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Although NAATs are well-known for their accuracy and sensitivity in detecting most STDs, it is also subject to certain inconsistencies, especially in the case of herpes infections. In Herpes, outbreaks often result in a relative increase in the patient’s viral load – leading to a timeline that usually has specific peaks at certain intervals instead of a consistent rise in viral load throughout. As such, sensitive tests such as NAATs are still unable to accurately diagnose herpes conditions, especially in cases where the patient has recently become asymptomatic and is currently between outbreaks. Other tests such as culture testing and type-specific virologic tests are often employed instead as a confirmatory diagnosis for the patient’s condition.
Similar to what was previously mentioned, herpes infections are known for their recurring tendencies – causing outbreaks now and then and thus causing an intermittent spike in the patient’s viral load for specific instances. In addition to that, other STDs also take time to proliferate and produce a sufficient viral load that could warrant a positive and, more importantly, accurate diagnosis and detection from the tests being administered. As such, detecting an STD a few days following exposure is often complex and unpredictable – leading physicians to follow a certain timeframe instead for testing STDs instead of blindly testing immediately following exposure. Physical exams, however, may supplement inaccurate laboratory diagnoses, especially in cases where the test is prone to false results.
Contrary to how many people believe that STDs only affect the genitalia and the area around it, STDs infect multiple organs of the body, depending on how severe and extensive the condition already is. For instance, it mainly infects mucosal parts of the body – leading to infections that may be as extensive as those that affect the mouth, eyes, and deeper structures of the reproductive and urinary tract. In such cases where the condition has already invaded multiple organs, complications commonly arise – leading to more severe damages that are often irreversible.
A nucleic acid amplification test is a laboratory procedure that professionals often perform to make detecting a particular nucleic acid or gene being targeted easier and more convenient while still ensuring that the sample being collected is relatively minimal. Nucleic acid amplification tests, or NAATs, are usually the mainstay diagnostic test for most STDs due to their ability to detect the presence of pathogenic nucleic acids and genes in the patient sample with utmost accuracy and speed. NAATs depends on their ability to replicate the target RNA and DNA to create numerous copies – resulting in an increased convenience in the detection of the desired molecules instead of trying to either blindly look for one strand in a minuscule sample or collecting a large sample that could make the patient uncomfortable throughout the process. Although NAATs are often preferred for a more conclusive diagnosis of STDs, certain exceptions such as the availability of resources and instances of intermittent viral shedding could make NAATs less desirable than other tests. Fret not, however, as your physician is knowledgeable regarding these instances and would often request the best diagnostic procedure for your instances.
Absolutely not. Considering the world's current situation, mindlessly using antibiotics is perhaps the worst thing that one can do in resolving their potential conditions without any diagnostic test performed to confirm or contradict one’s initial findings. Antibiotics are precious resources that are now subject to increasing resistances due to years of improper and unnecessary use of its mechanisms – allowing bacteria to adapt to its process and thus, rendering it ineffective for future utilizations. Using any antibiotic as an assumed “prophylactic” treatment for a potential STD could only precipitate one of two things: the antibiotic is suitable for the disease but is taken improperly, or the antibiotic is ineffective to the underlying condition. Both instances could trigger resistance mechanisms in the various microorganisms present in the body, producing more harm than good in the long run.
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