Should I Get Tested for STDs After Unprotected Sex? Here's What to Know - Obstetrics and Gynecology

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I am not sure if I have contracted a sexually transmitted infection (STI)?


Hello doctor, I have only had sexual intercourse with my first boyfriend without using a condom.
He had relations with another girl during that time and then had relations with me afterward.
I am very worried and unsure if I have contracted a sexually transmitted infection (STI).
It has been a month since I last had sexual intercourse, and I have been hesitating about whether to get tested.
Recently, I have been experiencing some pain in both sides of my abdomen, and sometimes my vagina feels itchy, but I don't have any other unusual symptoms.
I would like to ask the doctor whether I should get tested, and if so, where I should go and what kind of tests would be best.
Thank you!

Wúzhù de nǚhái, 20~29 year old female. Ask Date: 2015/07/12

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, if necessary or if you have concerns, I recommend that you consult a trusted obstetrician-gynecologist to arrange for relevant tests (such as blood tests, urine tests, bacterial cultures, Pap smears, etc.).
It is important to take appropriate measures to protect yourself and undergo examinations.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2015/07/12

More Info


It's understandable to feel anxious after engaging in unprotected sexual activity, especially when there's a possibility of exposure to sexually transmitted infections (STIs). Given your situation, it is indeed advisable to get tested for STIs, even if you are not experiencing severe symptoms. Here’s a comprehensive guide on what you should consider regarding testing and your health.


When to Get Tested
1. Timing of Tests:
- For many STIs, including chlamydia and gonorrhea, testing can be done as soon as 1-2 weeks after potential exposure. However, for more accurate results, it is often recommended to wait about 2 weeks for chlamydia and gonorrhea tests and 3 months for HIV testing, as these infections can have a "window period" where they may not be detectable immediately after exposure.

- If you are experiencing symptoms such as pain in the sides or itching in the vagina, it is wise to seek testing sooner rather than later. Symptoms can indicate an infection that may require prompt treatment.

2. Symptoms to Watch For:
- The symptoms you mentioned, such as side pain and vaginal itching, could be indicative of an infection. While these symptoms are not exclusive to STIs, they warrant further investigation. Other common symptoms of STIs can include unusual discharge, burning during urination, or pelvic pain.


Types of Tests
1. Testing Options:
- Urine Tests: These are commonly used for chlamydia and gonorrhea. They are non-invasive and can provide quick results.

- Blood Tests: These are necessary for testing for HIV, syphilis, and hepatitis. For HIV, tests can be done through standard blood draws or rapid tests that provide results in a shorter time frame.

- Physical Examination: A healthcare provider may also perform a pelvic exam to check for signs of infection.


Where to Get Tested
1. Healthcare Providers:
- You can visit your primary care physician or a gynecologist for testing. They can provide comprehensive STI screenings and discuss your concerns in detail.


2. Sexual Health Clinics:
- Many cities have sexual health clinics that offer confidential testing for STIs, often at low or no cost. These clinics are equipped to handle a variety of sexual health concerns and can provide education and resources.

3. Anonymous Testing:
- If you are concerned about privacy, look for clinics that offer anonymous testing. This can help alleviate fears about confidentiality.


Follow-Up
1. Discussing Results:
- Once you receive your test results, it’s important to discuss them with your healthcare provider. If you test positive for any STIs, they can guide you on the next steps for treatment and inform you about notifying any sexual partners.

2. Retesting:
- Depending on the results and any treatment you may receive, follow-up testing may be necessary. For example, after treatment for chlamydia or gonorrhea, a test of cure may be recommended.


Conclusion
In summary, it is advisable to get tested for STIs after unprotected sex, especially given your symptoms and the potential exposure. Seek testing as soon as possible, and consider visiting a healthcare provider or a sexual health clinic for comprehensive care. Remember, early detection and treatment are key to maintaining your sexual health and preventing complications. Don't hesitate to reach out for help; your health is important.

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