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Most people in NSW get HIV and STI testing with a general practitioner (GP). GPs also provide CST (previously known as pap smears), contraception, PrEP and other services related to sexual health.
Free testing is available with a Medicare card through any GP who bulk bills. Some specialist services are free even if you don't have Medicare or insurance.
Specialist services that may provide HIV and STI testing include:
Online Testing
Self Testing
For information about which service is right for you call 1800 451 624
A full sexual health screen usually includes testing for the following STIs:
Information in other languages about all of these infections can be found here.
These days, testing is simple. If you don't have any genital symptoms, you don't even need to get undressed. Click here for HIV and STI testing referral letter to take to your GP.
For more information about HIV and other STIs call 1800 451 624.
The 4th Generation Combined Antigen/Antibody HIV test is the most accurate way to detect HIV and is the standard HIV test done in Australia.
The Rapid HIV Test is a finger prick test that can give a preliminary HIV result within 30 minutes. In Australia this is available at some specialist services or for private purchase online via here.
All HIV tests in Australia have a 3 month window period (this is the time after a possible risk you need to wait) for the HIV result to be 100% accurate and conclusive. Rapid testing means you get the results quickly, it doesn't shorten the window period.
Herpes (Herpes Simplex Virus - HSV) is diagnosed by swabbing any blisters/ulcers on the genital skin. Blood testing is not recommended as part of a standard STI screen when no symptoms are present.
Herpes is very common and rarely severe. To learn what's fact versus fiction, call 1800 451 624 or get more info here.
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Genital Warts (Human Papilloma Virus - HPV) are diagnosed by a clinician trained to recognise them. They are self-limiting, meaning your own immune system will get rid of them eventually. Topical treatments destroy warts more quickly, but they can return until your body clears the HPV virus itself.
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Urethritis (NSU or NGU) is caused by a bacterial infection of the urethra of the penis. It is tested by swabbing any abnormal discharge from the penis. It isn't tested when there are no symptoms.
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Mycoplasma Genitalium (MG) is a bacterial infection of the urethra of the penis and the cervix (the opening to the uterus). It's tested by a swab or a urine sample when symptoms are present. It isn't tested when there are no symptoms.
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Candida/Thrush is common condition of yeast overgrowth in the vagina. It's not technically an STI, but some people will find it's triggered by sex.
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Bacterial vaginosis is a common condition caused by an imbalance of naturally occuring flora in the vagina. It can be sexually transmitted vagina to vagina. It is not sexually transmitted to, or from, penises. Some people will find penetrative sex disrupts to the vaginal flora and triggers the infection.
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Trichomoniasis can cause a lot more vaginal discharge and an unpleasant smell. It usually doesn't have symptoms in the penis, but can cause irritation when passing urine. It is uncommon in most of Australia and so is usually not part of a standard STI screen.
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Hepatitis C is passed when the blood of an infected person enters the bloodstream of an uninfected person. This may happen through sharing needles, syringes, spoons, tourniquets and other injecting equipment, needle stick injuries, or tattooing and body piercing with non-sterile equipment.
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You should test as soon as possible if:
You should test at least once a year if:
You should test 3-6 monthly if:
For individualised advice about when you should test call 1800 451 624