STI Screening and Treatment

Chlamydia is a bacterial infection that is easily treated. Without treatment it can spread and cause a more serious and painful condition: pelvic inflammatory disease (PID). Around 70% of women who have chlamydia won’t get symptoms. When symptoms do appear they include:

• Heavier vaginal discharge that may contain pus and/or mucus
• Vaginal bleeding after sex or in between periods
• Pain during sex
• Pain when you wee
• Pain or tenderness in your pelvis

If you’re worried that you may have chlamydia, it’s important you get tested and treatment as quickly as possible.

Gonorrhoea is another bacterial infection which doesn’t cause symptoms in about half of women. Like chlamydia, gonorrhea can spread and become more serious if left untreated.

If you do get symptoms, you might notice:

• Thicker vaginal discharge, sometimes turning yellow or greenish
• Pain in your lower tummy, when having sex or when having a wee
• Bleeding between periods

You can get gonorrhoea in your throat through unprotected oral sex. You may not have specific gonorrhoea symptoms, but it can lead to tonsillitis or a sore throat, so get tested if you think gonorrhea could be to blame.

If you’re worried that you may have gonorrhoea, it’s important you get tested and treatment as quickly as possible.

Trichomoniasis is caused by a tiny parasite. Only around half of women will have symptoms, which include:

• Heavier, bad-smelling or frothy vaginal discharge which may be yellowy green and thick or thin
• Ulcers on your vulva and your vulva may be itchy or sore
• Pain in your lower tummy, especially when you wee or have sex

If you’re worried that you may have trichomoniasis, it’s important you get tested and treatment as quickly as possible.

Genital warts are caused by the human papillomavirus (HPV). They look like tiny pieces of cauliflower, either flat or on a small stalk, around your vagina or anus. They’re usually less than a centimetre across, though they can also be too small to see, and they can be white, skin-coloured or red.

Genital warts don’t usually cause any symptoms but if you catch one on your underwear it can bleed or be uncomfortable. They can also affect the flow of your wee if one grows on the tube from your bladder (urethra).

If you’re worried that you may have genital warts, it’s important you get tested and treatment as quickly as possible

Genital herpes is caused by the herpes simplex virus. It causes lots of painful blisters or boils around your vulva, anus, thighs or bottom. These quickly burst to leave red open sores or ulcers.

Other symptoms include:

• Headache, fever and exhaustion
• Pain when you wee
• Lumps in your groin from swollen lymph nodes
• Tingling, burning or itching around your vulva
• Unusual changes in your vaginal discharge

You’ll normally feel better after around three weeks, but it can flare up again in the future. You may feel a tingling or burning sensation a couple of days before the blisters appear. These later flare-ups are usually less severe. Although the blisters can be painful you're unlikely to get other symptoms again, like fever and feeling worn out.

If you’re worried that you may have genital herpes, it’s important you get tested and treatment as quickly as possible.

Pubic lice, also known as crabs, are blood-sucking parasites which are about 2mm long. They usually get passed on during sex but you can get them from infested bedding, clothing or towels. They look like nits or lice on your pubic hair, although they’re occasionally found on armpit hair or even eyelashes.

Other symptoms include:

• Itching that’s worse at night
• Rust-coloured flecks from their poo
• Small blue spots or red pimples
• Patches of thick, darkened skin if you’ve been itching for a long time.

If you’re worried that you may have public lice, it’s important you get tested and treatment as quickly as possible.

Scabies is caused by a parasite that can be passed through normal touching as well as sex. They’re too tiny to see but cause a rash. Scabies isn’t a serious health problem, but it’s very infectious. It needs to be treated quickly to stop other people getting infected.

Symptoms include:

• Itching that's worse at night
• Tiny thread-like lines on the skin or your hands and wrists. You might see a small black cyst at the end of each line.
• Red pimples that start between your fingers and spread across your body.

If you’re worried that you may have scabies, it’s important you get tested and treatment as quickly as possible.

Syphilis is a bacterial infection. It can be hard to diagnose because it causes all sorts of different symptoms any time between three weeks and three months from when you became infected.

The first stage of syphilis is known as the primary infection and lasts between three to 10 weeks.

• The main symptom is a painless hard ulcer (chancre) on your vagina or anus
• You may also have swollen glands in your neck, groin or armpits

If you don’t get treatment you may get secondary infection symptoms including:

• A blotchy red rash on the palms of the hands and soles of the feet or small wart-like skin growths around the vulva. This is very common in people who have syphilis
• Fever, tiredness and headache
• Mouth ulcers

If it’s not treated, syphilis can spread to your nervous system, eyes and brain causing life-threatening problems like meningitis and stroke.