Urology Tests: What STD Screenings Are Included? - Urology

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Hello Director Lai: May I ask what tests are included in the blood and urine tests when you visit the urology department? Do they include HIV testing and other sexually transmitted disease screenings? I have had risky sexual behavior in the past and have been worried about potential STIs.
I have previously visited your clinic and had blood and urine tests; what sexually transmitted infections are screened in those tests? Thank you for your response.

Xiao J, 20~29 year old female. Ask Date: 2009/01/20

Dr. Lai Ronghao reply Urology


The blood test items are comprehensive and tailored to the patient's condition, with specific tests for sexually transmitted diseases.
However, these tests will only be ordered after consultation with a physician in the outpatient setting.

Reply Date: 2009/01/20

More Info


When it comes to understanding urology tests, particularly those related to sexually transmitted diseases (STDs), it's essential to know what specific screenings are typically included in a urology consultation. In a standard urology visit where blood and urine tests are performed, several key tests may be conducted to screen for STDs, including but not limited to:
1. HIV Testing: This is often included in routine screenings, especially if there is a history of risky sexual behavior. The test detects the presence of the HIV virus in the blood.

2. Chlamydia and Gonorrhea Testing: These are common bacterial STDs that can be screened through urine tests. A urine sample can be tested for the presence of these infections, which are often asymptomatic but can lead to serious health issues if left untreated.

3. Syphilis Testing: This is usually done through a blood test. Syphilis can have serious long-term effects if not treated, so screening is crucial, especially for individuals with a history of unprotected sex.

4. Hepatitis Testing: Hepatitis B and C can also be screened through blood tests. These viruses can be transmitted through sexual contact and can lead to chronic liver disease.

5. Herpes Simplex Virus (HSV) Testing: While not always included in routine screenings, tests for HSV can be performed if there are symptoms or a known exposure.

6. Trichomoniasis Testing: This is another STD that can be tested through urine or swab samples, although it is less commonly screened for in routine tests.

The specific tests performed can vary based on the healthcare provider's protocols, the patient's history, and the symptoms presented. It is crucial to communicate openly with your healthcare provider about any concerns regarding potential exposure to STDs. If you have had risky sexual encounters, it is advisable to request comprehensive testing for STDs, including HIV, especially if you are experiencing symptoms such as unusual discharge, pain during urination, or sores.

In addition to the tests mentioned, urine tests can also provide valuable information about kidney function and urinary tract health. For instance, a urinalysis can reveal the presence of blood, protein, or bacteria, which may indicate infections or other underlying conditions.

It's important to note that while urine tests can be effective for certain STDs, some infections may require blood tests for accurate diagnosis. Therefore, if you have specific concerns about STDs, it is best to discuss these with your urologist, who can tailor the testing to your individual needs.

In summary, during a urology visit, you can expect a range of tests that may include screenings for HIV, chlamydia, gonorrhea, syphilis, hepatitis, and possibly herpes and trichomoniasis. If you have concerns about your sexual health, do not hesitate to bring them up with your healthcare provider to ensure you receive the appropriate tests and follow-up care. Regular screenings are an essential part of maintaining sexual health, especially after engaging in high-risk behaviors.

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