Should I test for STIs?

Question: Lately, I have noticed a heavy vaginal discharge with a strong fishy odour..  Should I be tested for STIs?

Answer:  If you are sexually active, then you might have an STI. Below is some information on STIs that you might find useful.

It’s often easy to confuse the symptoms of STDs with other vaginal infections such as bacterial vaginosis or vaginal yeast infections, making it urgent that you consult with your gynaecologist any time you are unsure about reproductive health issues.  It is recommended that you test for STIs in the following instances:

1. When you have a history of multiple sexual partners or when  your partner has a sexual history of multiple partners.

2. If you have had sexual contact with a person who has a culture-proven sexually transmitted disease.

3. If you have a history of repeated STDs you should have regular STD testing according to your health care provider’s instructions.

4. All sexually active women under the age of 25 should be routinely screened for chlamydia.

Symptoms include; 

• Unusual vaginal discharge, or any discharge from the rectum.
• Painful intercourse.
• Burning or discomfort during urination.
• Unusual pain or discomfort in the abdomen. Also be aware of any unusual pain in both the buttocks and legs.
• Swelling, blisters, open sores, warts, or a rash in the genital area, on the sexual organs, or in the mouth.
• Flu-like symptoms such as fever, headache, aching muscles, or swollen glands.

Although just having these symptoms does not mean they are caused by a sexually transmitted disease, they do indicate a potential infection. See your health care provider for proper diagnosis and treatment.—How to Prevent STD’s ACOG.org