With multiple partners, testing every 1-3 months is a good idea. And hopefully having partners who are doing the same can help lower risks.
I received a request for testing from a woman who had tested two weeks earlier. I asked if something was going on. She had one partner but wasn’t sure if he had only her. Have you asked him to test? I asked. “He says he’s good” she replied. I encouraged her to consider more conversation with him. Even if he thinks he’s “good” that she would appreciate if he shared the burden.
Most people know when they are STI testing they will be asked to pee in a cup and give blood. But there’s more now. Have you given oral sex? Then swabbing your throat is a good idea. Have you received anal sex? Then a rectal swab is in order. These tests are for chlamydia and gonorrhea which can live in the throat and rectal areas as well as the genitals. If you don’t test these areas, it’s possible to miss an infection.
Providers are more likely to offer this 3-site testing to gay men (as according to the CDC, the data is strongest for screening men who have sex with men for throat and rectal chlamydia and gonorrhea,) but we all have throats and anuses, no matter our gender or sexual orientation. We used to think it was just penises that could give chlamydia or gonorrhea to a throat, but I’ve seen plenty of positive throat swab results on people who state they have only given oral sex to vulvas and I’ve also seen some positive rectal swab results on people who swear they never had a penis in there. It’s possible we’re not getting the whole story, but it’s also possible that, as my now retired co-worker, long time HIV and STI pharmacist Sabahat Imran, used to say, “secretions can travel.” So do your 3-site testing.
If you are HIV positive or have a sexual partner who is HIV positive, you probably have heard the good news-- U=U which stands for undetectable equals untransmittable. In recent years, an overwhelming body of clinical evidence has firmly established the HIV Undetectable = Untransmittable (U=U) concept as scientifically sound, say officials from the National Institutes of Health. What that means is that if someone’s viral load (the amount of HIV in their system) is below a certain level they cannot transmit HIV.
Read: How, When and Why to Disclose Your STI Status
Yet, most new HIV infections come from people who don’t know they are positive. For people who are negative and possibly at risk for HIV, there is PrEP, Pre Exposure Prophylaxis and PEP, post exposure prophylaxis. These are medications that prevent HIV infection.
Another tool in STI prevention (not for HIV, but for other STIs) is a simple one. Keep your damn pubic hair. The only good news about the bald genital fashion is that pubic lice, aka crabs, are rarely seen these days, as they have lost their bushy habitat.
Yet the downsides outweigh that small victory. Downsides which include losing that protective layer that provides some protection against STI’s such as herpes, HPV (human papilloma virus) and syphilis.
Plus, people get all sorts of rashes, irritation and bumps and some end up in the emergency room with hair removal gone wrong accidents and suddenly being baldy isn’t so sexy.
You can still keep things neat and trimmed. Go to town with the scissors (carefully and slowly, assuming you don’t want to spend your date night in the ER), but stay away from waxing and shaving the most sensitive areas of your genitals. It’s like eyelashes and eyebrows. I’m keeping mine. They protect my eyes. If you care about your genitals, respect them enough to protect them.
You know your body and sex life better than anyone else. Depending on what services you have access to, you may not be able to find your perfect sex-positive doctor but at the least, look for someone who listens, answers your questions without judgment and doesn’t withhold testing. If you have a concern, get tested and encourage partners to test. Not having to worry about STIs will allow you to relax and enjoy sex knowing no matter your STI status or history, you are beautiful and whole.
