We have seen a patient who presented with a painless ulcer in an unusual place on their body. Having referred them to see a dermatologist we then ran routine STD tests and found a positive syphilis test which explains the origin of this ulcer. The corollary of this is that often patients with symptoms of diabetes present to a private std clinic because their symptoms-including frequency of micturition- can easily be mistaken for a sexually transmitted illness when it is, in fact, due the the glycosuria of diabetes.
Having doctors who are trained both in general medicine and sexual health is helpful to keep an open mind while thinking about the patient’s presenting symptoms. Our Full Sexual Health Screen includes same day results for HIV, Hepatitis B, Syphilis, Chlamydia, NSU and Gonorrhoea. We have also found a number of positive cases of mycoplasma genetalium recently.