At My Brazilian Doctor, we understand that dealing with Sexually Transmitted Infections (STIs) can be a sensitive and often urgent matter. That's why we offer convenient, confidential same-day teleconsultations, 7 days a week. We are here to assist you in testing, prescribing treatment, and preventing STIs, no matter where you are in Brazil.
Skip the queues, language barriers, and the inconvenience of commuting with telemedicine for STI care.
When it comes to treating STIs, My Brazilian Doctor adopts the approach based on Syndromic Management which is based in evidences and in accordance with International Protocols. It means is it possible to prescribe medications safelly based on your symptoms, allowing immediate treatment and not delaying until lab tests are available and ready to be released.
These medications are readily available at pharmacies across Brazil, making it easier for you to get started on your treatment when you receive an online prescription note, immediatelly after your videoconsultation. This document is signed with a digital certificate and is valid on any pharmacies in Brazil.
It is important to mention that antibiotics are instantly available at pharmacies in Brazil if you have a medical prescription issued by a local doctor, eliminating the wait often required in other countries.
If your treatment requires an antibiotic injection, we can prescribe it and assist in locating a place for administration. In some locations across Brazil, health professionals in pharmacies can administer the injection, or we can guide you to a nearby health center where you can receive it free of charge. To facilitate communication and expedite the process, we can provide a referral letter in Portuguese.
Additionally, in certain areas, it's possible to arrange for a nurse to apply the injection at your location, though this may incur an additional fee. While most STD treatments offer oral antibiotic alternatives, injections are primarily necessary for Syphilis treatment or if you prefer intramuscular administration.
Concurrently, we'll also request laboratory tests as soon as you can get access to it, and confirm the diagnosis and tailor future additional interventions.
Syndromic Management for STIs is an evidence-based approach that is widespread by many trustworthy institutions, including World Health Organization.
Gonorrhea treatment is essential and should not be delayed. If you test positive for gonorrhea or present symptoms consistent with urethral syndrome—such as burning sensations during urination and unusual discharge—immediate treatment is recommended and the first option of antibiotic is Ceftriaxone (oral medications can be prescribed alternatively). International guidelines advise against postponing treatment or waiting for test results, which in Brazil typically take 4-5 days to be released. At My Brazilian Doctor, we ensure prompt care by providing a same-day digital prescription. This allows you to start your treatment without delay, ensuring effective management of the infection and reducing the discomfort and risk of complications.
Syphilis treatment should be promptly considered if you experience genital sores or ulcers, as well as general symptoms like skin rash, tiredness, and headaches. Diagnosis can be done through conventional lab tests, which require a medical request that we send digitally, or through rapid tests available at specific pharmacies in Brazil. Treatment for syphilis involves a penicillin shot, which can be prescribed electronically. Depending on your location, we can guide you to the nearest facility to receive the injection. If a rapid test is available, you can start your syphilis treatment on the same day, ensuring timely and effective care.
If you notice pimples or sores on your penis, vagina, or anus, it could be a sign of genital herpes. While lab tests for herpes are not mandatory, they can be done to confirm the diagnosis and guide follow-up interventions. However, treatment for genital herpes can and should start even without test results. Testing can involve a swab from the sores or blisters or a blood sample to detect antibodies. However, antibodies may not appear until three to six months after the initial outbreak, making early testing less useful. Treatment is most effective when started in the first days of symptoms or as soon as possible. Pain management is also crucial, as the pain, often described as a burning sensation, can be intense and may require mild or strong painkillers. The primary antiviral drugs used for treatment are Acyclovir and Valaciclovir. In Brazil, you can receive a digital prescription for these medications and start your treatment on the same day.
Chlamydia treatment at My Brazilian Doctor is initiated based on a positive test result from an STD Panel, which analyzes urine or genital discharge samples. If you experience symptoms such as burning during urination, it is crucial to get tested. Upon confirmation, the first-choice antibiotic for treating chlamydia is Azithromycin. Our services enable you to receive a digital prescription, ensuring that you can start your treatment on the same day. This streamlined process provides prompt and effective care, helping to alleviate symptoms and prevent further complications.
During your consultation, the doctor will evaluate your symptoms and risk factors to determine what tests are appropriate for you, always considering STI prevalence in Brazil.
Sometimes it can seems that test request is simple, however, It is important to remember that there is a wide range of STDs tests and methods considering different infections and methods used.
That is why labs in Brazil require a medical request indicating what is the specific test to be done. This avoid a present infection not being detected (false-positive) or preventing waste of time and money doing a wrong test.
With a teleconsultation our doctor will identify the tests recommended, and you will receive a digitally signed medical request, enabling you to get the best option test for your case.
Depending on the specific STI, tests may include blood, urine, or secretion samples (if they are present). Some diseases can be tested through swabs, which can be urethral, vaginal, anal or from the through, considering sexual activity and the human sexual diversity. That is one more reason it is important the test to be specific and chosing the right options should count with a trained health professional.
The choice of test also depends if symptoms are present of not, and the time elapsed since the unprotected sexual encounter.
Conveniently, we can identify labs close to your location in Brazil to streamline the testing process. It's essential to note that Brazilian laboratories require a medical request to proceed with any STI testing.
When your results are released you will have a follow-up contact with our doctor (without any extra cost) to fully understand it and check if any other measures are required. All the assistance provide will be in English ensuring full understanding and avoiding mistakes.
While treatment and testing are crucial, prevention is the best medicine. At My Brazilian Doctor consultation the doctor can identify and prescribe useful vaccinations tailored to your profile against certain STIs (such as HPV and Hepatitis A & B Vaccine). HPV vaccination is beneficial to prevent HPV strains related to increased risk of cancers. If you had a recent sexual contact without protection we can also help you to start PEP (Post-Exposure Prophylaxis) and we can assist you on the process to access these drugs.
Let My Brazilian Doctor be your trusted partner in STI management, offering a comprehensive, confidential, and convenient service.
If you want further reading...
Navigating the healthcare landscape in Brazil for sexually transmitted diseases (STDs) can be challenging, yet knowing your options is crucial for effective diagnosis and treatment. In Brazil, the concept of an STD Testing Center is usually available only on the public health system and is not common in the private sector. Therefore, if you are searching for "STD Testing near me" and not finding conclusive results, it is not your fault: it can be challenging to find everything in one place in Brazil. This guide aims to elucidate the healthcare avenues available to those seeking STD care, highlighting the pros and cons of each to help you make an informed decision.
Brazil's public health system offers free services at public hospitals. While cost-effective, these facilities often grapple with overcrowding and extended wait times, especially for non-emergency conditions like STDs. The diverse patient intake—ranging from clinical emergencies to trauma victims—creates a high-stress environment. Non-priority cases, such as STDs, may face delays. Additionally, language barriers and bureaucratic hurdles for foreigners, including registration processes, can complicate access. Medical staff, particularly in emergency departments, may lack specialized training in STDs and English language proficiency, potentially hindering accurate diagnosis and timely treatment.
Brazil's Unified Health System (Sistema Único de Saúde – SUS) operates sexual health clinics offering testing for critical STDs such as HIV, Syphilis, and Hepatitis B and C. These outpatient services provide free rapid tests and are a cornerstone in managing chronic sexual diseases, including medication distribution for HIV, so frequently these health unit are called Centers of STD/SIDA. Despite their accessibility, high demand leads to crowding. Foreigners may face obstacles such as language barriers and the necessity of obtaining a SUS Card (Cartão SUS), which can be a time-consuming process fraught with bureaucratic challenges.
Opting for a private hospital can reduce waiting times and offer a more comfortable environment. However, similar challenges persist, including registration difficulties without a Brazilian CPF, language barriers, and the potential for misdiagnosis due to a lack of STD specialization among emergency physicians. Private healthcare comes with high costs and often involves unnecessary laboratory tests. Continuity of care may also be compromised, as follow-up visits are typically not with the same doctor, leading to communication gaps and further challenges in managing your health.
For those seeking a more personalized approach, private doctors' offices are available, albeit with prior appointment scheduling required. This option often faces barriers, such as language limitations during booking processes done by phone or WhatsApp, and usually don't offer same-day appointments. The availability of specialized care varies by city, and it's crucial to verify the doctor's expertise in STDs beforehand. While offering the advantage of focused attention, private consultations are costly, ranging from $100 to $160. English language proficiency among medical professionals are not easily found, potentially impacting the quality of diagnosis and treatment due to communication challenges.
A urologist is a medical specialist focused on diagnosing and treating conditions related to the urinary system, which includes not only the urinary tract but also the reproductive organs and adrenal glands. This specialization allows urologists to handle both surgical and medical aspects of urologic diseases. While General Practitioners or Family Physicians can effectively manage many sexually transmitted diseases (STDs) based on international health guidelines, there are special circumstances where a consultation with a urologist might be necessary.
For most cases of STDs, Family doctors or General Practitioners provide efficiently and timely treatment. If complications arising from STDs, such as prostatitis or epididymitis, the specialized expertise of a urologist can be required to ensure comprehensive care and management. These conditions can involve more complex aspects of the urinary and reproductive systems, necessitating a higher level of specialized interventions and treatment strategies that a urologist can offer.
In Brazil, accessing a urologist or any specialist who speaks fluent English may pose a challenge, making it essential for expatriates and international visitors to find a healthcare provider with whom they can communicate effectively. Clear communication is crucial not only for diagnosing the condition accurately but also for ensuring effective treatment.
In light of the complexities and hurdles presented by traditional healthcare paths in Brazil, teleconsultation with My Brazilian Doctor emerges as a remarkably efficient alternative. This service revolutionizes access to STD care by offering easy booking, prompt telemedicine consultations. Patients can secure same-day appointments with English-speaking doctors licensed in Brazil, who are equipped to prescribe necessary treatments.
Following the consultation, an electronic prescription is immediately provided, valid at any pharmacy across the country. This eliminates the often stressfull and uncomfortable waiting period of 4-5 days for test results, allowing for treatment to commence in accordance with international protocols if symptoms are present. Lab tests can be indicated, before or after the treatment, and a medical electronic request will also be provided and we can assist how to find the closest lab on the city you are staying in Brazil.
Thus, My Brazilian Doctor's teleconsultation service not only streamlines the process of obtaining medical care but also ensures that barriers such as language, waiting times, and access to specialized care are effectively addressed, making it a standout choice for managing STD care in Brazil.
Responsible for the content:
Dr. Fabio L Vieira is a Family Physician licensed to practice in Brazil, with over two decades of experience in both Brazilian and UK healthcare systems. Besides his medical background in Brazil, he completed part of his academic training in the UK, holding a master's degree in International Health Management from Imperial College London. As a General Practitioner, he has developed a close interest in Sexually Transmitted Infections due to their prevalence and impact, and he is committed to researching effective treatments and preventive strategies for STDs. Dr. Vieira acts as a Guest Lecturer at UNESP, contributing to the university's Family Doctors training program. He is the principal consultant at My Brazilian Doctor, providing personalized care for English-speaking visitors and expatriates in Brazil. To contact him directly, please email fabio.vieira16@alumni.imperial.ac.uk and for general enquiries info@mybraziliandoctor.com.
References:
1. World Health Organization (WHO). (2021). *WHO guidelines on physical activity and sedentary behaviour: At a glance*. World Health Organization.
https://www.who.int/publications/i/item/9789240024168
2. Miranda AE, Freitas FLS, Passos MRL, Lopez MAA, Pereira GFM. Public policies on sexually transmitted infections in Brazil. Rev Soc Bras Med Trop. 2021 May 17;54(suppl 1):e2020611. doi: 10.1590/0037-8682-611-2020. PMID: 34008725; PMCID: PMC8210478. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8210478/
3. National Cancer Institute (NCI). (n.d.). *HPV and cancer*. National Institutes of Health. https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/hpv-and-cancer
My Brazilian Doctor is part of SEHTA (Science and Engineering Health Technologies Alliance), a global network based in the UK of over 1,400 members dedicated to advancing healthcare innovation. As a member of SEHTA, we are committed to leveraging their support and proven track record to accelerate the development of innovative healthcare solutions. This partnership reinforces our mission to deliver reliable healthcare services and improve patient outcomes worldwide.
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