Guides

When to Get an STI Test

When To Get An STD Test
Guides

When to Get an STI Test

References UK clinical guidance from the NHS, the British HIV Association (BHIVA), and the British Association for Sexual Health and HIV (BASHH). Last updated: April 2026.

Knowing when to get tested for STIs matters because different infections have different window periods. Test too early and you might miss an infection. Test at the right time and you can be confident in the result. Here’s a clear guide to when testing makes sense.

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Reasons to Get Tested

  • You have symptoms (discharge, pain, sores)
  • You’ve had a new sexual partner
  • You had unprotected sex
  • A partner has tested positive
  • You’re starting a new relationship
  • You’re planning pregnancy
  • Annual routine screening
  • You’re starting or continuing PrEP

Timing After Exposure

SituationWhen to Test
Within 72 hours of high-risk HIV exposureContact clinic about PEP immediately
1-2 weeks post-exposureChlamydia, gonorrhoea, trichomoniasis
4 weeks post-exposureHIV (4th-generation test)
6 weeks post-exposureSyphilis reliable
3 months post-exposureAll tests definitive

Regular Screening Frequency

  • Under 25, sexually active — at least yearly for chlamydia
  • New partner — after each new partner
  • Multiple partners — every 3-6 months
  • MSM at higher risk — every 3 months
  • On PrEP — every 3 months as part of follow-up

If You Have Symptoms

Don’t wait for a specific timeframe. Symptoms warrant same-day or same-week testing:

  • Unusual discharge
  • Burning on urination
  • Genital sores or blisters
  • Pelvic or testicular pain
  • Unusual bleeding
  • Rashes or lumps

After a Known Exposure

If a partner tests positive or you’ve had a specific risky exposure:

  1. Within 72 hours — consider PEP if HIV risk
  2. 1-2 weeks — first round of testing
  3. 4-6 weeks — HIV and syphilis
  4. 3 months — final confirmatory tests

Routine vs Urgent Testing

  • Routine — annual screening, no specific concern
  • After new partner — important but not urgent
  • After symptoms — prompt testing recommended
  • After high-risk exposure — urgent for PEP decisions

Don’t Delay

Early testing and treatment reduce complications. Even if the test shows you’re fine, the peace of mind is worth the effort.

Read more: When to test | STI incubation periods | Testing frequency

Frequently Asked Questions

Can I test the next day after sex?

Most STI tests are too early to detect infection the day after sex. Wait 1-2 weeks for chlamydia and gonorrhoea.

How often should I test in a monogamous relationship?

Annually is usually enough, or as clinically recommended.

Should I test just because I’m worried?

Yes. Testing for peace of mind is a valid reason.

Sources

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