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What to Do After a Positive STI Test

A practical next-step guide to interpreting a reactive result, seeking treatment and arranging follow-up.

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Bring the result to a clinician

Save the name of the test, the date and the exact wording of the result. A reactive self-test or screening result may need a second test. Tell the clinician about previous infections, prior treatment and any current symptoms, and seek prompt advice during pregnancy.

Treatment depends on the infection

Chlamydia, gonorrhoea, syphilis and trichomoniasis can be cured with appropriate treatment. HIV and genital herpes require different care and can be managed with effective medicines. A clinician will choose care based on your results, health history and local guidance. Avoid using leftover antibiotics, especially where drug resistance can affect treatment.

Ask about partners and follow-up

Ask which partners should be notified, how to notify them safely and when to resume sexual contact. Some services can help notify partners confidentially. You may be asked to return to check that treatment worked or to test again later for reinfection. Write down the follow-up plan before leaving.

Get timely care if symptoms are severe

If you have severe pelvic or testicular pain, or symptoms that are rapidly worsening, seek urgent medical assessment. A remote or home test result alone cannot assess what is causing severe symptoms.

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