ABC of Chlamydia Testing

If you think that you have Chlamydia, or, if you don’t know what Chlamydia is and you have symptoms that are worrying you—for women they include pain during sex, for men a burning feeling while urinating (we’ll discuss more symptoms later on)—you should go and get tested.

Chlamydia testing is simple. There are two ways of getting tested if you are a man: the first is a urine test. Most men will prefer this, because the second test involves the doctor taking a cotton bud to “swab” the urethra at the tip of the penis to test for the presence of Chlamydia. You’ll be happy to hear that, nowadays, most doctors prefer the urine sample test. However, it isn’t as reliable as the swab. There is also a quick urine test, which can take less than an hour to get your results.

The test is the same for women. The difference is that a swab can be taken from the vagina by the patient herself (or by a health care professional). For both sexes, results of Chlamydia testing that are sent to the lab can take up to a week. This is a reason why patients prefer the fast urine test: if you’re concerned, it’s good to know your status quickly. The quicker you know your status, the quicker you can start treatment: if you’re positive, that is.

So, let’s talk about treatment. It’s easy to treat Chlamydia with antibiotics. Primary care doctor recommend azithromycin, which comes in a single dose. Single dose antibiotics can be a little bit hard on the stomach, so if you prefer, take doxycycline twice a day for a week instead. Remember, though: to avoid spreading it, the main thing is to abstain from sex until you are negative for Chlamydia.

Although you might consider Chlamydia to be a minor league STD, remember that it can have worrying complications. In women, it affects the cervix, the neck of the womb, and if it is left untreated it can cause infertility in 10% to 15% of cases. The official name for this is Pelvic Inflammatory Disease (PID). Chlamydia comes from the Greek word for “cloak”: which is appropriate, because often this STD infection has no symptoms. You have no way of knowing if you have it, unless you get tested.

Some of the symptoms are, for men, a discharge from the rectum or the penis; a tenderness or pain in the testicles and, as we mentioned earlier, a burning feeling while urinating. Apparently, men have more symptoms than women. Only about 30% of women have symptoms. These can include a discharge from the vagina, pain during intercourse, or a burning sensation while urinating. You will notice that the burning sensation is a symptom that Chlamydia has in common with a Urinary Tract Infection, so it is important to get tested in order to rule the latter out. You can’t treat Chlamydia with Cranberry juice!

More seriously, women who let the infection go for some time without being treated are at risk of PID, which is a bacterial infection of the fallopian tubes, the uterus or the ovaries. This complication occurs when the bacteria from a Chlamydia infection moves from the cervix further into the female reproductive organs. How is Chlamydia caused? Well, as with most STDs, it is caused by having unprotected sex with a partner who is positive for Chlamydia. A simple urine test can tell you if you have the infection. If you do, a simple antibiotic can clear it up. If you don’t, it can lead to infertility in women, and reduced fertility in men.

And, so, you see the importance of why you need to get chlamydia test. If you live in NYC and would like to get STD testing by a board certified STD clinic, log onto STD Clinic for more information. STD Clinic of New York is located just blocks from Grand Central Station and is therefore easily accessible by all means of public transportation. To ask any questions, or to book a convenient appointment, simply call 1-212-696-5900 to speak to a staff member.

ABC of Herpes screening

As our title suggests, the aim here is to give you the tools to (A) recognize the symptoms of Genital Herpes, and (B) know where to access the care to treat it. Before discussing the process of Herpes testing, a small amount of background is necessary. There are two types of Herpes (otherwise known as the Herpes Simplex Virus): HSV-1 and HSV-2. HSV-1 causes fever blisters, or cold sores, on the lips and mouth, and is more an annoying infection than a disease. HSV-2 is Genital Herpes.

However, similar to HSV-2, Genital Herpes can lie dormant in the nerves, becoming active when our immune system is low: in other words, when we are stressed, worried, under emotional pressure, or simply not taking care of ourselves. One worrisome aspect of the two different strains is that neither of them ever really goes away. While the first is more a bother than anything else, there is one complication that’s important to remember: if you have HSV-1(oral herpes), it can be transmitted during oral sex to the genital area of your partner from your lips or mouth. It is important to avoid intimacy during flare-ups of HSV-1.

Clearly, the easiest way of being infected with Genital Herpes is by engaging in some form of sexual contact with a person who already has the disease. Although some people never develop symptoms, the clearest physical sign of Genital Herpes is small, fluid-filled blisters around or on the penis, scrotum, vulva, or buttocks. The blisters can also appear on the mouth if they’ve been spread there during oral sex. When Genital Herpes is active, it can be painful to urinate; the lymph nodes in the groin can be swollen; aching muscles in the thighs, backside or knees, fever, and flu-ish feelings are also common. As with HSV-1, the skin tingles at the place where the blisters will appear. However, in Genital Herpes the blisters are much more painful, and the virus leads to ulcers on the skin, which is a good reason for Herpes testing if you think you have it!

The first type of Herpes test takes place when one already has an outbreak of blisters, or sores, on the skin on or around the genitals. The STD doctor at a clinic takes a very small sample of the liquid from the blister, which is the most accurate way of seeing if one has Genital Herpes. A blood test is another way of knowing if one has ever been infected with the Herpes. It’s important to remember that a blood test can be positive even if you have never had symptoms of Genital Herpes (HSV-2).

If a Herpes test is positive, your doctor will advise you about medication against the virus (acyclovir, for example), which will help stop the discomfort, and make the virus go dormant again. Genital Herpes has aspects to it that make it not as serious as some STDs, but it is much more serious than others. Some complications are as follws: pregnant women who have an outbreak of Genital Herpes at the time of giving birth can pass the virus to the baby. And, babies infected during pregnancy may be born premature, or develop meningitis, for example. In individuals who are HIV positive, the virus can affect other parts of the body (the spine, lungs, eyes, or the brain).

It’s important to stress that Genital Herpes, like HSV-1, can’t be cured, which means that if you become infected, it’s vital for you to take good care of yourself, because if you don’t, you can trigger another outbreak. Also, using medication can reduce the risk of passing the HSV-2 virus (genital Herpes) to another person.

Inform yourself, and remember how important Herpes testing is in staying healthy. If you live in NYC and would like to get STD testing by a board certified STD clinic, log onto genital herpes testing for more information. STD Clinic of New York is located just blocks from Grand Central Station and is therefore easily accessible by all means of public transportation. To ask any questions, or to book a convenient appointment, simply call 1-212-696-5900 to speak to a staff member. 

Herpes 1 and 2 Testing: The Essentials

Herpes immediately comes to mind whenever STDs are discussed, and for good reason: it's one of the most widespread diseases out there, with an estimated 16% of Americans aged 14 to 49 carrying the virus. That number increases drastically for major metropolitan areas, especially New York City. As with anything else, knowledge is power where herpes is concerned. This article will get you acquainted with the basics of the disease and then provide an overview of treatment practices and herpes testing options.

The Basic Facts

Herpes Simplex Virus (HSV) is, as the name suggests, a viral disease belonging to the same family as chicken pox and shingles. There are two varieties of Herpes Simplex. Type 1 is more common and usually affects the face and mouth, producing characteristic cold sores during outbreaks. Type 2 usually affects the genitals with painful, itchy sores; this type is what most people mean by herpes and this type concerns us most. Both types cycle between active and remission periods. Visible outbreaks correspond with periods of weakened immune response, becoming less severe and frequent as time goes on. However, most individuals can go weeks, months, or even years without showing any symptoms. Make no mistake: genital herpes is just as contagious when asymptomatic. In fact, this is one of the better reasons to seek an STD clinic for yourself or your partner. While incurable, the disease need not hamper one's intimate relations. Timely and thorough herpes testing is the first step to mitigating the worst of this common STD.

How Testing Works: Viral Cultures

Herpes testing is most accurate within 48 hours of the first outbreak. For this reason, it's important to find a clinic as soon as symptoms appear—your doctor will have a better chance of pinpointing the diagnosis, and you'll have improved treatment options. In these cases, a culture test is administered by swabbing the sore directly. Results usually take one week and can be “typed” to distinguish between the strains (either type can show up anywhere on the body, but Type 2 is most often the culprit in the genitals). Remember that time is of the essence: the longer you wait, the more likely your results will return false negatives due to a lack of active virus. Thankfully, new DNA tests are improving precision, but that's no reason to wait it out or avoid seeing a medical professional.

Blood Tests

Blood tests are available when there is a lack of visible symptoms. This variety of herpes blood test detects antibodies produced by the immune system to signal the presence of the virus. Specifically, it looks for IgG antibodies—these develop soon after initial infection and remain in the blood thereafter. Blood tests can also distinguish by type and are known for being more accurate. Be aware that it takes time for the human body to develop antibodies, and thus the medical community recommends waiting 12 to 16 weeks from the last possible date of exposure to ensure detectable levels. Consult your doctor to find out which herpes blood test is best for you—there are several varieties, each catering to different use patterns, patient characteristics, and results windows.

Alternate Tests

A few alternate methods of herpes testing exist. Polymerase Chain Reaction (PCR) tests are highly sensitive and superior to viral cultures, but they aren't yet readily available. Expect to see advances in this technology in the near future. Viral antigen tests are accurate only in the initial outbreak and have similar availability problems. Finally, the Tzanck herpes test relies on health care providers' judgment calls, a less rigorous and regulated protocol.

New York City residents, don't hesitate to contact STD Center NY to ask about herpes 2 testing NYC. They offer unrivaled, board-certified medical attention for all of your questions, concerns, or inquiries. Just blocks from Grand Central Station and easily accessible by train or bus, STD Center NY features affordable, private, state-of-the-art herpes testing services. Call 1-212-696-5900 for an appointment or log onto STD testing NYC for more information. Make a commitment to better health!