If you’ve never had a test before
Condoms are really effective at preventing HIV & STIs, however, they’re not always 100% effective. Unfortunately, just because you don’t have symptoms doesn’t mean you’re in the clear. Many people carry sexual infections without knowing it. They can still pass them on and can still get ill from them in the future. Getting tested will give you the reassurance that you are taking care of your sexual health.
If something happened recently
Did the condom break, slip off or spill? Maybe you didn’t have a condom handy, or you were drunk or high and forgot. If it happened in the last 72 hours, check out information on PEP. Regardless of the reason and even if the guy says he hasn’t got any STIs – get tested for your own peace of mind.
If you develop symptoms
Not all STIs will give you symptoms but if you notice something different, get tested.
Symptoms of STIs include:
- Pain when urinating or ejaculating
- Discharge from penis or vagina
- Pain during sex
- Blisters or sores on genitals
- Bleeding during or after sex
It might not be an STI but best to check it over at a sexual health clinic.
Starting a new relationship
You should only stop using condoms, when you’re both sure that you are free of any STIs. Some sexual infections are harder to catch than others and can go undetected for longer periods, not all STIs have symptoms. The only way to be completely sure is for both of you to get tested.
When a person living with HIV is on treatment and the level of virus (viral load) in the body is so low that it cannot be detected (is ‘undetectable’), HIV cannot be transmitted to sexual partners. This is also known as ‘undetectable’ equals ‘untransmittable’ (U=U).
If a previous sex partner or sexual health clinic get in touch with you.
If a previous partner has tested positive for HIV or an STI, they might get in touch with you or have given your details to their sexual health service so they can get in touch on their behalf. Don’t panic – getting one of these calls doesn’t mean you definitely have something, but you should get tested just in case.
Depending on which clinic you attend some elements of the process might be different from one service to another. Below is a video of what to expect on a typical visit to the Gay Men’s Health Service for an HIV & STI screen when you have no symptoms:
Watch video here: https://youtu.be/9hWfB3uAPgk
Generally, you can expect the following:
Some clinics need you to phone in advance to make an appointment. You can find out more information on your local sexual health clinic to check whether you can drop-in or need an appointment.
Try not to pass urine for at least an hour before going to the clinic as you’ll probably need to give a urine sample.
You will complete a form which will ask you some personal details and why you have attended today i.e. if you have symptoms or not. This is to ensure you go to the right person at the clinic.
Your information is kept in confidence. There may be times when confidentiality cannot be kept if they think you are at risk of harm. They will discuss this with you.
Having a chat about your sexual history
The doctor or nurse will ask you some questions about your sexual activity, experiences, and symptoms. Answer as honestly as you can so they can work out which tests to do and what treatment to offer.
Staff are very experienced and provide professional and non-judgemental care. There may be questions about things that might not be relevant to you, such as types of sex, drug use or whether you were paid/have paid for sex. Don’t be offended – everybody is asked these questions to make sure that they have the opportunity to talk about them if they do apply to them.
There are several ways to test for an STI, depending on your symptoms and the type of sexual contact you’ve had. In more and more services you can take the test yourself.
Urine sample (you will take this yourself)
Swabs – taken from your genitals, throat and/or rectum. (In some services you might be able to take the swab yourself).
Taking a look – usually at your genitals. If you haven’t had any symptoms, you don’t usually need to be examined.
Every clinic is different when it comes to results. When you get tested, the doctor or nurse will explain when and how you’ll get the results. You may have to go back to the clinic to get them, or you may be able to receive them by phone or text. The doctor or nurse will also tell you what will happen next.
What happens next?
If your test comes back negative – that’s it! You don’t have an STI. Your doctor or nurse will have explained to you about the window period for STIs and HIV and may encourage you to come back if you need to re-test.
If you test comes back positive – it is not the end of the world. Almost all STIs can now be cured or managed effectively, including HIV. Your nurse or doctor will give you all the information and advice you need about getting the right treatment.