 

Condoms slip out because:
  • rough sex or prolonged sex
  • penis was not fully erect when the condom was put on; or penis goes soft during sex
  • condom was not rolled down completely to the base of the penis
  • condom was too big – condoms smaller than the standard sized ones may be available at specialty shops

 

Treatments and HIV post-exposure prophylaxis are most effective when started early. For inquiries and an appointment with our dedicated doctors, please call or SMS 9662 5512.


[ HIV Symptoms ]

The commonest symptom in a person with HIV infection is – none. Most early symptoms only last for brief periods during the infection and may subside without specific treatments. The only way to be sure if you have HIV is to get a HIV test done. ( Depending on circumstances, you may also need STD tests. ) Do give us a call at 9662 5512 to find out more about HIV and STD tests.

 

Early symptoms

You may have read or heard about something called ‘acute retroviral syndrome’ ( ARS ) or‘seroconversion illness’ ( SCI ). These refers to a group of symptoms which a person may experience within a few weeks after HIV infection. Acute retroviral syndrome is the result of an inflammatory reaction in our immune system caused by movement of the virus into our bloodstream and beginning to reproduce in large numbers. This occurs in up to 40-90% of infected persons.

 

Common symptoms in ARS / SCI may include:

  • fever
  • bodyaches / headaches
  • fatigue
  • sore throat
  • swollen neck, armpit or groin glands
  • night sweats
  • rash

These symptoms may also be found in other viral infections. Thereafter, there may not be any symptoms for even many years.

 

Late symptoms of HIV generally appear after the immune system has been greatly affected and weakened. They usually indicate advanced infection and are therefore more serious. Late symptoms may again include :

  • fatigue or loss of energy
  • fever / night sweats
  • skin rash

 

In addition, patients may experience:

  • weight loss
  • nausea / vomiting / diarrhoea ( which can also be side effects of anti-HIV medications )
  • cough / breathlessness
  • nail changes
  • tingling or numbness in the hands and feet
  • increased frequency or severity of genital herpes / cold sores
  • increased frequency or severity of yeast / thrush / fungal infections
  • confusion, memory problems, poor coordination

 

Without treatment, HIV infected patients usually develop full blown AIDS ( acquired immunodeficiency syndrome ) in time. At this stage, patients are prone to developing lymphomas ( lymph node cancers ), cervical cancer and Kaposi sarcoma ( a form of skin cancer ). They are also prone to infections like tuberculosis and cytomegalovirus ( a type of herpes virus ). With AIDS, the survival time if no treatment is given has been estimated to be 2-3 years on average. 


[ STD / STI in Singapore ]

STD stands for sexually transmitted disease. STI stands for sexually transmissible infection.

Conceptually, there may be slight differences between the 2 terms but in most instances, the 2 terms can be used interchangeably. Both refer to infections which a patient catches from another through various forms of sexual contact, including oral, vaginal or anal sex. Sharing of sex toys does not carry a significant risk for HIV, but may constitute a risk for other STDs.

In Singapore, the more commonly encountered STIs include:

Bacteria

  • Gonorrhoea ( sometimes spelled ‘gonorrhea’ )
  • Chlamydia ( not all types of chlamydia are considered STIs )
  • NSU ( non-specific urethritis ), which may be caused by Mycoplasma hominis or Ureaplasma urealyticum, amongst others.
  • Syphilis / Venereal disease

Viruses

  • Herpes / Genital herpes
  • Genital warts ( caused by HPV, human papillomavirus )
  • Molluscum contagiosum
  • Hepatitis B
  • Hepatitis C
  • HIV

Parasites / Protozoa

  • Trichomonas
  • Pubic lice ( ‘Crabs’ )

Other conditions sometimes associated with sex or intimate contact ( but are not necessarily considered STDs ):

 

  • Oral Herpes / Cold Sores
  • Urinary tract infections
  • Candidiasis / Thrush
  • Bacterial vaginosis ( female )
  • Prostatitis ( male ) – inflammation or infection in the prostate
  • Epididymo-orchitis ( male ) – inflammation in the testes and male tubes
  • PID / pelvic inflammmatory disease ( female ) – inflammation in the Fallopian ( female ) tubes
  • Scabies

Some infections, such as HIV, Hepatitis B, Hepatitis C and syphilis, may also be transmitted through non-sexual routes. These may include mother-to-child ( vertical ) transmission, occupational exposures from contact with blood ( eg. laboratory personnel, police or prison officers, healthcare workers ), infections in recipients of blood transfusions or organ transplants and infections amongst intravenous drug users who share needles.

 

So, how would I know if I have an STD or STI?

Symptoms of STDs, such as painful urination or discharge from the urethra or vagina, may alert you to the presence of infection. However, many patients with STDs do not have any symptoms. These carriers are still capable of passing the infection on to their partners.

Getting a screening test done will be a more reliable way to tell if you have been infected after sexual exposure. The list of available tests can be found here.

Of course, preventing yourself from getting an STD or STI is still the best plan. Here’s what we suggest.

What happens if I have an STD?

Majority of STDs can be treated. It is important to get treated early to reduce the chances of spreading the infection and to minimise the risk of complications and long term problems. A write up on available treatments can be found here.

 

 

 


[ STD Symptoms ]

Common symptoms which are caused by STDs may include:

For men
– discharge from the penis / urethra / anus
– pain when passing urine
– blisters or sores on the penis / pubic region / anus
– rash on the penis / pubic region
– itch or pain in the urethra
– aching, pain or swelling in the testicles
– blood in the semen / ejaculate
– growths or lumps around the penis / anus
– swellings at the groin

 

For women
– discharge from the vagina / urethra / anus.
– pain when passing urine
– blisters or sores on the vagina / pubic region / anus
– rash on the vagina / pubic region
– itch or pain in the urethra or vagina
– pain during sex
– bleeding during sex
– growths or lumps around the genitalia / anus
– swellings at the groin

 

Occasionally, symptoms which are non-specific, such as fever, tiredness, bodyaches, rash over the body, including the palms and soles or neck swellings, may be present. These symptoms may happen 1 or several weeks after the sexual encounter. 

 

However, we believe the most important message on this issue is that most STDs can be totally asymptomatic or symptom-less for a long period of time. 

 

STDs can be passed on to sexual partners even when they are not causing any symptoms. The consequences of sexually transmissible infections can include cancer, problems with fertility, prostate irritation and inflammation ( in men ), pelvic inflammatory disease ( in women ) and damage to other organs such as the liver, kidney, heart, spinal cord and brain.

 

This is why preventive strategies and going through screening tests ( with timely treatment of any infection detected ) are crucial in protecting your loved ones from infection.


[ Vaginal Discharge ]

Vaginal discharge may be caused by the following:
  • candida / vaginal thrush
  • chlamydia
  • gonorrhoea
  • trichomonas
  • bacterial vaginosis ( BV )
  • other infections

 

In addition to infection, urethral discharge can also be physiological ( normal response of our body to stimulation or hormonal changes ) or even the result of foreign bodies such as retained condoms.

 

Compared to normal ( physiological ) discharge, vaginal discharge due to infections are more often associated with other symptoms like itch, unusual odor, bleeding during sex or pain during urination. 

 

If you experience persistent or increased vaginal discharge, or if you suspect that you may have an infection , call us now at 9662 5512 for appointment.


[ Urethral Discharge ]

Urethral Discharge may be caused by the following:

  • chlamydia
  • gonorrhoea
  • trichomonas
  • non-specific urethritis ( eg. from Mycoplasma or Ureaplasma infection )
  • other infections
In addition to infection, urethral discharge can also be physiological ( normal response of our body to stimulation or hormonal changes ), caused by prostatitis ( prostate inflammation ) or seen under other circumstances.

 

If you suspect or believe you have urethral discharge, do make an appointment with us now at 9662 5512.


[ Genital Growths & Lumps – Warts & others ]

Genital growths and lumps may be the first indication that a person has caught a sexually transmissible infection. These may include:
  • genital warts
  • molluscum contagiosum ( MC )
  • condylomata lata ( syphilis )

 

Our clinic offers various treatments for genital and anal warts, as well as for molluscum. Options include topical (cream) treatment and cryotherapy ( liquid nitrogen treatment ). Minor surgery may also be performed if necessary.

 

Genital warts can be prevented in both men and women. Do speak with our doctor regarding the HPV ( human papillomavirus ) vaccine or Cervical Cancer vaccine. In patients who are already diagnosed with HPV infection or genital warts, it is important to consider vaccination for your partner as well.

 

In addition to warts or molluscum contagiosum, there are other causes of growths or lumps in the genital region, such as: 

( both gender )

  • skin tags
  • skin malignancies ( cancers )
  • actinic keratosis
  • seborrheic keratosis
  • lichen planus
  • benign skin tumours and cysts ( eg. keratoacanthoma )
 
( in men )
  • Fordyce spots
  • Pearly Penile Papules
  • Sebaceous hyperplasia
  • Angiokeratomata
 
( in women )
  • Hymenal remnants
  • Vestibular papillomatosis / Micropapillomatosis labialis
 
 
If you are concerned about the presence of genital growths or lumps, or suspect that you may have genital warts, do call us now at 6251 5512 or 9662 5512.

 

 


[ STD Tests / Screening ]

As explained earlier, almost all STDs have a risk of causing infection without displaying any symptoms, even for many months. Yet a patient with asymptomatic infection can still be passing it on to his sexual partners. If you or your partner has recently or previously been at risk, it may be helpful to consider some of the following tests:

 

Please note that consultation charges are separate from the test prices. We do not charge GST ).

PACKAGE

Tests included

Price ( S$ )

Remarks

Basic STI
  • HIV
  • Syphilis
  • Hepatitis B
  • Hepatitis C

 

108 Blood tests;no fasting necessary
Standard STI
  • HIV
  • Syphilis
  • Hepatitis B
  • Hepatitis C
  • Herpes simplex 1
  • Herpes simplex 2

 

168 Blood tests;no fasting necessary
Urethritis ( Men )
  • Chlamydia
  • Gonorrhoea
  • Mycoplasma
  • Ureaplasma
  • Candida
  • Trichomonas
  • Urine microscopy
  • Urine culture

 

280 Urine tests;please hold urine for 4 hours
Urethritis & Vaginitis ( Women )
  • Chlamydia
  • Gonorrhoea
  • Mycoplasma
  • Ureaplasma
  • Candida smear + culture
  • Trichomonas
  • High vaginal swab
  • Urine microscopy
  • Urine culture
360 Urine and swab tests – please avoid testing when having menses.
Full screen Men
  • HIV
  • Syphilis
  • Hepatitis B
  • Hepatitis C
  • Herpes simplex 1
  • Herpes simplex 2
  • Chlamydia
  • Gonorrhoea
  • Mycoplasma
  • Ureaplasma
  • Candida
  • Trichomonas
  • Urine microscopy
  • Urine culture
390 Blood + Urine required;Please hold urine for 4h;No fasting necessary
Full screen Women
  • HIV
  • Syphilis
  • Hepatitis B
  • Hepatitis C
  • Herpes simplex 1
  • Herpes simplex 2
  • Chlamydia
  • Gonorrhoea
  • Mycoplasma
  • Ureaplasma
  • Candida smear + culture
  • Trichomonas
  • High vaginal swab
  • Urine microscopy
  • Urine culture
430 Blood + Urine + Swabs required;Please hold urine for 4h;No fasting necessary;Pls avoid testing when having menses.

 

 

Individual tests are also available.

The more popular ones include:

  • Gonorrhoea & chlamydia PCR ( urine test – please hold urine for 4 hours )
  • Herpes simplex serology ( blood tests )
  • Herpes simplex PCR ( swab )
  • Syphilis serology and titres
  • Rapid HIV antibody tests using either fingerprick blood, or saliva
  • Rapid HIV P24 antigen/antibody test using fingerprick blood
  • HIV ELISA test ( blood test )
  • HIV DNA PCR ( blood test – to be done on weekdays, before 11am. No fasting required. )
  • HIV RNA PCR ( blood test – to be done on weekdays, before 11am. No fasting required. )

 

More details on HIV testing can be found here.

Rapid screening tests which give results in 20min are now available for: syphilis  and HIV

HPV DNA testing ( eg. Digene ) is also available. However, do note that the high-risk strains which are screened for in these tests are the cancer-causing subtypes, not specifically those which cause genital warts.

 

[ STD Treatment ]

Many STDs / STIs are curable. Even those which are not, such as HIV and genital herpes, have treatments which control or suppress the infection.

 

At Prudence Family Clinic, STD consultations and treatments are conducted privately and discreetly. Our philosophy is timely screening and cost-effective treatments when warranted. Contact tracing, screening, treatments and counselling can also be provided in a sensitive and thoughtful manner.

 

A wide range of treatments are available for the following infections:

 

  • Gonorrhoea
  • Chlamydia
  • Non-specific urethritis ( NSU ), which may include Mycoplasma hominis and Ureaplasma urealyticum
  • Syphilis
  • Trichomonas
  • Candidiasis
  • Bacterial vaginosis
  • Herpes simplex type 1 ( cold sores )
  • Genital Herpes
  • Genital warts ( ‘cauliflower’ )
  • Molluscum contagiosum
  • Pubic lice ( ‘crabs’ )

 

 It is important to mention your drug allergies and any history of previous ( successful or unsuccessful ) treatments to our doctor.  Patients who are HIV positive may require prolonged or more intensive treatments for their other STDs.  Do highlight your HIV status to our doctor. Rest assured that all information conveyed to us will be held in strictest confidence.
Of course, it may not be possible to know immediately which infection you may have caught. The links below may give you an idea of what we are dealing with:

Consultations are private and discrete.
Same day appointments usually available.
Please call the clinic at (+65) 6251 5512 or SMS (+65) 9662 5512

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