I am embarrassed to seek professional help, how can you help me?

If you doubt you have STD, do not let shame, embarrassment, fear or guilt stop you from seeking medical opinions. Many STDs can be treated and cured in their early stages, or repressed to manageable levels. Our doctor and health consultant are highly professionals to make you feel easy and comfortable during the consultation. Your privacy and confidentiality are always respected. Feel free to call our health consultant for further information if you still feel not comfortable for a consultation.

 

Can I use some over the counter medications to treat STDs by myself without proper medical examination?

Self-prescription should be strictly avoided because this would defer the diagnosis of STDs and make subsequent treatment more difficult.

 

If I have no symptoms, will that mean I have no STD and need not to have a STD check?
You are not necessarily free from STD infections even if you have no symptoms. Common STDs such as high-risk HPV, AIDS, Syphilis and many others often have no signs or symptoms (asymptomatic). If you are sexually active, you are already at risk for STD infections. Getting a STD check with your partner regularly is therefore a necessary precaution.

 

What are the differences among DNA, antigen and antibody STD screening?

In order to test STD, blood taking for antigen and antibody detection is commonly used in the market. Unlike such traditional practice, MHS provides comprehensive DNA screening for STD. Compared with antigen and antibody tests, DNA detection not only offers a higher sensitivity and accuracy, but also shortens the testing time.

Demonstration of sensitivity for different tests using required viral load in blood as example

 

Antibody Test

Antigen Test

DNA Test

Required viral load in blood for STD detection

100,000
copies/ml
100,000
copies/ml

100
copies/ml

Sensitivity

Lowest Comparatively low

Highest

(Above number is only used as example which is not the required viral load in real situation)

Importance of DNA Testing

  • Require little STD pathogens, avoid the time for culture
  • Accuracy and sensitivity higher than ag/ab test
  • Detect over 10 STIs simultaneously
  • Provide rapid result

Moreover, DNA test can detect common STDs which cannot be detected by antigen and antibody tests, such as Mycoplasma Homins, Mycoplasma Genitalium, Ureaplasma Urelayticum and Ureaplasma Parvum. These are the main cause of men’s urethritis. DNA test can also detect STDs which are usually transmitted to male from female including Candida Albicans and Gardnerella Vaginalis, which cannot be detected by antigen and antibody neither. On this account, STD DNA can be more costly than antigen and antibody tests

 

If I am diagnosed to have STDs, should my partner be treated as well if he / she does not have any symptoms?

Once an infection is detected, it is important that sexual partners are tested as well, even if they do not have any symptoms. If only one partner is treated, the chance for re-infection is high, since a large percentage of the population is asymptomatic.

 

What should I do if I have STDs?

If you are diagnosed with STD, inform your partner right away so he or she may be tested and treated as well. Treatment for STDs will be started instantly after the options of treatments are discussed with our doctor.

 

Can STD be transmitted through kisses?

A few STDs can be transmitted through kisses, but not many. Herpes of the mouth, also called oral herpes or cold sores can be transmitted through kissing. Herpes does not need an exchange of saliva, only skin-to-skin contact or closed-mouth kissing would suffice.

 

Is it possible for men to get STD from receiving oral sex?

Yes, it is possible to transmit STD from the mouth to the genitals. Both gonorrhea and herpes are sexually transmitted diseases that can be transferred from the mouth to the genitals via oral sex.

 

Is it possible to contact herpes from a toilet seat after a person with herpes uses the toilet?

The chances of contacting herpes from a toilet seat after someone with herpes uses the toilet seat is incredibly low. It is because the following person may not come into direct contact with the infected area, as could happen during sexual activity. You can always take extra precautions by using disinfectant or a disposable seat protector on the toilet seat.

When do I need to receive circumcision?

If your foreskin is redundant or too tight, you may need to receive circumcision when the following conditions occur:

  • Phimosis
  • Foreskin Infection
  • Urinary Tract Infection
  • Lowered quality of sex life
  • Paraphimosis

 

What is the suitable age for circumcision? Is there any limitation for children? Is general anesthesia required?

Circumcision is suitable for males aged 1 year or above. For children aged 10 years and under, general anesthesia is recommended during surgery. General anesthesia needs to be done in hospitals, while local anesthesia can be conducted in clinics.

 

Should babies receive circumcision at birth?
Circumcision for new born babies has the benefit of less bleeding and faster recovery. On the flip side however, early circumcision may sometimes result in foreskin being too short which might affect the development of children. Parents should consult Specialist in Paediatrics before making a decision.

Foreskin which cannot be retracted to expose the glans is common in new born infants. Usually around the age of 5, the glans will be exposed naturally. If the foreskin is still not retractable by that time, or if inflammation occurs regularly due to a tight foreskin, a circumcision should be considered.

 

What are the differences between the new version of laser circumcision and traditional circumcision?

Surgical scalpel is used for excision in traditional circumcision; a laser beam and a specialized mental ring is used in the new version of laser circumcision (patent application for this treatment has been filed). The use of laser beam in the latter not only allows a fast cut, but also minimal bleeding and a very tidy wound. Further, new version of laser circumcision results in less post-operative pain when compared with the traditional counterpart, which also has a higher risk of bleeding. High dose of pain-killer is not necessary in the new version of laser circumcision.

The surgery will be completed in 15-20 minutes with the new version of laser circumcision while the traditional one requires 30 minutes. One shot of local anesthetic at the bottom of the penis shaft is applied in the former while three shots of local anesthetic are applied in the latter, two in the back of the penis shaft and one in the bottom.

 

How are the procedures charged?

The consultation fee of circumcision by our surgical specialist is HK$600. The service charge is HK$8,500-10,500 for laser circumcision. The consultation fee will be deducted from the charge of surgery if our clients receive the procedure within the day of consultation.

 

Is surgical charge inclusive of medication fees?

Medicine is excluded from the surgical charge. Pain-killers, anti-inflammatory drugs (if applicable) and drugs that suppress erection are charged additionally.

 

Do I need to return to clinic for follow-up?

You would need to return for follow-up and having the wound checked. The charge is HK$600.

 

What should I take notes on before receiving circumcision?

  • Fasting for 4 hours is required (except drinking water) before surgery
  • Clean the foreskin completely before surgery
  • Pubic hair needs to be shaved by patients themselves before surgery
  • Bring along tight underwear or swimming trunk to support the wound in position after surgery
  • Expose the glans frequently a week before surgery to allow contact with clothes. It reduces glans sensitivity and discomfort after surgery
  • Avoid sexual activity or masturbation for one month after surgery. To control sexual arousal, it is suggested to have intercourse or masturbation one day before surgery

 

What should I do to heal the wound after circumcision?

Things to know after surgery:

  • The wound will be covered with surgical-grade skin adhesive, which is antiseptic and waterproof
  • Off stitches are not needed. The stitches will be absorbed automatically within two to three weeks
  • Minimal bleeding, swelling, and secretions will occur. They will disappear in a week

Important to note for wound healing after surgery:

  • Press the wound mildly if minimal bleeding occurs
  • Resume shower 24 hours after surgery. Avoid application of soap to the wound and soaking in the bathtub
  • Clean the yellow secretions that leak out from the wound with antiseptic solution or normal saline daily
  • Sit down to urinate and change the gauze daily to maintain the wound dry and clean
  • Wear tight underwear or swimming pant to lock the wound in position to avoid collision. Keep the glans up to avoid edema
  • Glans may be sensitive after surgery. Sensitivity varies between patients. Walking around frequently allows glans to adapt and ease the sensitivity

 

How long should I rest after circumcision?

Patient needs to rest in our clinic for only awhile before they leave. For the new version of laser circumcision, recovery is faster. Patient can resume work or school one or two days after surgery. Minimal bleeding will occur occasionally. For the traditional circumcision, longer recovery is needed. Patient can only resume work or school four or five days after surgery. Higher risk of bleeding and moderate to severe pain may occur in the first week after surgery.

 

Can I take shower or go swimming after circumcision?

For traditional circumcision, we recommend patients not to take showers during the first week; patients are instructed to clean the sutured wound daily, after the first few days after surgery. For laser circumcision, we will cover the wound with surgical-grade skin adhesive. Since it is antiseptic and waterproof, patients may take showers as usual 24 hours following surgery. The topical skin adhesive will go away gradually after about 1 week.

Since bacteria may exist in swimming pool and seawater, patients are recommended to resume swimming at least 2 weeks after circumcision.

 

How soon can I have sexual activities after circumcision?

In most cases, patients can resume sexual activities about one month after surgery. To control sexual arousal, it is suggested to have intercourse or masturbation one day before surgery.

How important is a regular health check-up?

A regular health check-up helps detect abnormal health conditions and early diseases. According to Department of Health Annual Report 2008/ 2009, Malignant Neoplasms (Cancers), Heart Diseases, Pneumonia, Cerebrovascular Diseases and Chronic Lower Respiratory Diseases were the top five leading causes of death in Hong Kong in 2008*. Regular health check-up can help detect the symptoms of such fatal or serious diseases, allowing patients to receive suitable treatments in the early stage, so as to increase the chance of cure. Thus, for diseases prevention and health protection, annual regular health check-up is recommended.

*Source: Department of Health Annual Report 2008/2009

 

What are the components of a health check-up?

A health check-up usually consists of (1) physical examination such as measurement of height, weight, blood pressure and pulse; (2) questionnaire on medical, social, domestic and lifestyle histories; (3) laboratory tests or screenings on organs’ functions or diseases such as haematological, diabetes, gout, hepatitis A & B screenings; renal, liver, thyroid, cardiac lung function tests and etc; (4) consultation and counseling.

Some health check-ups also include tumor marker tests to detect the presence of specific kinds of cancers.

 

Who should receive health check-up?

  • If you are at the age of 30 or over, regular check-up on an annual basis is recommended;
  • If there are closed family members suffering from genetic diseases (such as cancers or heart diseases);
  • If you have doubts about your physical or psychological condition;
  • If you have symptoms or confirmed having health problems;
  • If there are close family members who died in their early years of life;
  • If you are planning to get married.

 

What should I prepare for the health check-up?

  • If you have had any medical treatments or examinations recently, please bring the reports for doctor’s reference;
  • Avoid exciting activities; take enough rest before the day of check-up;
  • Dress casually to let you feel more comfortable during check-up;
  • Stay calm prior to the check-up for more accurate result;
  • Maintain healthy diet 3 days prior to check-up. Avoid consuming too much stimulating food and drinks, such as wine, coffee;
  • Ladies should avoid taking a physical check-up during menstrual period;
  • Pregnant women should avoid X-ray test;
  • For glucose test: you should fast for at least 8 hours prior to your check-up. (Drinking water is allowed.)
  • For occult blood test: Avoid red meats such as beef, lamb, or liver 3 days prior to check-up. Ladies should avoid taking occult blood test during menstrual period.

 

What should I prepare for the pre-marital check?

Urine test, blood tests and semen tests (for males only) will be conducted in pre-marital check. We recommend ladies to perform urine test 7 days after menstrual period.

 

What should I be aware of when having semen test?

  • Use a sterile bottle to collect semen through masturbation. (Get the bottle in our clinic first). Collect semen in our clinic or at a place where you feel comfortable.
  • No ejaculation 7 days before the test. Abstinence for too long or too short will affect the quality of semen.
  • Semen sample should not be exposed to too hot or too cold environments. The sample must be returned to our clinic within 1 hour.

 

Why should I perform tumour marker check?

According to Department of Health Annual Report 2008/ 2009, Malignant Neoplasms (Cancers) were the top killer in Hong Kong, accounting for 30% of all leading causes of death in 2008. Among all kinds of Cancers, Trachea, bronchus and lung Cancers; Colon, rectum and anus Cancer as well as Liver and intrahepatic bile ducts Cancers were the three most common Cancers in Hong Kong in 2008*. To protect you from the life-threatening Cancers, it is important to have a regular tumour marker test.

A tumour marker is a substance found in blood, urine, or body tissues that can be used in the detection, diagnosis, treatment and monitoring of cancers. There are different tumor markers and most of them are proteins. Therefore, tumor markers can be identified through tests such as blood tests to evaluate specific proteins that are associated with cancer.

A regular blood test can help identify tumour markers in the body to detect the presence of some specific kinds of cancers.

Tumour markers Detection
AFP liver cancer
CA15-3 breast cancer
CA19-9 pancreatic cancer; gallbladder cancer; bile duct cancer; gastric cancer
CA72-4 ovarian cancer; pancreatic cancer; gastric cancer
CA125 ovarian cancer
CEA colorectal cancer, breast cancer, lung cancer; pancreatic cancer; gastric cancer
EBV nasopharyngeal carcinoma
PSA prostate cancer

*Source: Department of Health Annual Report 2008/2009, U.S. National Cancer Institute

 

How long does it take to receive the report result?

General Health Check-Up reports will be delivered to clients via email in 4 working days. Bilingual reports are provided for the ease of reading and understanding.