Who Needs an STD Test and How Often?
The number of people diagnosed with an STD, or sexually transmitted disease, has increased steadily over the last decade, except when cases of chlamydia dipped due to COVID-19. STDs, also called STIs or sexually transmitted infections, in some cases, have no symptoms. So, the only way you know if you have one is through a test.
STDs are passed on primarily through sexual activity, which includes vaginal, anal, or oral sex. They affect both sexually active men and women.
At Sima Stein, MD, board-certified pediatrician Dr. Stein counsels teens and young adults about STD testing, symptoms, and risk factors. If you wonder about getting tested, we explain the different types of STDs, who should get tested for them, and how often.
Common STDs and their symptoms
The most common STDs are Human papillomavirus (HPV) infection, chlamydia, gonorrhea, syphilis, and HIV. In fact, studies show that about one-quarter of all sexually active young women have an STD, such as chlamydia or HPV.
If left untreated, many STDs can cause long-term problems. For example, untreated gonorrhea or chlamydia can make it difficult for women to get pregnant.
Symptoms, which can take several weeks to show up after unprotected sexual activity, may include:
- Discharge from your vagina, anus, or penis
- Pain when urinating
- Lumps or bumps near your genitals or anus
- Bleeding
- Itchiness
- A rash
- Sores or warts around your genitals or anus
As mentioned, many people don’t experience any symptoms, which means they can unknowingly transmit an STD.
STD testing
Your annual checkup is a great time to talk to Dr. Stein about getting tested for STDs. Don’t assume, though, that STD tests are part of your child’s annual exam if they’re sexually active. The CDC recommends the following guidelines for STD testing.
HIV
If you’re between the ages of 15 and 65 and sexually active, you should get tested for HIV at least once. Men who have sex with men, have a partner who has HIV, or inject drugs should be tested once a year. Lastly, anyone who thinks they’re at risk of contracting HIV should talk to Dr. Stein about whether to get tested for HIV.
Chlamydia and gonorrhea
Women under 25 outpace men in contracting both chlamydia and gonorrhea, according to recent CDC data. Testing recommendations include:
- Both sexually active young women and men who have sex with men should be tested once a year for both
- Young men who have sex with women should check with Dr. Stein about whether they need to get tested
- Women over 25 should continue getting tested if they have multiple or new partners
We can test anyone for an STD at our office.
Syphilis
Men over 13 who have sex with other men should get tested once a year. However, Dr. Stein may recommend getting tested more often if they have multiple partners.
To learn more about STD testing or treatment, visit Dr. Stein at our San Jose office. Call to schedule an appointment or make one online through our website for confidential and judgment-free information.