Diagnostic Tests To Detect Sexually Transmitted Infections

HIV / AIDS

Physical examination, and thorough medical history, plus one or more of the following blood tests in individuals 18 months of age or greater: Rapid HIV test completed on blood or saliva, ELISA (Enzyme-Linked Immunosorbent Assay) antibody blood test. If the test is positive for HIV, the more-accurate Western blot antibody blood test or an HIV nucleic acid test is performed to confirm a diagnosis. For infants under 18 months of age, an HIV nucleic acid test (viral load or HIV DNA PCR) is recommended.

Chlamydia

Physical examination, including at home std test chlamydia examination in young women, and thorough medical history, plus laboratory analysis of cervical secretions or urine, to detect presence of C. trachomatis.

Gonorrhea

Physical examination, including pelvic exam in young women, and thorough medical history, plus laboratory testing of cervical, vaginal or penile secretions.

Pelvic Inflammatory Disease (PID)

Physical examination, including pelvic exam in young women, and thorough medical history, plus one or more laboratory tests of cervical or vaginal secretions, ultrasound imaging exam. Severely ill patients may be hospitalized and given antibiotics intravenously.

Genital Warts / Human Papillomavirus (HPV)

Physical examination, including pelvic exam in young women, and thorough medical history, plus a Pap smear. If the Pap smear is abnormal, colposcopy and cervical biopsy may be done.

Genital Herpes

Physical examination, including pelvic exam in young women, and thorough medical history, herpes virus blood test and culture.

Syphilis

Physical examination, including pelvic exam, and thorough medical history, plus one or more of the following blood tests: VDRL (Venereal Disease Research Laboratory) blood test or RPR (Rapid Plasma Reagin) blood test, (FTA-ABS) Fluorescent Treponemal Antibody- Absorption antibody blood test or (TPHA) T. pallidum hemagglutination assay, to confirm a positive finding on the VDRL or RPR test.

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