Dear abcnkcmo,

It depends on the infection. When clinicians test for sexually transmitted infections, they usually test for a few different ones. To decide what to test for, clinicians examine their clients. They talk with them about their visible symptoms, other symptoms they may feel, and what kind of risks they may have taken.

Depending on what is found during the examination and conversation, the clinician may take samples of

• blood — to check for CMV (cytomegalovirus), hepatitis, herpes, HIV, or syphilis



• urine — to check for chlamydia and gonorrhea



• cells — to check for BV (bacterial vaginosis), chlamydia, gonorrhea, HPV (human papilloma virus), molluscum contagiosum, or scabies



• fluid, secretions, or discharge — to check for BV, gonorrhea, herpes, HPV, pelvic inflammatory disease, syphilis, or trichomoniasis



• cells from the cervix for Pap tests to detect changes associated with certain types of HPV that can cause cancer.

Recently, some health officials have called for similar tests on cells collected from the rectum if people have anal sex.

Most clinicians will not do a screening for sexually transmitted infections unless the client asks. So, don't let embarrassment become a health risk. If you are sexually active, you should ask to be screened for infections.

HIV tests and screening for sexually transmitted infections are available at many Planned Parenthood health centers, most health care providers, hospitals, and health clinics.

For confidential testing, call 1-800-230-PLAN for the nearest Planned Parenthood health center.

Hope this information helps!

Take care,

teenwire.com^® Editors

This column is for informational purposes only and is not intended to constitute medical advice, diagnosis, or treatment. If you have a medical problem, please call toll-free 1-800-230-PLAN for an appointment with the Planned Parenthood health center nearest you.