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 Specialist Disease Guide · Medically Reviewed

STI ManagementSexually Transmitted Infections — Confidential Diagnosis & Treatment in Surat

Reviewed by Dr. Pratik Savaj, FNB Infectious Diseases, IID Hospital, Surat
Updated: July 2026 · 8 sections · 8 FAQs

At IID Hospital, Surat, Dr. Pratik Savaj provides specialist STI diagnosis and treatment — including antibiotic-resistant gonorrhoea, syphilis, genital herpes, HIV, and complex dual infections — with same-day testing and complete confidentiality guaranteed.

100%Confidential — HIV Act 2017 compliant
1 in 4STIs are asymptomatic — testing is the only way to know
Same DayTest results & specialist consultation at IID Hospital
 Understanding STIs

What Are Sexually Transmitted Infections?

Sexually transmitted infections (STIs) are infections passed primarily through sexual contact — caused by bacteria, viruses, and parasites. They can affect the genitals, rectum, throat, and other organs. The critical fact: many STIs cause no symptoms at all, making specialist testing the only reliable way to know your status.

In India, STI prevalence is significantly underestimated because patients avoid care due to social stigma. Gujarat has a substantial burden of syphilis, gonorrhoea, and genital herpes — all of which are treatable or manageable with correct specialist care.

The most important point: an STI is a medical condition, not a moral failing. Dr. Savaj at IID Hospital provides completely confidential, evidence-based care — identical in approach to how any other infection is managed.

Most STIs are either curable with antibiotics (bacterial) or fully manageable with antivirals (viral). Early diagnosis always leads to significantly better outcomes.
STI specialist consultation IID Hospital Surat
 Types of STIs

Common STIs — Quick Reference

Each STI has a distinct cause, presentation, testing method, and treatment. This table covers the most clinically important STIs seen at IID Hospital, Surat.

STICauseCommon SymptomsCurable?Key Test
GonorrhoeaBacteriaDischarge, burning — often noneYesSwab + culture / PCR
ChlamydiaBacteriaUsually none; discharge, pelvic painYesNAAT / PCR swab
SyphilisBacteriaPainless sore → rash → organ damageYesBlood: TPHA / RPR
Genital HerpesVirus (HSV)Blisters, sores — recurrent episodesManagedSwab PCR + blood
HIVVirusOften none for years; flu-like at onsetManaged4th-gen Ag/Ab test
HPV / WartsVirusGenital warts or none (cancer risk)ManagedClinical exam + Pap
Hepatitis BVirusOften none; jaundice in acute phaseManagedBlood: HBsAg
TrichomoniasisParasiteFrothy discharge, itch, odourYesSwab / wet mount
Drug-resistant gonorrhoea — fluoroquinolone resistance exceeds 80% in India. Culture-guided dual therapy is essential. Never self-medicate with ciprofloxacin.
STI symptoms assessment IID Hospital
 Symptoms

Warning Signs — When to Seek Testing

Most STIs cause no obvious symptoms. When symptoms do appear, these patterns are clinically significant:

Unusual genital discharge — yellow, green, grey, frothy, or foul-smelling suggests gonorrhoea, chlamydia, or trichomoniasis
Sores, ulcers, or blisters — painless ulcer (primary syphilis), painful blisters (herpes), warts (HPV) — each requires different treatment
Burning urination — dysuria with or without discharge; can indicate gonorrhoea, chlamydia, or trichomoniasis
Rash on palms or soles — secondary syphilis presents with a non-itchy maculopapular rash on palms — a distinctive clinical sign
Swollen lymph nodes — inguinal lymphadenopathy in primary syphilis, herpes, and lymphogranuloma venereum (LGV)
Flu-like illness after exposure — HIV seroconversion at 2–6 weeks presents as fever, sore throat, rash — often dismissed as viral fever

 Quick STI Risk Self-Check

Tick any symptoms or exposures you have had in the last 3 months

 Diagnosis

How STIs Are Diagnosed at IID Hospital

Accurate STI diagnosis requires the right test for each infection, ordered by a specialist who understands window periods, clinical presentation, and test limitations.

Clinical Examination

Careful examination of genitals, skin, lymph nodes, and oral cavity. Full history including exposure timeline, symptoms, and partner context — completely confidential.

PCR / NAAT Testing

Gold standard for gonorrhoea and chlamydia — swab from urethra, cervix, rectum, or throat. Far more sensitive than older culture methods. Results in 24–48 hours.

Blood Tests

4th-generation HIV Ag/Ab combo test, TPHA/RPR for syphilis, HBsAg for hepatitis B, hepatitis C antibody. All results discussed privately with Dr. Savaj.

Culture & Sensitivity

Essential for gonorrhoea — determines which antibiotics work for your specific strain. Critical in India given rising fluoroquinolone resistance exceeding 80%.

Full Confidentiality — Our Guarantee

All STI consultations, tests, and results at IID Hospital are completely confidential. Your records are never shared with family members, employers, or any third party without your written consent. We comply fully with the HIV Act 2017 and MCI code of ethics.

 Treatment

STI Treatment — Evidence-Based Protocols

Treatment depends entirely on the specific STI diagnosed. Dr. Savaj follows WHO, BASHH, and NACO guidelines updated for current drug resistance patterns in India.

Bacterial STIs — Curable

Gonorrhoea: Dual therapy — ceftriaxone injection + azithromycin. Culture-guided — never empirical. Fluoroquinolone resistance exceeds 80% in India.

Syphilis: Benzathine penicillin G injection. Early syphilis — single dose. Late or neurosyphilis — extended treatment. Serial RPR titres confirm cure.

Chlamydia: Doxycycline 100mg twice daily for 7 days. Partner treatment is mandatory to prevent reinfection.

Viral STIs — Managed, Not Cured

Genital Herpes: Antiviral therapy (acyclovir/valacyclovir) reduces severity and recurrence frequency. Suppressive therapy reduces transmission by 50%.

HIV: Antiretroviral therapy (ART) — a single daily pill. Patients achieve undetectable viral load: U=U (Undetectable = Untransmittable). Life expectancy near-normal with treatment.

Never self-medicate for STIs. Incorrect antibiotics cause resistance and leave you infectious. Every STI requires a culture-guided protocol.
STI treatment specialist IID Hospital Surat
 HIV Prevention

PEP & PrEP — HIV Prevention at IID Hospital

IID Hospital provides both emergency and ongoing HIV prevention through PEP and PrEP, prescribed and monitored by Dr. Pratik Savaj.

PEP Emergency

Post-Exposure Prophylaxis — a 28-day antiretroviral course taken within 72 hours of potential HIV exposure. The earlier you start, the more effective it is.

Must start within 72 hours — every hour matters
Reduces HIV risk by over 95% when taken correctly
Available same-day at IID Hospital — confidential
Suitable after unprotected sex, needlestick, or assault
 Call Now — PEP is Time-Critical

PrEP Ongoing

Pre-Exposure Prophylaxis — a daily pill for HIV-negative individuals at ongoing risk. Taken consistently, PrEP prevents HIV infection by over 99%.

Recommended for MSM, sex workers, serodiscordant couples
Tenofovir/Emtricitabine — once daily, well-tolerated
Requires HIV testing every 3 months while on PrEP
Prescribed and monitored by Dr. Savaj at IID Hospital
 Prevention

Preventing STIs — Evidence-Based Strategies

STI prevention combines behavioural strategies, medical interventions, and regular testing. These are the current evidence-based approaches for sexually active adults.

Consistent Condom Use

Correct, consistent use of latex or polyurethane condoms reduces transmission risk for gonorrhoea, chlamydia, syphilis, and HIV by 70–90%. Note: condoms do not fully protect against herpes and HPV, which spread through skin contact.

Regular STI Testing

Annual testing recommended for sexually active adults with new or multiple partners. Every 3–6 months for high-risk individuals. Knowing your status is the most important preventive step. Testing at IID Hospital is confidential and same-day.

Vaccination

HPV vaccine (Gardasil-9) prevents 9 high-risk HPV strains responsible for genital warts and cervical cancer — recommended up to age 45. Hepatitis B vaccine — 3-dose series, highly effective for all unvaccinated adults. Both available at IID Hospital.

PrEP for High-Risk Individuals

Daily PrEP (tenofovir/emtricitabine) for HIV-negative individuals at ongoing high risk. Over 99% effective when taken consistently. Prescribed at IID Hospital after baseline HIV testing and kidney function assessment.

Partner Notification & Treatment

If you test positive, all recent sexual partners need to be informed and tested. Reinfection is very common when only one partner is treated. Dr. Savaj can assist with discreet partner notification — your identity does not need to be disclosed.

 Common Questions

STI Questions — Answered Honestly

Yes. STIs including gonorrhoea, syphilis, genital herpes, and chlamydia are increasingly diagnosed across urban Gujarat. Many cases go undetected because patients avoid specialist care due to stigma. IID Hospital provides confidential, non-judgmental STI diagnosis and treatment.

Yes — most STIs are asymptomatic for months or years. Chlamydia (70% of women), gonorrhoea (50%), early syphilis, herpes between outbreaks, and HIV during latency frequently cause no symptoms at all. Testing is the only reliable way to know your status.

Completely. All consultations and test results are fully confidential under Indian medical ethics and the HIV Act 2017. No information is shared without your written consent. You may use a first name only if preferred. Records are never shared with employers, family, or any third party.

Window periods vary: 4th-generation HIV test is reliable at 4 weeks (conclusive at 6 weeks); syphilis at 3–4 weeks; gonorrhoea and chlamydia at 1–2 weeks. For exposure within 72 hours, PEP for HIV may be needed — contact IID Hospital immediately.

PEP (Post-Exposure Prophylaxis) is an emergency 28-day antiretroviral course taken within 72 hours of potential HIV exposure. It reduces HIV risk by over 95% when started promptly. Available at IID Hospital — time is critical, so call as soon as possible.

Bacterial STIs — gonorrhoea, syphilis, chlamydia, trichomoniasis — are curable with correct antibiotics. Viral STIs — herpes, HPV, HIV, hepatitis B — are not curable but are fully manageable. HIV patients on treatment achieve near-normal life expectancy with U=U (Undetectable = Untransmittable).

Partner notification and treatment is strongly recommended — reinfection is common when only one partner is treated. You can attend alone. Dr. Savaj can help with discreet partner notification. Your identity does not need to be disclosed to your partner during this process.

Yes. Fluoroquinolone-resistant gonorrhoea exceeds 80% prevalence in India. Never self-medicate with ciprofloxacin or azithromycin alone. Dr. Savaj uses culture-guided dual therapy — ceftriaxone + azithromycin — per current WHO and BASHH protocols updated for India.

100% Confidential

All STI consultations, tests, and results are completely private. HIV Act 2017 compliant. Nothing shared without your written consent.

Same-Day Testing

Most STI test results available within 24 hours. Walk-in Mon–Sat, 11AM–1PM and 4–6PM. No referral needed.

Ready to Get Tested?

Book a confidential consultation with Dr. Savaj at IID Hospital, Surat

 Book Appointment

Concerned About an STI?
Get Expert, Confidential Diagnosis.

Dr. Pratik Savaj — FNB Infectious Diseases — provides specialist STI management at IID Hospital, Vesu, Surat. No judgement. No referral needed.

IID Hospital — 6th Floor, Solaris Pulse, Vesu Main Road, Near Vijay Laxmi Hall, Vesu, Surat 395007 · Mon–Sat: 11AM–1PM & 4–6PM