Get Tested
for STIs
Most people think they would know if they had a sexually transmitted infection (STI) . . . Wrong!
The truth is many of STIs have no signs or symptoms in the majority of people. Or they have mild signs that can be easily overlooked. This is why the term “disease” (as in STD) is often replaced by infection (or STI).
The only way to know if you have an STI is to get tested.
Lots of people are confused about getting tested for STIs. For example, you may think your annual medical check-up will include tests for STIs, especially if your health care provider knows you are sexually active. The fact is that some providers might test for some infections when you come in for a regular check-up, while others do not test for any STI unless you ask them to.
If you’ve had unprotected sex, have a new partner (or more than one partner), or for any reason are worried you have been exposed to an STI, talk to your health care provider about getting tested be tested for these leading common STIs: chlamydia, gonorrhea, HIV, herpes, syphilis, and trichomoniasis. If your health care provider feels you don’t need to be checked for some of these, you will at least know which ones you were tested for and which ones you were not.
How do STI tests work?
Getting tested can be quick and easy. Depending on what you are being tested for, your provider may take a blood sample, a swab, or ask you to pee in a cup. Easy!
Keep reading to get an idea of what to expect:
How the test is done: Swab of genital area or urine sample
What you also need to know: If you have had oral or anal sex, let your healthcare provider know this also. These sites may be infected, but vaginal or urine samples may not be positive.
How the test is done: Blood test or swab from inside of mouth
What you also need to know: Confidential and anonymous testing options are available in many clinics. The most common HIV tests look for antibodies to the virus. The time between infection and the development of detectable antibodies is called the window period. The window period varies from person to person and also depends upon the type of HIV test.
When a person has no symptoms
How the test is done: Blood test (drawn from arm or a fingerstick)
What you also need to know: Be sure to ask for a type-specific IgG test (not an IgM test)
When a person has symptoms
How the test is done: Swab of affected area; if at first negative for herpes, follow later with blood test to make sure.
What you also need to know: Must be done as soon as possible; “viral culture” test not as accurate after 48 hours. Viral culture also has high rate of false negatives. There is less chance of a false negative result with Nucleic Acid Amplification Testing (NAAT). NAATs are fast, accurate, and can tell if a person has HSV-1 or HSV-2.
How the test is done: Blood test, or sample taken from a sore.
What you also need to know: The CDC recommends all pregnant women be tested for syphilis.
How the test is done: Swab of infected area, physical exam or sample of discharge.
What you also need to know: “Trich” is harder to detect in men than in women.
Low-risk HPV (genital warts)
How the test is done: Visual diagnosis (for genital warts, caused by low-risk HPV)
What you also need to know: Warts can occur in both men and women.
High-risk HPV (cervical cancer)
How the test is done: Regular screening with Pap and/or HPV tests. See more here.
What you also need to know: Pap tests detect cervical cell changes, not HPV. HPV tests indicate infection with the virus itself. No test available for men for these types of HPV.
Where can I get tested?
You can talk to your health care provider about testing, or you can search for a clinic near you at YESmeansTEST.org. Just enter your zip code to find a local testing site.