Getting regular sexually transmissible infection (STI) testing is an important way that young people can look out for their health and is a normal part of a healthy sex life.
Navigating where to go, what’s involved in getting an STI test and what it might cost can be tricky – especially if it is the first time a young person is getting tested. In this article we delve into all things STI testing so you can be ready to answer any questions young people you’re working with might have.
It’s normal for a young person to feel nervous about getting an STI test (also known as a sexual health check), but the good news is that it’s a straightforward process, and often free at bulk billing GPs. It’s also confidential (more on that below) which should help make them feel more comfortable about getting tested.
As for the actual process, STI tests are quick and easy, usually requiring a blood test and either a self-collected swab, or a urine sample. The important thing is to let them know not to worry – their doctor will talk them through the process.
This depends on a person’s specific needs and levels of risk. Generally, STI testing for young people is recommended every 6-12 months. However, testing more often might be needed depending on the kind of sex a young person has, their sexual health history, what medication they take (for example PrEP) and a range of other things. Testing may also be needed more regularly if a young person has had condomless sex, if they are experiencing any symptoms (not all STIs have symptoms though), if they have a new sexual partner, or if they are man who has sex with men.
STI testing is widely accessible across NSW through various services. Young people can find their local STI testing location by visiting the Play Safe website as well as the healthdirect website. These services include:
Want to know more? You can read and share Play Safe’s most recent article on how to choose the right STI testing service.
If a young person has a Medicare card, they can get an STI test at a bulk-billing GP practice at no cost. If a young person gets an STI test at a non-bulk billing or part-bulk billing GP practice, the pathology (urine, swab and blood tests) will be free, but there may be a cost to see the doctor to get the test.
There are a number of other testing locations that young people can go to. It is best to call each service to find out what their costs are.
STI tests and a person’s results are always confidential, so there’s no need for young people to worry about anyone finding out. If they’re over 14 years old, their entire Medicare records are kept confidential – even from their parents.
You can share Play Safe’s information on confidentiality with young people to help put their mind at ease.
STI test results are often very quick (within one week) and can even arrive via text message. When a young person gets their STI test, their doctor should let them know how and when they will get their results. If you’re supporting a young person to book their appointment, or to get there, remind them to ask their doctor when and how they’ll get their results.
There are so many myths around testing, and as someone who works with young people, it’s important to be prepared to debunk them.
Anyone who is sexually active could be at risk of an STI and should have a regular STI test. STIs can be passed on through any type of sexual activity, including oral and anal sex.
This is a common one! Many STIs can be asymptomatic, meaning a person may not have any noticeable symptoms or know that they have an STI. Regular STI testing is important because it not only helps detect infections early, but also allows for prompt treatment and prevention of ongoing complications.
STI testing is typically quick, easy, and straightforward. Depending on the type of test, it may involve providing a urine sample or a swab of the genital area (usually self-collected) as well as a blood test. Healthcare professionals will always make sure that the testing process is as comfortable and discreet as possible. They’ll ask for consent before starting any type of test and talk their patient through the process.
Regular STI testing is important for maintaining sexual health, regardless of relationship status or sexual activity. It’s recommended for young people to get tested regularly (typically every 6-12 months), and more often if they have multiple sexual partners, engage in regular condomless sex, are experiencing any symptoms (not all STIs have symptoms though), or are a man who has sex with men.
Condoms are highly effective in reducing the risk of getting an STI, but they don’t provide complete protection. Some STIs, such as genital herpes, can be passed on through skin-to-skin contact and a condom doesn’t cover all parts of skin around the genitals. While condoms offer great protection, getting regular sexual health checks is important.
So, there you have it – everything you need to know to help put young people’s minds at ease when it comes to STI testing. The main thing to remember is to let them know that getting tested is normal, confidential, straightforward and often free. You can support them to use the STI clinic locator or call NSW Sexual Health Infolink for more information or to get their regular STI test booked in.
Our Youth Worker factsheet summarises this article in an easy to read resource. Check it out!
If young people themselves want to know more about how they can prepare for their first sexual health check, you can point them in the direction of our Getting ready for your first sexual health check factsheet.
