Your health care provider may examine you for any signs of an infection, such as a rash, discharge, sores, or bumps. This usually takes place if you are presently experiencing symptoms. For women, the exam can be similar to a pelvic exam, but it’s important to know that traditional pelvic exams or pap smears do not typically test for STDs. So, even if you’ve had a recent pelvic exam, you should still get tested for STDs separately.
Although free or low-cost clinics, like your local health department, often perform tests for STDs alongside a yearly exam, most private doctors do not. Therefore, even though you may think you’ve been tested for STDs during your annual pap smear, it’s still quite possible that you haven’t actually been tested at all.
A Urine Sample
You may be asked to pee into a cup. This one's easy...well, for the guys, anyway. I usually make a game out of deciding whether to pull my pants up or waddle to the sink to wash my pee-splashed hands first. Of all the colorful infographics at doctor’s offices, I’ve yet to see one that helps you navigate the pee in a cup, pants at ankles, wash your hands conundrum. Maybe it’s just me?
Genital Discharge, Tissues, Cells, or Oral Fluid Samples
Your provider will use a swab to collect samples from around your genitals that will be looked at under a microscope. Guys, this is not to be confused with a swab inserted into the penis. That method of testing is no longer necessary (whew!).
Blood Sampling
A blood sample can be done either with a typical needle or by pricking the skin (often the tip of the finger) to draw drops of blood. The initial poke is relatively painless, but if you’re a bit squeamish about needles, you might choose to look the other way. Some of the finger pokes administered via rapid tests for HIV are even less daunting; the needle is usually smaller, and they don’t require as much blood for testing.
Diagnosis and Leaving with a Good Feeling
Sometimes a diagnosis can be made based on symptoms or a physical exam. In those cases, treatment can often be prescribed right away, should you need it. Other times, your tests may have to be sent away to a lab. In those cases, waiting for results can be stressful. Rather than sitting at home wringing your hands, take action. Don’t assume you tested negative if you don’t hear back; in cases where samples are sent out to labs, you have to check back for both positive and negative results, so be sure to follow up!
From there, it’s important to keep track of what you were tested for. You should always ask what tests your doctor has performed, and don’t hesitate to ask to be tested for additional infections should you like to know your status for those as well. You are your own best advocate for your sexual health, so stand up for yourself. After all, being healthy is sexy, and while the testing experience can be trying, it'll get easier with time. It'll also leave you feeling empowered and in control of your sexual health. Job well done! (Learn more about STDs in 7 Not-So-Deadly Myths About STDs.)