Do I Have an STI

What are STIs?

What are STIs?

STIs (sexually transmitted infections) are infections that are primarily passed from person to person through sex — whether vaginal, anal, or oral. They can be caused by viruses (like HIV, Herpes, and HPV), bacteria (like Chlamydia, Gonorrhea, and Syphilis), or parasites (like Trichomoniasis).
Some STIs show symptoms such as sores, itching, unusual discharge, or pain when urinating — but many have no symptoms at all, which means you can pass them on without realizing it. If left untreated, STIs can lead to health complications, including infertility, chronic pain, and an increased risk of acquiring HIV.


Worried you might have an STI?

If you’re worried you may have an STI — whether you’re experiencing symptoms or you’ve had sex without a condom — it's a good idea to get tested. Getting tested is a simple and quick way to know your status and to get treated promptly if you do have an infection.

  • Where to get tested: You can visit a nearby health clinic, doctor’s office, or community health center. Some places may offer free or low-cost testing and treatment.
  • Don’t delay: The sooner you find out, the faster you can treat it and avoid spreading it to others or developing complications.
  • Tip: Consider getting tested regularly (such as once a year, or after a new sex partner) and encourage your partners to do the same.

STI and non-STI causes of genital sores

Genital sores — sores, blisters, ulcers, or lumps — can be a sign of sexually transmitted infections (STIs), but there are non-STI causes as well.

It could be Herpes (HSV-2 or HSV-1):

Herpes typically causes painful blisters or sores on the genitals. It’s a lifelong viral infection, but medication can help control outbreaks.

It could be Syphilis (Treponema pallidum):

Syphilis starts with a single, firm, round, and typically painless ulcer called a chancre. It’s a bacterial STI that can be treated with antibiotics if caught early.

Other STI-related causes may include:
  • Chancroid (caused by Haemophilus ducreyi) — painful sores with soft borders
  • Lymphogranuloma Venereum (LGV) — small, often temporary sores that may progress to painful swelling in the groin
Non-STI causes may include:
  • Traumatic Injury — from scratching, shaving, or friction
  • Allergic Reactions or Irritation — from soaps, laundry detergents, condoms, or lubricants
  • Other skin conditions — such as psoriasis, dermatitis, or sores from an autoimmune disorders (like Behçet’s Disease)

Have pain in the lower part of your stomach (lower abdominal pain)?

This symptom — especially in people with a vagina — can be a sign of a sexually transmitted infection spreading upward into the pelvic area (PID — Pelvic Inflammatory Disease).

It could be Chlamydia (caused by Chlamydia trachomatis)

Often called a “silent” infection because many people have no symptoms at first. But if it develops into PID, it can cause lower abdominal pain, abnormal vaginal discharge, painful sex, and fever.

It could be Gonorrhea (caused by Neisseria gonorrhoeae)

Gonorrhea may present with lower abdominal pain, painful urination, pus-like vaginal or penile discharge, and heavy periods or spotting between periods. It can also progress to PID if left untreated.

STI

STI and non-STI causes of genital discharge

Genital discharge — a change in color, smell, amount, or consistency — can be a sign of an sexually transmitted infection (STI) or a non-STI condition.

It could be Chlamydia (Chlamydia trachomatis)

Usually thin, clear, or milky and may be accompanied by painful urination. Often shows no symptoms in many people.

It could be Gonorrhea (Neisseria gonorrhoeae)

Discharge is typically yellowish or greenish, thick, and may be alongside painful urination.

It could be Trichomoniasis (Trichomonas vaginalis)

Discharge may be frothy, yellow-green, and have a strong, unpleasant smell. It’s often associated with itching and discomfort.

Non-STI causes may include:
  • Bacterial Vaginosis (BV): Discharge is typically thin, white or greyish, with a “fishy” smell. It occurs when the natural balance of vaginal bacteria is disrupted.
  • Thrush (Candida): Also known as a yeast infection, it produces a thick, white, cottage cheese-like discharge and is often accompanied by itching and redness.
  • Urinary Tract Infection (UTI): A UTI may cause cloudy urine, a strong smell, a frequent need to urinate, and discomfort — although it’s not a true “discharge.”

It’s recommended to give birth in a health care facility where specialized care is available if complications arise.

HPV and Genital Warts

What is HPV (Human Papillomavirus)?

HPV is a common sexually transmitted infection — in fact, most sexually active people will get it at some point in their lives. There are more than 100 types of HPV, and while many resolve on their own without causing health problems, some can lead to genital warts or certain cancers (such as cervical, penile, or anal cancer).

How is it Spread?

HPV is spread through skin-to-skin contact during sex, including vaginal, anal, and oral sex. It can be passed on even if someone shows no symptoms.

What are Genital Warts?

Genital warts are small lumps or growths that appear in the genital or anal area.

  • They may be flat or raised, single or in clusters.
  • The color can range from flesh-colored to a bit darker.
  • They’re typically pain-free, but sometimes may itch or cause discomfort.

Prevention and Vaccination
  • HPV vaccines (like Gardasil) can protect against the most harmful HPV strains — the ones that cause cancer and warts.
  • Using condoms can reduce the risk of spreading HPV, although it may not completely eliminate it due to skin-to-skin contact.
Management
  • Genital warts can be treated by a health professional (with freezing, medication, or minor procedures), but the underlying HPV stays in the body and may cause warts to return.
  • Most HPV infections clear on their own within 1–2 years.

I have an STI — how do I tell my partner?

Choose a comfortable, private place and time

Make sure you’re calm and collected, and allow for an honest, non-judgmental conversation.

Be direct and honest

Say something like: “I recently got tested and found out I have [STI]. I wanted to let you know so we can both get tested and treated if we need to.”

Offer information and support.

Let them know it’s common and treatable, and you’re there to help navigate it together.

Consider their health and future.

Telling your sex partners lets them get treated promptly and avoid complications or spreading it further.

My partner told me they have an STI… What now?

Stay calm and respectful.

Don’t blame or shame — STIs are a health issue, not a reflection of character.

Get tested promptly.

See a health professional to find out if you have it, and start treatment if necessary.

Ask questions if you’re unsure.

Don’t be afraid to learn more — this can help you make informed decisions about your health and relationships.

Support and communicate honestly.

Talk openly with your partner about prevention, treatment, and protective measures (like condoms) to keep both of you healthy in the future.