STI Testing: Should I Get Tested For a Sexually Transmitted Infection
What is a Decision Point?
STI Testing: Should I Get Tested For a Sexually Transmitted Infection?You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. STI Testing: Should I Get Tested For a Sexually Transmitted Infection? Get the facts Your options
This choice isn't for you if you believe you've been exposed to an STI or you have symptoms of an STI. You need to have a test as soon as possible. This topic doesn't cover decisions about testing for HIV or testing for hepatitis B and C. Key points to remember
FAQs What is an STI?Sexually transmitted infections are diseases spread by sexual contact. Some of the most common STIs are:
Left untreated, some STIs can lead to serious problems. For example:
How are STIs treated?Treatment is available for all sexually transmitted infections (STIs) to relieve symptoms, even if a cure isn't possible. Some of the most common STIs—chlamydia, gonorrhea, and syphilis—are caused by bacteria and are treated and cured with antibiotics. STIs caused by viruses, such as genital herpes and genital warts, aren't cured with antibiotics. But treatments are available to relieve symptoms. What STI tests do experts recommend be done routinely?Having a routine STI test means getting tested even though you don't have symptoms of an infection. Experts say that certain groups should be routinely tested for certain STIs. Some expert opinions may vary, and your doctor may recommend testing based on your personal history. Chlamydia The U.S. Preventive Services Task Force (USPSTF) recommends a chlamydia test for all high-risk nonpregnant and pregnant women. You have a high risk of getting chlamydia if:
Gonorrhea The USPSTF recommends a gonorrhea test for all high-risk nonpregnant and pregnant women. You have a high risk of getting gonorrhea if:
Syphilis The USPSTF recommends a syphilis test for all men and women at high risk and all pregnant women. You have a high risk of getting syphilis if you:
What are the tests for STIs?Tests for STIs are fairly simple. If you have a test for chlamydia or gonorrhea, a nurse or doctor will test for bacteria that cause the infections. You may have a urine test, or the doctor may take a sample of body fluid from the throat, inside the tip of the penis, or inside the rectum or vagina. A gonorrhea culture test also may be done to see if the bacteria are resistant to antibiotics. A syphilis test looks for antibodies to the bacteria that cause syphilis. Your doctor may do a blood test or may test body fluid or tissue. A follow-up test may be done to confirm the infection. What are the benefits of getting tested?Getting tested can help find an infection early or when you have no symptoms. This is important so that:
What are the risks of getting tested?
Why might your doctor recommend that you get tested?Your doctor may want you to be tested if:
Compare your options Compare
Get tested for STIs
Get tested for STIs
Don't get tested for STIs
Don't get tested for STIs
Personal stories Are you interested in what others decided to do? Many people have faced this decision. These personal stories may help you decide. Personal stories about considering STI testingThese stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. I just broke up with my partner. I thought we were in a monogamous relationship. But then I found out he was having sex with other people while we were together. I have an appointment to get tested right away. I don't want to risk giving an infection to someone else. Jason, age 20 I'm a newlywed and just found out I'm pregnant! My doctor says I'll need to have an STI test, and I think that's crazy because I know my husband is faithful to me. But my doctor said all pregnant women should be tested, so I'm going to do it. I want to make sure that I have a healthy pregnancy and a healthy baby. Serena, age 23 I had a test several months ago, and it was negative. I haven't had symptoms of any STIs since. I'm not in a relationship, and I haven't had sex with anyone since the test, so I don't think a test is necessary for me now. Heather, age 30 I don't plan to have a test now. My doctor says I'm at pretty low risk since I haven't had sex with anyone since my wife and I split up a few years ago. But if I meet someone, I may do it and ask her to do the same. I think it would be a pretty hard conversation to have, though. Bob, age 45 What matters most to you? Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. Reasons to get tested for STIs Reasons not to get tested for STIs I'm in a high-risk group for getting an STI. I don't think I have a high risk of getting an STI. More important Equally important More important I'm worried that I could have an STI that doesn't cause symptoms. I have no reason to think that I might have an STI. More important Equally important More important I'm worried that if I have an STI and don't get treatment, I could have serious problems. I don't believe that I need treatment for an STI. More important Equally important More important I want to be sure I'm not spreading an STI to anyone. I don't think there's any chance I could be spreading an infection to anyone. More important Equally important More important I'm not worried that I could have a false-positive or false-negative test result. I am worried about having a false-positive or false-negative test result. More important Equally important More important I feel that I could tell my sex partner(s) that I'm going to have a test. I'm worried that if I tell my sex partner(s) I'm going to have a test, it would affect our relationship. More important Equally important More important My other important reasons: My other important reasons: More important Equally important More important Where are you leaning now? Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Having an STI test NOT having an STI test Leaning toward Undecided Leaning toward What else do you need to make your decision? Check the facts 1.
If I don't have any symptoms of an STI, I don't need a test.
2.
If I'm a woman and don't know if I have an infection, I could spread it to others and develop serious problems if I don't get treatment.
3.
If I'm younger than 25, I need an STI test, because everyone that age has a high risk for getting an STI.
Decide what's next 1.
Do you understand the options available to you? 2.
Are you clear about which benefits and side effects matter most to you? 3.
Do you have enough support and advice from others to make a choice? Certainty 1.
How sure do you feel right now about your decision? Not sure at all Somewhat sure Very sure 2.
Check what you need to do before you make this decision. 3.
Use the following space to list questions, concerns, and next steps. Your Summary Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. Your decisionNext steps Which way you're leaning How sure you are Your comments Your knowledge of the factsKey concepts that you understood Key concepts that may need review Getting ready to actPatient choices CreditsCredits
You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. STI Testing: Should I Get Tested For a Sexually Transmitted Infection?Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.
1. Get the factsYour options
This choice isn't for you if you believe you've been exposed to an STI or you have symptoms of an STI. You need to have a test as soon as possible. This topic doesn't cover decisions about testing for HIV or testing for hepatitis B and C. Key points to remember
FAQs What is an STI?Sexually transmitted infections are diseases spread by sexual contact. Some of the most common STIs are:
Left untreated, some STIs can lead to serious problems. For example:
How are STIs treated?Treatment is available for all sexually transmitted infections (STIs) to relieve symptoms, even if a cure isn't possible. Some of the most common STIs—chlamydia, gonorrhea, and syphilis—are caused by bacteria and are treated and cured with antibiotics. STIs caused by viruses, such as genital herpes and genital warts, aren't cured with antibiotics. But treatments are available to relieve symptoms. What STI tests do experts recommend be done routinely?Having a routine STI test means getting tested even though you don't have symptoms of an infection. Experts say that certain groups should be routinely tested for certain STIs. Some expert opinions may vary, and your doctor may recommend testing based on your personal history. Chlamydia The U.S. Preventive Services Task Force (USPSTF) recommends a chlamydia test for all high-risk nonpregnant and pregnant women. You have a high risk of getting chlamydia if:
Gonorrhea The USPSTF recommends a gonorrhea test for all high-risk nonpregnant and pregnant women. You have a high risk of getting gonorrhea if:
Syphilis The USPSTF recommends a syphilis test for all men and women at high risk and all pregnant women. You have a high risk of getting syphilis if you:
What are the tests for STIs?Tests for STIs are fairly simple. If you have a test for chlamydia or gonorrhea, a nurse or doctor will test for bacteria that cause the infections. You may have a urine test, or the doctor may take a sample of body fluid from the throat, inside the tip of the penis, or inside the rectum or vagina. A gonorrhea culture test also may be done to see if the bacteria are resistant to antibiotics. A syphilis test looks for antibodies to the bacteria that cause syphilis. Your doctor may do a blood test or may test body fluid or tissue. A follow-up test may be done to confirm the infection. What are the benefits of getting tested?Getting tested can help find an infection early or when you have no symptoms. This is important so that:
What are the risks of getting tested?
Why might your doctor recommend that you get tested?Your doctor may want you to be tested if:
2. Compare your options
Personal storiesAre you interested in what others decided to do? Many people have faced this decision. These personal stories may help you decide. Personal stories about considering STI testingThese stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. "I just broke up with my partner. I thought we were in a monogamous relationship. But then I found out he was having sex with other people while we were together. I have an appointment to get tested right away. I don't want to risk giving an infection to someone else." — Jason, age 20 "I'm a newlywed and just found out I'm pregnant! My doctor says I'll need to have an STI test, and I think that's crazy because I know my husband is faithful to me. But my doctor said all pregnant women should be tested, so I'm going to do it. I want to make sure that I have a healthy pregnancy and a healthy baby." — Serena, age 23 "I had a test several months ago, and it was negative. I haven't had symptoms of any STIs since. I'm not in a relationship, and I haven't had sex with anyone since the test, so I don't think a test is necessary for me now." — Heather, age 30 "I don't plan to have a test now. My doctor says I'm at pretty low risk since I haven't had sex with anyone since my wife and I split up a few years ago. But if I meet someone, I may do it and ask her to do the same. I think it would be a pretty hard conversation to have, though." — Bob, age 45 3. What matters most to you?Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. Reasons to get tested for STIs Reasons not to get tested for STIs I'm in a high-risk group for getting an STI. I don't think I have a high risk of getting an STI. More important Equally important More important I'm worried that I could have an STI that doesn't cause symptoms. I have no reason to think that I might have an STI. More important Equally important More important I'm worried that if I have an STI and don't get treatment, I could have serious problems. I don't believe that I need treatment for an STI. More important Equally important More important I want to be sure I'm not spreading an STI to anyone. I don't think there's any chance I could be spreading an infection to anyone. More important Equally important More important I'm not worried that I could have a false-positive or false-negative test result. I am worried about having a false-positive or false-negative test result. More important Equally important More important I feel that I could tell my sex partner(s) that I'm going to have a test. I'm worried that if I tell my sex partner(s) I'm going to have a test, it would affect our relationship. More important Equally important More important My other important reasons: My other important reasons: More important Equally important More important 4. Where are you leaning now?Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Having an STI test NOT having an STI test Leaning toward Undecided Leaning toward 5. What else do you need to make your decision?Check the facts1. If I don't have any symptoms of an STI, I don't need a test.
That's right. Some STIs don't cause symptoms, especially in women. Experts recommend that sexually active women who are younger than 25, as well as others at high risk, have routine STI testing.
2. If I'm a woman and don't know if I have an infection, I could spread it to others and develop serious problems if I don't get treatment.
Yes, that's right. Untreated STIs can lead to serious problems in women, including pelvic inflammatory disease and infertility. A pregnant woman also can pass the infection to her newborn.
3. If I'm younger than 25, I need an STI test, because everyone that age has a high risk for getting an STI.
Yes, you're right. People younger than 25 have a higher risk of getting an STI if they are sexually active and have other risk factors. If you've never had sex or have discussed your risk with your doctor, you may not need a test.
Decide what's next1. Do you understand the options available to you? 2. Are you clear about which benefits and side effects matter most to you? 3. Do you have enough support and advice from others to make a choice? Certainty1. How sure do you feel right now about your decision? Not sure at all Somewhat sure Very sure 2. Check what you need to do before you make this decision.
3. Use the following space to list questions, concerns, and next steps. Credits
Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version. Last Revised: August 24, 2011 Author: Healthwise Staff Medical Review: Sarah Marshall, MD - Family Medicine & Adam Husney, MD - Family Medicine & Peter Shalit, MD, PhD - Internal Medicine eMedicineHealth Medical Reference from Healthwise
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions. To learn more visit Healthwise.org © 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. |
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