Sexually transmitted infections

Sexually transmitted infections are most often present without any symptom at all — which prevents neither transmission nor complications.

Illustration: Sexually transmitted infections

The essentials in a few lines

A sexually transmitted infection can be present without producing the slightest symptom: that is the most common situation, and it is why these infections circulate. Three habits cover most of the risk. Condoms, including for oral and anal sex, remain the only protection that works against nearly all of them. Regular testing, at every change of partner and before stopping condoms in a new relationship, is the only way to detect what cannot be seen. And vaccination protects effectively against three of them: HPV, hepatitis B and mpox.

Everything else depends on the infection: how long after exposure a test becomes reliable, which sample to ask for, how long treatment lasts and what complications are possible vary a great deal. Each page below sets out those details.

The infections, one by one

Twelve detailed pages: what the infection is, how it is transmitted, which signs should prompt a check, which test to ask for and when, what treatment involves, what happens without it, and what to do after a diagnosis.

True or false: what you think you know about STIs

Ten statements to judge, each corrected with a link to the right page.

Which test, and when?

The real question is not which test but when: a test taken too early says nothing. A few questions, and you will know what to ask for, and when.

Chlamydia

The most common in under-25s, and the quietest: no symptoms in most cases.

Gonorrhoea

Rising sharply and increasingly resistant to antibiotics; almost always silent in the throat.

Syphilis

Moves in stages separated by long silent periods; curable with a single injection.

HPV

The most widespread infection in the world: usually cleared unaided, sometimes a cause of cancer.

Genital herpes

A lifelong but usually mild infection; transmission mostly happens with nothing visible.

Hepatitis B

Far more infectious than HIV, preventable by vaccine, sometimes chronic.

Hepatitis C

Mainly blood-borne; cured in eight to twelve weeks since direct-acting antivirals arrived.

HIV and AIDS

Cannot be cured but is fully controlled: on effective treatment the virus is not transmitted.

Trichomoniasis

The most common curable STI worldwide, almost always silent in men.

Mycoplasma genitalium

A frequent cause of persistent urethritis, already heavily macrolide-resistant.

Pubic lice and scabies

Two ordinary parasites, easily treated — provided the household is treated too.

Mpox

Passed on through close contact during sex; preventable by vaccination.

Symptoms that warrant a check

Unusual discharge, burning on passing urine, persistent itching, a sore, spot or wart on the genitals or around the anus, pain during sex, unusual bleeding, tender glands: all of these justify a prompt appointment. But the absence of symptoms rules nothing out — most infections produce none, and someone who feels perfectly well can be infectious.

When to test

Once a diagnosis is made

Notifying recent partners is the single most effective step, for them and for you: without it, reinfection is the rule rather than the exception. Most services will do it on your behalf, anonymously, if the conversation is difficult. A diagnosis should also prompt a full screen: these infections rarely travel alone.

After a risky encounter

Following a recent exposure carrying a significant risk of HIV transmission, post-exposure treatment can be prescribed by emergency services. It must begin as early as possible, ideally within four hours, and is no longer offered beyond 48 to 72 hours. That deadline is the only thing that matters: do not leave it until tomorrow.

Who to see for this problem?

The page Who to see, and when gives, symptom by symptom, the right professional — family doctor, urologist, gynaecologist, sex therapist, psychologist — and the emergencies that cannot wait.

Further reading

Links to official or reference sources. They open in a new tab.

Page checked in September 2026. The instruments cited can change: if in doubt, confirm with the official source given.

Locate this page in the site map

A question, a correction, a suggestion? Write to us.