How Often Should I Be Tested for an STI?

Regular testing for sexually transmitted infections (STIs) is crucial for maintaining your sexual health. The frequency of testing depends on several factors, including your sexual activity, number of partners, and whether you engage in unprotected sex. Understanding when and how often to get tested can help you prevent health complications and reduce the spread of infections.
Sexual health is an important but often overlooked aspect of overall well-being. Many people assume that if they feel fine, they do not need to be tested. However, STIs can be present in the body without causing noticeable symptoms. This means that even if you feel healthy, you could still have an infection and potentially pass it on to a partner. Regular testing allows for early detection and treatment, reducing the risk of long-term complications.
The stigma surrounding STIs can also discourage people from getting tested. However, it is essential to remember that STIs are common, and seeking testing is a responsible and proactive step. Having open conversations about STI testing with partners can help normalise the process and encourage safer sexual practices. Taking control of your sexual health not only benefits you but also helps protect your partners and the wider community.
Advancements in medical testing have made STI screening more accessible than ever. Many clinics offer free and confidential services, and home testing kits provide a convenient alternative for those who prefer privacy. By making STI testing a regular part of your healthcare routine, you can take charge of your health and reduce the risks associated with untreated infections.
REMEMBER: The best way to reduce your chances of receiving an STI is to buy condoms and use them everytime you engage in penetrative and oral sex.
Understanding STIs and Its Impact
STIs are infections transmitted through sexual contact. They can be caused by bacteria, viruses, or parasites and affect people of all ages and backgrounds. Some of the most common STIs in the UK include chlamydia, gonorrhoea, syphilis, HIV, genital herpes, and human papillomavirus (HPV). Many of these infections do not cause symptoms immediately, making regular testing essential for early detection and treatment.
If left untreated, STIs can lead to serious health complications. Chlamydia and gonorrhoea, for example, can cause pelvic inflammatory disease (PID) in women, potentially leading to infertility. In men, untreated infections may lead to epididymitis, a painful condition affecting the testicles. Syphilis, if not treated, can progress to more severe stages, affecting the heart and nervous system. HIV weakens the immune system, making individuals more susceptible to other infections and diseases. These risks highlight the importance of getting tested even if you feel healthy.
General Guidelines for STI Testing
The NHS provides general recommendations for STI testing based on sexual activity and risk factors. Regular screening ensures early detection and treatment, helping prevent long-term health complications.
-
Annually: If you are sexually active, it is advisable to get tested at least once a year. This helps detect infections early, even if you do not have symptoms.
-
New or Multiple Partners: Before engaging in sexual activity with a new partner, both of you should consider getting tested. If you have multiple sexual partners, you should increase the frequency of your testing, as exposure risk is higher.
-
Unprotected Sex: If you've had unprotected sex, especially with a new or casual partner, you should get tested promptly. Even if you use condoms, no method is 100% effective at preventing infections.
-
After Treatment: If you have been treated for an STI, it is important to follow up with another test to ensure the infection has cleared. Some infections, like gonorrhoea, are becoming resistant to antibiotics, so confirming successful treatment is essential.
Specific Recommendations for Different Age Groups
Certain groups may need to test more frequently due to higher risk factors. Different sexual behaviours and biological factors affect susceptibility to STIs, meaning some people need more frequent screenings.
-
Individuals with HIV: If you are living with HIV, regular STI testing is essential. Having another STI can increase HIV transmission risk and complicate HIV management. Many clinics recommend testing every three to six months, depending on sexual activity.
-
Pregnant Women: Some STIs, such as syphilis and HIV, can be passed from mother to baby during pregnancy. Pregnant women should be screened for these infections early in pregnancy to prevent complications.
-
Young People Under 25: The NHS recommends that sexually active individuals under 25 get tested for chlamydia yearly and whenever they have a new partner. This age group has the highest rates of chlamydia in the UK.
Recognising Symptoms and Seeking Prompt Testing
Many STIs do not cause symptoms, which is why regular testing is important. However, if symptoms do occur, they can vary depending on the infection. Common signs to look out for include:
-
Unusual discharge from the penis, vagina, or anus
-
Pain or burning sensation during urination
-
Sores, blisters, or rashes in the genital area
-
Unexplained bleeding between periods or after sex
-
Swelling or pain in the testicles
-
Lower abdominal pain in women
If you notice any of these symptoms, seek testing immediately. Delaying testing and treatment can lead to complications, making infections harder to treat.
The Role of Home Testing Kits
For those who prefer privacy or cannot access a clinic easily, home testing kits offer a convenient alternative. These kits allow you to collect samples, such as urine or a swab, at home and send them to a laboratory for analysis. Home tests are widely available for chlamydia, gonorrhoea, HIV, and syphilis. Some local councils and NHS services offer free home testing kits.
While home testing is convenient, it is important to follow up with a healthcare professional if you receive a positive result. Some infections, such as syphilis, require a blood test, which can only be done in a clinic.

Accessing STI Testing Services in the UK
In the UK, STI testing services are widely available and often free. There are several ways to get tested:
-
Sexual Health Clinics: These clinics offer free and confidential testing, treatment, and advice. Many clinics operate walk-in services, while others require appointments. You can find your nearest clinic through the NHS website. Alternatively, you can use sh.uk to gain access to free NHS sexual health services online.
-
GP Surgeries: Your general practitioner can provide STI testing or refer you to a specialist service. If you have symptoms, your GP can offer appropriate treatment or advice.
-
Community Health Services: Various organisations provide outreach and testing services, particularly for groups at higher risk. Some services offer testing in non-clinical settings like community centres.
-
Pharmacies: Some pharmacies offer STI testing services, including rapid HIV tests. This can be a convenient option if you cannot visit a clinic.