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Answered Questions

In the years since SmartSexResource launched, we have developed a library of questions asked by you, and answered by our expert sexual health nurses.

Our answered questions library cover a broad range of sexual health topics and common questions we hear at our clinics.

STI Testing (249)

I went through the get checked Lab Form. I’m wondering why there is no test for Herpes. I have a small red bump at the base of the shaft of my penis. No discharge. Not painful. Not itchy. But is it not possible that this could be Herpes and if so, why is there no test on the list of suggested tests?

Hi and thank you for your questions.

Herpes is not part of the routine testing offered through Get Checked Online (GCO). 

As stated on the Get Checked Online website in the “What can I test for?” section only Chlamydia, Gonorrhea, HIV, Syphilis, Hepatitis C tests are offered.  If you would like to get tested for other kinds of STIs, you will need to visit a clinic or see your doctor.  If you are having any symptoms that are concerning you I would recommend that you to get them checked by a care provider such as a doctor or nurse at a walk-in clinic

Have a look at our Clinic Finder to locate a sexual health clinic in your area.

Please let us know if this does not answer your question or if you have any more questions or concerns.

Health Nurse

My herpes is Reactive Herpes simplex virus Igg my first test and my 2nd test same also. I dont have any symptoms, outbreak or sores ever since. I need some explanation so I can understand. So i take another test specific type of Hsv 1 and 2. Is there any possible the result will be negative? Thanks.

Hi, and thanks for your question

As you’ve indicated, there are two types of herpes virus – HSV-1 and HSV-2. The lesions, or blisters, commonly appear either on the mouth as cold sores, or on the genitals. Herpes is a very common virus which is very easily passed through skin to skin contact. So not only can it be passed through sexual contact, but it can be passed through more casual skin to skin contact like kissing. For this reason some people are exposed to the virus at quite a young age, and the longer the virus has been present, the less frequently people notice outbreaks. In fact, some people never experience an outbreak of sores at all even though they carry the virus.

As such, it is unlikely that if you repeat the test that it will be negative. In fact, we often discourage people from testing for herpes using the blood test since it provides very little clinical information and often causes quite a lot of anxiety about a virus that is generally considered to be pretty harmless.

You might find our Herpes: Patient’s Guide helpful for more information.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse

I took Cipro and was tested for STI about week later. Can taking antibiotics affect the outcome of the test

Hi, and thanks for writing in with your question

We recommend waiting for 4 weeks after taking antibiotics before doing any testing for sexually transmitted infections (STIs). The reason for this is that sometimes we treat non-STI infections with the same antibiotics that can treat STIs.

Once antibiotics kill an infection it can take the body 3-4 weeks to actually get rid of the dead bacteria. Some STI tests (specifically the ones for chlamydia and gonorrhea) are so sensitive that they will detect the residual protein from the dead bacteria and report it as positive. This is essentially a “false positive” result, but it often leads to an additional, unnecessary dose of antibiotics if a testing provider doesn’t realize the infection could already have been treated with the previous antibiotics.

I hope this makes sense! If your STI testing was all negative 1 week after the ciprofloxacin, then you don’t need to worry. If something comes back positive on your tests, then I would recommend speaking with your care provider about the possibility of an already-treated infection.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse

I tested with a rapid hiv test on a roadside testing camp first they told me its a negative then after few minutes nurse said she can see a very very small positive dot nd she gave me a positive screen next day i went for my lab test and i was tested again on very same rapid test kit and it came negative now im worried about my lab test reports.

The rapid HIV tests are only 95% accurate at most. False positives are quite common with the rapid test which does not indicate that you have HIV. The rapid tests are never used to diagnose someone here in British Columbia due to the large margin of error. I recommend that you complete a more accurate HIV testing that includes HIV antibodies and HIV RNA. I have provided you with a link that can connect you to clinic where you can complete these tests. https://smartsexresource.com/get-tested/clinic-finder

Does this answer your question? Please let us know. 

Can you get an std if your partner has tested negative?

Hi

Your sexual partner would need to have an STI for them to be able to pass one to you.

What could happen is they have a negative test but end up having an STI (we call this a false negative test). It’s also possible they could have an STI that was not tested for.

The two situations that can come up in regard to testing accuracy are the window period and the quality of the sample. I can give you some example in regard to this. Window period is the time it takes for an STI to show up on a test after it has passed to someone. Say you have a partner who had a previous sex partner and gets a test a couple of days after having sex, in this case their test would be done too soon and most likely would not pick up an STI if one had been passed to them.

Quality of the sample is also another factor, say a test for chlamydia was done but the person had just urinated before doing the test or a swab sample was not taken well enough or from the correct place e.g. a test was taken from the genitals but they actually had the STI in their throat. These examples show how someone can have an STI but a test may have showed a negative result.

The other example is if a test for a certain STI was not done or it’s not possible to do one. For example someone comes into our clinic with no symptoms and gets a routine STI screen. At our clinics a routine screen for someone without symptoms would include gonorrhea, chlamydia, syphilis, HIV and maybe hepatitis (depends on risk and vaccine history). This means that a person could have a common STI like herpes simplex virus (HSV) or human papillomavirus (HPV) and not know it. Currently we have no test available for HPV testing in our clinics. There are HSV blood tests available that can be helpful in certain situations but are not good screening tests so we do not use them for routine STI testing.

Let us know if this does not answer your question or if you have any further questions or concerns.

Health Nurse

Hi there couple days ago i had a sex with an escort by appointment only i took a shower and she came back she wash my hands to make sure i’m clean than we started she put condom on my fellatio to give me oral sex and than she came on top of me than we did sideways when we did sideways the condom went inside her i pulled out and we put new condom on i think the condom went inside of her maby for 1-2 minute but at the end i came inside the condom my question is what are my risk for catching STD? when something like this happen do i need to go doctor or im safe? i have no history of STD i always put condom and check for STD every year they always come back negative im a bit worried that my condom went inside the escort what are my risks? thanku

Hi

Let me know if I got this wrong but is sounds like the condom slipped off while you were having vaginal sex.

The concern would be if you came in contact with any vaginal fluids when this happed, I could see that depending were the condom was when it slipped off that your penis may or may not have come in contact with vaginal fluids.

It sounds like you have been really safe with using condoms for vaginal/oral sex and going for STI testing on a regular basis. As it is possible that your penis may have come in contact with vaginal fluid I would recommend going in for a STI test, as this would be like having unprotected vaginal sex in terms of risk. In terms of the chance of something passing this is hard to know as it really depends if the person has an STI in the first place, even if they have an STI it is never 100% that it will pass the one time you have sex.

STI like chlamydia and gonorrhea usually show up in a urine test by 2 weeks so it best to wait at least 2 weeks before getting tested unless you develop symptoms e.g. discharge from penis, hurts when you pee, sores on the penis etc.… Blood tests that check for STI like HIV, syphilis and hepatitis B usually show up by 6 weeks on a test but can take up to 3 months to get a final result.

Given this I would recommend waiting 2 weeks before getting a STI check and then go back at 6 weeks to repeat the blood test. I would also consider getting the hepatitis B vaccine if you have not had it already. We know it can be a stressful for some people when they have to wait to do a test and then wait for the results. If this is happening for you, let us know if you need any help or support during this time.

In terms of using condoms in the future having a condom that fits better (feels comfortable and you can roll it down all the way) can decrease the chance of it slipping off and we also find that some people like using a female condom if they are having a problem with a male condom fitting.

Let us know if this does not answer your question or if you have any more questions or concerns.

Health Nurse

Do STI test that includes a blood test, and a regular blood test done in a hospital or other medical clinic . Will they both come up with different results or same results?

Hi, and thank you for your question
If the same tests are ordered by both providers (eg. HIV testing is ordered by both the STI clinic and by the care providers in a hospital) then both tests should have the same result.
For example, if a person does NOT have an HIV infection, and has an HIV test done in two different locations (one in an STI clinic and another done at a hospital) then both test results will be negative. It is always a good idea to ask a care provider (doctor or nurse) which tests are being ordered. A laboratory can only run tests on blood that a doctor or nurse has asked them to perform.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse
 

I had a unprotected oral sex with an unknown girl one week before.. She gave me a blowjob. I received a oral sex from her. Is there any possible than can I catch HIV from her? Do I need any HIV testing?

Hi, and thanks for your question
We don’t typically see HIV passed from oral sex, and the risk to the person receiving oral sex is considered very low. We more commonly see gonorrhea and chlamydia or infections that are passed through skin-to-skin contact like herpes or syphilis being passed this way. We always recommend routine testing for all sexually transmitted infections (HIV, syphilis, chlamydia, and gonorrhea) for any sexually active individual

Our clinic finder can help you locate a clinic near you for testing.

Also check out our Know Your Chances charts. They are sometimes useful in understanding which STIs are passed through different types of sexual contact.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse
 

In BC, do syphllis and HIV get tested at the same time? When I am getting tested at the youth clinic, they only took 1 blood sample, does that mean I have only been tested for Syphllis or did I get tested for both Syphllis and HIV?

Hi, and thanks for your question
When you have blood taken for an STI test, the blood sample gets sent to the laboratory for the actual testing. The lab tests the blood for whatever the nurse or doctor has ordered on the requisition (sheet of paper that gets sent with the blood). Some tests, like syphilis, HIV and Hepatitis A, B, & C can be run from the same sample of blood in the same tube. The only way to know what your blood is being tested for is to ask your testing provider which tests they are ordering on the requisition when they take your blood.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse