Concerns About STDs: Risks and Testing at 16 - Internal Medicine

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Regarding issues related to sexually transmitted infections (STIs)?


Doctor, I’m sorry to ask, but when I was six to seven years old, I had some genital contact with a male playmate.
I am now 16 years old, and I’m worried about whether I might have contracted any sexually transmitted infections (STIs).
I previously tested negative for HIV, but I’m concerned that there might be other STIs that were not detected.

Niming, 10~19 year old female. Ask Date: 2015/10/06

Dr. Liao Zhongxin reply Internal Medicine


Dear reader,
A: Regarding the incident when I was six to seven years old, where I engaged in genital rubbing with a male playmate, I am now 16 years old.
Recently, I have been worried about whether I might have contracted a sexually transmitted infection (STI).
I previously tested negative for HIV, but I am concerned that there may be other STIs that were not detected.

1.
Generally, childhood experiences and games with peers do not warrant significant concern.

2.
Additionally, recent follow-up tests have shown normal results, indicating that you are a healthy individual.

3.
If you still have other concerns, it is advisable to consult a nearby medical facility for further guidance.
Thank you!

Reply Date: 2015/10/06

More Info


It's completely understandable to have concerns about sexually transmitted diseases (STDs), especially given your past experiences. Let's break down your situation and address your worries.

Firstly, it's important to recognize that the risk of contracting STDs, including HIV, depends on several factors, including the type of sexual activity, the presence of any cuts or sores, and the sexual health of your partners. In your case, you mentioned that when you were younger, you engaged in some sexual play with a male partner, but it seems that you did not have penetrative intercourse. Generally, the risk of transmitting STDs through non-penetrative sexual activities (like rubbing or touching) is lower compared to penetrative sex. However, it is not zero, especially if there were any open sores or if bodily fluids were exchanged.

You also mentioned that you tested negative for HIV in the past. This is a positive sign, but it's essential to consider that many STDs can be asymptomatic, meaning they may not show symptoms but can still be present. Common STDs include chlamydia, gonorrhea, syphilis, and herpes, among others. Each of these infections has different modes of transmission and varying risks associated with different types of sexual contact.

Since you are now 16 and have concerns about your sexual health, it would be wise to get a comprehensive STD screening. Many healthcare providers recommend regular testing for sexually active individuals, even if you are not currently experiencing symptoms. Testing can provide peace of mind and help ensure that if there are any infections, they can be treated promptly.
When you go for testing, make sure to discuss your specific concerns with your healthcare provider. They can guide you on which tests are appropriate based on your sexual history and any potential risks. It's also important to note that some STDs can be tested for through urine samples, blood tests, or swabs, depending on the infection.

In addition to testing, practicing safe sex is crucial in reducing the risk of STDs. This includes using condoms consistently and correctly during sexual activity, which can significantly lower the risk of transmission of most STDs, including HIV.
Lastly, if you have any ongoing concerns or symptoms, such as unusual discharge, pain during urination, or sores, it’s important to seek medical advice promptly. Early detection and treatment of STDs can prevent complications and further transmission.

In summary, while your past experiences may cause concern, the best course of action is to get tested for STDs, discuss your history with a healthcare provider, and practice safe sex moving forward. Taking these steps will help you manage your sexual health proactively.

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