Could I have contracted an STD?

If you’ve had unprotected sex, you might have contracted an STD. ‘Unprotected sex’ means both penetrative (vaginal/anal) and oral contact (blowjobs, cunnilingus and analingus) withoud use of a condom. Another risk of contracting an STD is rupture of the condom. So yes, contrary to popular belief, you can actually contract an STD from oral sex, especially chlamydia, gonorrhoea and syphilis.

Unfortunately, condoms do not always protect against herpes and genital warts. These STD’s can spread by any direct skin-to-skin contact. If there has been unprotected sex with someone who received payment for it or with someone from abroad, the chance of contracting one of the less common STD’s, like HIV, hepatitis B or syphilis, increases.

Should you have had such a sexual encounter, feel free to contact us for more information from one of our specialised physicians.

In what ways can I avoid contracting an STD?

One can prevent contracting an STD by practicing safe sex. Safe sex means use of a condom, in both vaginal or anal penetration and oral sex (blowjob, cunnilingus and analingus). With cunnilingus, you can protect yourself by using a dental dam (rubber patch specifically designed for this purpose), but a condom carefully cut open will also suffice. With anal penetration, it is important to use a condom that has been designed for that specific purpose as well, because ordinary condoms will tear more easily. Generally, you cannot contract an STD form caressing, kissing, hugging, masturbating and manual stimulation.

If you’re in a relationship, both only having sex with each other and if you are both tested negative for STDs, you can consider sex with each other as safe, even without protective measures. The only condition for this to work is to trust each other completely. In addition to that, if you’re not (yet) ready to have children, bear in mind that a proper contraceptive is necessary. You as well as your partner are welcome to get tested at the OneDayClinic; either apart or at the same time.

Heb je een vaste partner? Dan kunnen jullie beiden een soa test doen om vast te stellen of één van jullie beiden een soa heeft. Hebben jullie beiden geen soa dan kan je seks zonder condoom beschouwen als veilig. Jullie moeten dan wel beiden geen seksuele contacten buiten de relatie hebben en moeten elkaar hierop kunnen en willen vertrouwen. Wil je (nog) geen kinderen, houd dan ook rekening met een passende vorm van anticonceptie. Bij OneDayClinic kun je zowel alleen als samen met je partner komen testen.

What symptoms can I expect with an STD?

Each STD has its own range of symptoms. However, we cannot stress enough that you might very well be infected without showing any signs of it. The most prevalent STDs are chlamydia, gonorrhoea, HIV, hepatitis B, hepatitis C, syphilis, herpes, genital warts, mycoplasma and trichomonas.

We provided a short list of typical symptoms per STD below. If you have any questions, do not hesitate to contact one of our specialized physicians, either by phone, email or our Facebook page (via messenger).

Chlamydia and/or gonnorhoea

These STDs are difficult to distinguish from each other, as they have a similar presentation. Chlamydia is the most common infection. Typical symptoms include the following:

  • For both men and women:
    • A burning or painful sensation during urination
    • Pain in the groins
    • An itch or irritation of the anal region
    • A bloody discharge during stool
    • Pain in the lower abdomen
    • Fever
    • Inflammated or painful joints
  • For men:
    • Pus or mucus-like discharge
    • A change in sperm consistency, sometimes bloody
    • Swelling and redness of the scrotum
  • For women:
  • Changes in discharge
  • Loss of blood between menses or during/shortly after intercourse
  • HIV:
    • Symptoms similar to influenza
    • Fever
    • Skin rash/itching
    • Feelings of fatigue/malaise
    • Night sweats
    • Diarrhoea
    • Loss of weight

<link naar hiv>

  • Hepatitis B/C
    • Fatigue
    • Jaundice
    • Nausea
    • Loss of appetite
    • Muscle and joint pain
  • Syphilis

First stage (2-12 weeks):

  • A transient painless ulcer on the penis or the oral/anal mucous membrane.
  • Enlarged lymph nodes

Second stage (after disappearance of the ulcer):

  • Spots all over the body, but predominantly on the palms and soles
  • Bald spots between normal hair
  • Inflammation of the eyes and decreased sight
  • White-greyish, wart-like globules around the penis, anus or vagina

Third stage (up to 30 years after infection)

  • Inflammation and damage throughout the body
    • Especially of the heart, brain, spinal cord and bones

Trichomonas
Women:

  • Changes in discharge
    • Different odour
    • yellow/greenish, slightly foamy
  • Pain, itching or burning sensations during sex

Men:

  • Discharge from the urethra

Both men and women:

  • Pain, itching and burning sensations when urinating
  • An irritated vagina or penis
  • Inflammation or irritation of the urethra

Mycoplasma

Women:

  • Pain during urination
  • Pain in the pelvis or lower abdomen
  • Intermenstrual blood loss
  • Pain while having sex
  • Increase of discharge

Men:

  • Pan in the testicle
  • Discharge of the urethra

Genital warts

  • Cauliflower like little warts, sometimes with stem, in the genital or anal region
  • Skin coloures, possibly a bit darker or greyish

Herpes genitalis

  • Burning vesicular/ulcerative abnormalities of the genital, oral or anal mucous membrane
  • Pain can be worsened during urination
  • Fever
  • Enlarged lymph nodes

Could I have an STD without showing any symptoms?

Yes, that is definitely possible. Every unprotected sexual encounter poses the risk of contracting an STD. Especially chlamydia is known to be present without any sign or symptom. Therefore it is wise to get tested for STDs after unprotected sex. Should you have any questions, feel free to contact one of our specialised physicians for more information. You can reach them over the phone, through email or via the messenger service provided by Facebook.

There is also a blog post available on STD testing in absence of symptoms (in Dutch).

When can I get tested for STDs?

  • The basic test (for chlamydia and gonorrhoea) Chlamydia and gonorrhoea can be diagnosed with great reliability from 10 days after the sexual encounter.If you have symptoms that might be caused by an infection with chlamydia or gonorrhoea but less than 10 days have passed since the sexual encounter, one can consider testing before that period has ended. If an infection shows up (as a positive test), treatment can start earlier. It is however recommended to get re-tested 4-6 weeks after treatment. There is also a possibility that despite symptoms, a test within 10 days shows as negative; in that scenario, we would advice to get re-tested when these 10 days have passed.We recommend to get tested for these STDs when three months have passed after the secxual encounter.
    • It is possible to test for HIV when 6 weeks have passed after an unprotected sexual encounter, but this is still a temporary result and we advise to have the test repeated at 12 weeks. When there has been a risky encounter, such as with an HIV-positive person, it is wise to get tested after 4 weeks already, because the possible infection must be found soon. If it was a low risk encounter, 12 weeks is the safest period after which to test. Even when you are having a rapid test for HIV done, we would still recommend to perform a conbination test like we do after 12 weeks. You can find out more about this combination test over here (in Dutch). Feel free to contact one of our specialised physicians for more information on these window periods between sex and getting tested. You can reach them over the phone, through email or via the messenger service provided by Facebook.
    • Hepatitis B and C can be found from 8 weeks after the sexual encounter.
    • Syphilis can be tested with full reliability from 12 weeks after the sexual encounter.

    Because of said window periods, we recommend to have the blood test (HIV, syphilis and hepatitis B/C) done from 12 weeks, i.e. 3 months, after the unprotected sexual encounter, so as to make sure all results are reliable.

  • The extensive STD test (for HIV, hepatitis B/C and syphilis)

We recommend to get tested for these STDs when three months have passed after the secxual encounter.

  • It is possible to test for HIV when 6 weeks have passed after an unprotected sexual encounter, but this is still a temporary result and we advise to have the test repeated at 12 weeks. When there has been a risky encounter, such as with an HIV-positive person, it is wise to get tested after 4 weeks already, because the possible infection must be found soon. If it was a low risk encounter, 12 weeks is the safest period after which to test. Even when you are having a rapid test for HIV done, we would still recommend to perform a conbination test like we do after 12 weeks. You can find out more about this combination test over here (in Dutch). Feel free to contact one of our specialised physicians for more information on these window periods between sex and getting tested. You can reach them over the phone, through email or via the messenger service provided by Facebook.
  • Hepatitis B and C can be found from 8 weeks after the sexual encounter.
  • Syphilis can be tested with full reliability from 12 weeks after the sexual encounter.

Because of said window periods, we recommend to have the blood test (HIV, syphilis and hepatitis B/C) done from 12 weeks, i.e. 3 months, after the unprotected sexual encounter, so as to make sure all results are reliable.

What does STD testing look like?

The consultation

After entering the room, we will discuss the test(s) with you. There is no need to tell us anything you don’t want to share. The aim of this conversation is to point out what the different options are and which important matters have to be taken into consideration in order to guarantuee a reliable test result (for example: whether or not you have actually been to the toilet for the past three hours and the period between the sexual encounter and the testing). With this information we will decide what test is most applicable to your situation, together. Naturally, you can ask us any question you might have about the tests. We aspire to suit your wishes and expectations as much as possible. The consultation and the test are and remain completely anonymous, of course.

The basic test (chlamydia and gonorrhoea)

A basic test (chlamydia and gonorrhoea) can be performed on various locations. By these locations, we men the mucous membranes that have been part of sexual activity, because chlamydia and gonorrhoea are known to not only show up in the genital area, but also rectally and orally.

The genital test

For men: a urine sample

A urine sample is used to test. Men will have to bring their morning urine or hold up their urine for at least three hours. In both situations it is of importance to catch the first bit of urine that comes out, because this contains the most bacteria if there is an STD present. The urine must be caught in a clean container (like a bottle or watertight cup). We’ll need about 50 ml.

For women: a swab

Women will swab themselves if they feel comfortable to, but it is very much possible to have this done by the physician as well. For this, a cotton swab is used intravaginal.

The oral and anal test

Both women and men can perform the anal swab, also with cotton swab, themselves, but the physician can do this for you if that feels more comfortable.

The oral swab will be done by the physician, because it is difficult to do this by yourself.

The extensive STDtest

When testing for HIV, hepatitis B/C and syphilis, blood will be drawn by the physician (one tube).

What does OneDayClinic charge for an STD test?

All OneDayClinic tests are comprised of a basic fare for the appointment, which entails the consultation and other logistical services like administration that are necessary. This basic fare amounts 50 euros. At OneDayClinic, one*basic test for gonorrhoea and chlamydia costs 50 euros for one location, which makes a total fare of 100 euros for the entire basic test appointment.

Testing your blood for HIV, hepatitis B/C and syphilis is available for 100 euros, but if you have that added to the basic test, there will be a discount of 50% and we can offer you both tests including consultation for 150 euros altogether.

* Testing at multiple locations:
Gonorrhoea and chlamydia are known to infect various locations. You can contract chlamydia and gonorrhoea in the genital area (penis or vagina), but also oral and anal. If you think you are at risk of having these STDs at said locations, we would recommend to have these locations swabbed and tested as well, at an additional fare of approximately 35 euros per location.

What payment options does OneDayClinic offer?

At OneDayClinic we accept both cash and payments by card (Maestro and VPay). Unfortunately, it is not possible to use a credit card or any foreign debet card other than Maestro’s or VPay’s. When paying cash, we kindly request to bring the change as exact as possible.

When and in what way will I receive my results?

If you get tested early in the day, we usually have your results in by the next day’s afternoon, but at most within two working days after testing. You can check the results online via our test result portal. Click here to check the results of your STD test.

Can I also get treated for STDs at the OneDayClinic?

Yes you can. This is one of the great advantages of the OneDayClinic. If you test positive you can also get your treatment via our clinic. We treat the most common STDs. We can treat you for the most common STDs/STI’s namely: chlamydia, gonorrhea, mycoplasma, trichomoniasis, genital warts and syphilis. So if you test positively for one of the STDs you can get treated at our clinic. Did you test positive for HIV, hepatitis B or C? This often requires more follow-up. Therefor we will get you in contact with the GGD (Dutch community health services) or the local hospital.

Why do an STD test at the OneDayClinic and not at your general practitioner or the GGD?

There are multiple advantages to doing an anonymous STD test at the OneDayClinic compared to an STD test at your general practitioner (GP) or the GGD (Dutch community health services). Our tests are performed entirely anonymous, our clinics are discretely localized, we offer the tests at a lower price than the GP, there is no wait time (get tested today!), you can get the results within two working days (but often even already the next day) and we have flexible opening hours. We are often open in the evenings as well as the weekend.

For more information about doing an STD test with us, instead of the GP or GGD read the following articles: STD testing at the OneDayClinic instead of your GP and STD testing at the GGD (free testing, or not?).

Is an STD home test just as reliable as a test at one of our clinics?

No, an STD home test is more often unreliable than reliable. The biggest Dutch public health organisation concerned with STDs and HIV: SOAAids Nederland, works with the GGD and Sense to make sure Dutch sexual health care is well organized and high of quality. They advise not to perform an STD home test but to make an appointment for an STD test with a doctor.

In a combined investigation by SOAAids Nederland and the RIVM, translated as the National Institute for Public Health and the Environment; Ministry of Health, Welfare and Sport, showed that only 25% of the sold STD home tests were reliable. In other words three out of four home tests offered only are found to be too unreliable.

All tests performed by the OneDayClinic are performed by a specialised doctor and gets tested by a certified laboratory. An anonymous STD test at the OneDayClinic has the same quality as an STD test done by a general practitioner, GGD (Dutch community health services) or the hospital.

Read more about this in our blog about STD home tests.

Where is the OneDayClinic located?

Currently the OneDayClinic is located in Amsterdam, Utrecht, Den Bosch, Rotterdam and Nijmegen.

What type of HIV test does the OneDayClinic perform?

The HIV test performed by the OneDayClinic for HIV/Aids is the fourth generation HIV test. This HIV test is an STD test that responds on the HIV virus, on the soon appearing HIV antibodies and on the antibodies that show up only after a while (after four to eight weeks following the infection).  This test can be done after four weeks and provides a preliminary result. The test is fully reliable after 12 weeks.

How is my anonymity protected at the OneDayClinic?

Every OneDayClinic is localized in a discrete environment. Thus making it easier for you to enter the building without getting recognized.

Would you like to make an appointment? That is possible via phone as well as online. You can make an appointment based on a first name. This however does not have to be your real first name. The same goes for the actual appointment. You do not need to give us your real name or identify yourself. The test can be performed with an alias and is therefor completely anonymous. We only write down the necessary information (like symptoms or time between unsafe contact and the date of the test etc.). The test can never be traced back to you. If you would like to, you can even pay cash, preventing a digital transaction.

The results can be passed on to you via the method you prefer. You can choose to get the results of your anonymous STD test via phone. In which case you can either call us, or we can call you whichever way you prefer. You can get the results via a text or an email. So would you like to leave no data at all you can call us for an appointment and afterwards call us for the results at a with you pre-selected time.

How does the OneDayClinic guarantee you the best in quality, safety and reliability?

All of our locations are discretely located in a medical centre. Making these locations perfectly suited for medical practice. Our locations offer all the necessities for the performance of an STD test. Each location has their own separate bathrooms provided with full supplies for disinfection. All our treatment rooms are provided with running water. Therefor if you do need a physical inspection you can freshen up or wash your hands after the procedure. All our doctor’s offices are soundproof and are visually closed off from the outside world. Guaranteeing you the utmost discretion and anonymity regarding your visit.

Every OneDayClinic in addition meets the highest requirements on quality, safety and reliability. The guidelines we use are the same as are used by the Dutch general practitioners. These guidelines are written by the NHG, Nederlandse Huisartsen Genootschap, translated as the Dutch general practitioners society as well as the RIVM, translated as the National Institute for Public Health and the Environment; Ministry of Health, Welfare and Sport.

All materials are handled with the utmost care and are processed with gloves. Blood collection is done with sterile tubes and sterile sealed needles, which are, not more than logically, discarded directly after use. All materials are then labeled with a barcode and accurately coupled to your laboratory application form. Guaranteeing that an accidental exchange can never happen.

Our laboratory has ISO-certification. This certification is provided by the RVA, Raad voor Accreditatie, translated as the Dutch accreditation council. This certification is only given to laboratory that abide by the high quality and expertise as described in these strict ISO guidelines.  A test done by the OneDayClinic provides you with a test of the same quality as a test done by a general practitioner, GGD (Dutch community health services) or the hospital.

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