Why are sexual health check-ups important?

Sexual health check-ups are essential because while sexually transmitted infections (STIs) can be silent, they can also have significant health implications. STIs such as chlamydia can affect female fertility and HIV weakens the immune system.

Often, we only focus on our sexual health when something seems wrong or in moments of change such as starting a new relationship. However, it’s important to learn about your symptoms and be aware of your sexual health at all times. A regular sexual health check can be performed at any time for peace of mind, and testing is advised for anyone who develops symptoms or is concerned about their sexual health.

In this informative article, leading consultant gynaecologist Dr Priyanka Patel provides a detailed in-depth look at this topic.

How often should you have an STI check?

You need an STI check every time you have a new partner. This is especially important if you’re not using condoms, or think you were exposed to an STI. Regular HIV and STI testing is important for your sexual health. Everyone should have an STI screen, including an HIV test, on an annual basis if you’re having sex without condoms with new or casual partners.

Do you need to do anything to prepare?

Men may have to hold their urine before testing but women don’t need to do anything in particular to prepare.

What will you be asked at a check-up?

You’ll be asked about:

• your sexual history;
• partners;
• contraceptive use and;
• general health.

You’ll be asked details about your recent sexual partners and types of sex you have. These questions can feel personal and intrusive. However, they’re important to ensure the correct tests are done. 

What tests are done?

The tests will depend on the answers you give about the types of sex you have. Vaginal, throat and anal swabs may be done, and these will be used to test for chlamydia and gonorrhoea +/- trichomonas. Swabs are small cotton buds that you or the clinician rub inside the area for a few seconds. If you have symptoms, then the clinician will usually carry out a speculum examination to look at the health of the vagina and cervix (neck of womb). A blood sample will be taken to test for syphilis and HIV.

Many sexual health services now offer free STI self-sampling postal kits for people who aren’t experiencing any symptoms or showing any signs of a STI and just want a regular check-up in their own home.

What happens following the check up? What’s involved in the results process?

Every sexual health clinic will have a different notification system for results. Most will send them via a text message or provide a number to call. Some may have a ‘no news is good news’ policy. If you test positive for a STI, they will arrange for treatment and offer support. It’s important to notify your sexual partner/s of any positive results and clinics can also assist in anonymous partner notification.  

For the postal kit, your test results will usually be back within a few days, often sent by text message. You’ll be advised of how to get treatment and further support if you do have an infection.

If you require a sexual health check-up, arrange a consultation with Dr Patel via her Top Doctors profile.