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Sexually Transmitted Infections (STIs): Symptoms, Testing, and Treatment Explained

Media

Health Chosun

Date

2025. 04. 23.

A patient who recently visited the clinic reported genital itching and a burning sensation around the lips after a one-night sexual encounter. He promptly sought medical care and underwent a Multi-PCR test to quickly determine whether he had a sexually transmitted infection (STI), allowing treatment to begin without delay. Because he visited the clinic early, serious complications and secondary infections were successfully prevented.

Sexually transmitted diseases (STDs) are more common than many people realize. However, due to a lack of awareness or feelings of embarrassment, many individuals delay seeking medical care. STDs can affect both men and women, and symptoms may present differently depending on sex. In men, common symptoms include increased genital discharge and pain during urination. In women, symptoms may include changes in vaginal discharge, itching, and unpleasant odor. Importantly, some STDs may present with no symptoms at all, which can lead to delayed diagnosis and treatment.

There are several types of STD tests. Blood-based testing can diagnose infections such as HIV, syphilis, and herpes simplex virus (HSV). With recent advances in diagnostic technology, results for HSV type 1 and type 2 can now be obtained more quickly. Genital herpes (HSV-2), which is classified as an STD, typically affects the genital area and may cause pain, blisters, and flu-like symptoms.

After a potentially risky sexual encounter, the timing of STD testing is critical for accurate results. HIV testing is generally reliable from at least 10 days after potential exposure, while syphilis testing typically becomes accurate after about four weeks. In the case of urethritis, Multi-PCR genetic testing can provide accurate diagnosis as early as one to two days after exposure.

The cost of STD testing varies depending on the type of test performed. In Korea, when covered by national health insurance, standard screening panels (such as STD 12-panel PCR and STI serologic tests) can be performed at a reasonable cost. Testing for human papillomavirus (HPV) may require additional fees. Some patients hesitate to undergo testing due to cost concerns, but missing the optimal treatment window can lead to more serious complications. Therefore, if there is any suspicion following sexual contact, prompt testing is strongly recommended.

Pathogens such as Neisseria gonorrhoeae (gonorrhea) and Chlamydia trachomatis may not always produce noticeable symptoms. However, if left untreated, they can lead to infertility, chronic inflammation, and other complications. Early detection and timely treatment are essential.

In some cases, organisms such as Ureaplasma urealyticum and Ureaplasma parvum are considered part of the normal flora. These bacteria are commonly detected, and treatment may not be necessary if there are no symptoms. Patients may feel uncertain after receiving a positive test result without symptoms, or may worry about transmitting the infection to their partner. In such situations, it is important to consult with a medical professional to determine whether antibiotic treatment is needed. If treatment is initiated, follow-up testing is recommended to confirm resolution.

STD testing is something that anyone may need, and it should not be a source of embarrassment. Early diagnosis and treatment are key to preventing complications. Accurate information and consultation with a urology specialist are essential.

At our clinic, test results can be conveniently checked online within a short period of time. For both physical and mental well-being, it is important to stay informed about STDs and make regular testing a part of personal health management.

* While this content is reviewed by medical professionals, a correct diagnosis for individual symptoms must be consulted with a medical professional.