Sexual Health Resources — Guides, FAQs & Information Practical Information on Infections, Testing, Prevention & Care
A library of practical sexual health resources — condition guides, testing and window-period information, prevention guidance, and honest answers to common questions.
Medically Reviewed Content
Reviewed by: STD Specialist (MBBS, MD - Medicine)
NMC Registration:
Last medical review: June 1, 2026
This content follows evidence-based medical guidelines and is regularly updated to reflect current medical practices.
Reliable Information in Nepal
- Misinformation is common — myths about transmission, testing and treatment circulate; accurate information matters.
- Window periods misunderstood — many patients test too early or trust too-early negatives; timing is explained honestly.
- Self-treatment prevalent — pharmacy antibiotics without testing cause resistance and masking.
- Stigma silences questions — reliable written information reaches patients who cannot yet ask aloud.
What This Page Offers
This page collects practical information patients most often need: what each infection is and how it is tested and treated, how window periods work, how to decide which tests are relevant to an exposure, what prevention options exist, and how confidential services at Thamel Clinic actually work.
The content is deliberately honest rather than reassuring — window periods are stated accurately, accuracy figures are realistic, and difference between what a test can and cannot tell you is made clear. Generic reassurance is not useful; specific, accurate information is.
Resources are for information, not diagnosis. If your question is about your own symptoms, exposure or results, right next step is a confidential consultation — these resources help you know what to expect when you attend.
Condition Guides
Infection-by-infection guides covering what each condition is, how it is tested correctly (which test, which specimen, which timing), what treatment involves, and what happens if it is left alone. Each links to a dedicated page with complete detail.
The collection spans curable bacterial infections (chlamydia, gonorrhea, syphilis, trichomoniasis, chancroid, donovanosis), managed viral infections (HIV, herpes, HPV, hepatitis B and C), skin-to-skin conditions (warts, molluscum, lice, scabies, mpox), and non-infective mimics (bacterial vaginosis, candida, dermatological conditions).
Curable Infections
Chlamydia, gonorrhea, syphilis, trichomoniasis — correctly diagnosed, correctly treated.
Managed Infections
HIV, herpes, HPV, hepatitis — monitored and controlled.
Skin-to-Skin
Warts, molluscum, lice, scabies, mpox — transmission and treatment.
Mimics
BV, candida, dermatological — conditions that look like STIs but are not.
Testing & Window Periods
The window period is time between exposure and reliable detection — single most misunderstood part of testing. Chlamydia and gonorrhea: ~1–2 weeks. HIV fourth-generation: ~2–4 weeks; RNA earlier at ~10–33 days. Syphilis: ~3–12 weeks. Hepatitis: weeks to months. A negative taken inside window is inconclusive — retesting at right interval is answer.
Specimen selection is second misunderstood point: NAAT detects what is in specimen it is given — urine cannot detect a throat or rectal infection. Site-matched testing, where swabs are taken from each exposed site, is complete version.
Window Periods
CT/GC ~1–2wk; HIV ~2–4wk (RNA ~10–33d); syphilis ~3–12wk; hepatitis weeks–months.
Site-Matched
Urine misses most throat/rectal infection — right specimen per site.
Confirmatory Pathway
Reactive screens are confirmed before diagnosis.
Interpreted Results
Every result read against timing and clinical picture.
Prevention Guidance
The highest-value prevention is vaccination — hepatitis B (~95% protective) and HPV (preventing most HPV-driven cancers). For HIV, PrEP is proactive option for ongoing risk and PEP reactive option within ~72 hours.
Beyond biomedical: barrier use correctly applied (with honest limit that skin-to-skin infections like herpes and HPV transmit beyond what barriers cover), screening at right interval for your risk pattern, and partner management that breaks reinfection cycle.
Vaccination
Hepatitis B and HPV — highest-value prevention available.
PrEP & PEP
Proactive and reactive HIV prevention — matched to risk.
Barrier Realism
What condoms and barriers do and do not protect.
Screening as Prevention
Regular testing catches silent infection before harm.
Accessing Care
How services work practically: consultation Rs. 450, test prices confirmed before sampling, results delivered confidentially by your chosen channel, treatment linked to follow-up. No referral is needed.
For urgent situations — a high-risk HIV exposure within ~72 hours, severe pain, pregnancy concerns — pathway is prompt: contact saying it is urgent and you will be seen appropriately.
Booking
Phone, message or online — minimal information needed upfront.
Costs
Transparent — Rs. 450 consultation; tests priced before sampling.
Results
Confidential delivery by your chosen channel.
Urgent
PEP ~72h, severe pain, pregnancy — say it is urgent.
Quick Reference
| Service | What It Includes | Cost (NPR) |
|---|---|---|
| Consultation | Confidential assessment and counselling | Rs. 450 |
| STI testing | Site-matched NAAT and serology | Lab rate |
| Prevention | Vaccination, PrEP, PEP | Per dose/case |
| Treatment | Correct therapy plus follow-up | Per case |
Consultation Rs. 450; tests priced transparently.
Why Thamel Clinic Resources
- Accurate — real window periods, realistic accuracy, honest limitations.
- Complete — conditions, testing, prevention and access in one place.
- Practical — what to do, when, and what to expect — not abstract reassurance.
- Confidential pathway — resources connect to private, professional care.
- Honest — no inflated claims; limits of testing stated plainly.
Frequently Asked Questions
Can I rely on these resources instead of visiting?
They inform but do not diagnose — for your own symptoms or results, a confidential consultation is right step.
What is a window period?
The time between exposure and reliable detection — too-early tests can be falsely negative; retest at right interval.
Why does specimen matter?
NAAT detects what is in sample — urine cannot see throat or rectal infection; site-matched swabs cover them.
Are costs listed accurate?
Consultation is Rs. 450; test prices are confirmed before sampling — transparent, not estimated.
What if I need urgent care?
High-risk exposure within ~72h, severe pain, pregnancy — contact urgently rather than reading further.
Do resources cover everything?
They cover main conditions and pathways — your specific situation may still need a consultation.
Still have questions? Contact us or book an appointment for personalized guidance.
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Last Updated: October 19, 2026 |Clinic: Thamel Clinic |Licensed: Registered