Doctor insights on:
Pre Pubertal Patients With St Ds
STD screening: Screening guidelines for stds recommend that sexually active men and women should be offered routine screening for hiv. Serologic testing for hepatitis b should also be done. Women with a history of unprotected sex/multiple partners should be screened yearly for gc and chlamydia. Men for chlamydia. The window period for detection of HIV antibodies is 6 wks-6 mos. After exposure. ...Read moreSee 2 more doctor answers
Puberty is the normal condition in which a humans physically change from child to a teenage pre-adult who is able to reproduce (become fertile, able to have children). Pubertal development is divided into 5 stages by appearance (Tanner stages). Adolescence is time when puberty occurs, and includes ...Read more
A used Foley catheter from a male patient touches my skin for seconds. Can i get STD ifxns?Dont know the history of patient.
No risk, BUT....: Zero risk here. Your skin is a good barrier to infection in general. But, in medicine when you touch these instruments you are to be wearing gloves at all times. It would be very foolish for someone in health care to be not wearing gloves when they are working with patients and/or the medical products patients use. ...Read more
Confidentiality: There is no reason to expect anything except complete confidentiality regarding your visit and your results from an std clinic. Be aware, however, that the centers for disease control and prevention require reporting for cases of hepatitis, gonorrhea or syphilis. In those cases, your name will be provided to the health department to follow up on treatment for you and any partners. ...Read more
My wife's STD free..She gets regular tests..However since around puberty my pubic area has itched severely..I scratch til I bleed.What is plaguing me?
Can patients ask for a copy of pap, std, and blood work results for their own personal records even if test were normal?
Absolutely : You are entitled by law to a copy of your medical records including all test results. Though very similar, every state and every office has their particular rules and procedures in handling requests for medical records and they have the right to charge you, if so desired, a fee for making copies (50-75 cents per page customary). I feel it is a good idea for patients to keep copies of test results. ...Read more
Isn't there a STD test that can be given to make sure a strong hypnotic sedative is really needed and that patient understands dangers and doses. ?
Can a gynecologist test you for STD without telling you, if you came in for routine yearly Pap smear? I am a self pay patient.
It could happen: Because almost everybody is supposed to get routine screenings for STD's, it becomes so "normal" to do it for almost all patients that it would be easy for a doctor or nurse to forget to mention that the tests are being done. For example, a nurse might count a patient's pulse without ever saying that she is counting the pulse. ...Read more
Can a STD make your cum jelly like? Im 16 and only ever had oral sex with one girl & I dont believe she was sexually active before me. STD or puberty?
Are there any doctors on here who have had patients take gardasil? This vaccine is very new to me even though its been around awhile, and I am not shore if its a safe bet to try.
Have yet to be diagnose w/ any type of STD yet so as far as i know I am in
I'm : I'm a pediatrician, and judging from your question you are in the over 18 category! but, i just wanted to add a little to the great answer given by dr. Alvin bay lin. In pediatrics, we do routinely recommend Gardasil (against human papillomavirus) to both boys and girls. All hpv vaccines thus far are licensed for 9 - 26 year olds, as mentioned, and in pediatrics we typically target the 11 or 12 year old visit to give this. It is very important to have this shot administered before a child or adult is sexually active to have an effect; once a person is infected with a certain strain of hpv the vaccine will not help prevent that infection. Gardasil is specifically licensed to protect against 4 types of hpv - 2 which can cause genital warts and 2 which can cause cervical or penile cancer. There are other products on the market that only protect against 2 strains; in my state the vaccines for children program is covering Gardasil specifically so that is what we use. These shots need to be given at 0, 2 and 6 months (at a minimum) and they cost ~ $300 per shot in our state, so i definitely recommend parents have their children vaccinated before they are too old to be covered by the parent's (or medicaid) insurance. Side effects for this vaccine have been mild - like any other shot, you can have redness, swelling and pain at the site of the shot. There have been reports of slightly higher rates of fainting in our teenage girls! (i probably would have been in that group myself as a teenager). But most people do very well with this shot. If i assume you did have genital warts, then the chances are you are already exposed to at least one strain of hpv; this means the Gardasil vaccine may not be as effective in you as compared to others, but then it also could mean you're preventing three other types of hpv infection! so, in general, i would recommend it if you were my teenage patient! finally, for the adult women, it's important to remember that just because you get the Gardasil vaccine, you don't get out of the annual pap smear! it's important to have this screening done as recommended by your ob/gyn or general doctor. Good luck with the decision! sincerely - dr. Marney gundlach. ...Read moreSee 2 more doctor answers
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