Sexually transmitted infections are a serious yet often misunderstood part of sexual health. In a world full of both information and misinformation, understanding how these infections spread, their risks, and how to protect yourself is more important than ever.

This guide is for everyone—regardless of age, lifestyle, or where you live. We’ll break down the different types, causes, transmission methods, and common signs to watch for. You’ll also learn when to get tested, how often, and what could happen if infections go untreated.

STDs Definition & Why They Still Matter

STDs, also called STIs (sexually transmitted infections), are infections passed through vaginal, oral, or anal sex. The term STI highlights the early stage—when you may have no symptoms—while STD refers to the disease stage, when symptoms appear. Both terms describe the same types of infections.

What are the STD Causes, and What Increases Your Risk of Getting Them?

The causes lies in direct contact with bodily fluids—blood, semen, vaginal fluids, and sometimes saliva.

Common STI Risk Factors Include:

  • Unprotected sex (no condom or barrier protection)
  • Multiple sexual partners
  • New or casual partners without prior testing
  • Drug use that involves sharing needles
  • Previous history of STDs
  • Engaging in sex work
  • Weakened immune system, such as from HIV or certain medications

Even if you use protection, it can still spread through skin-to-skin contact, like herpes or HPV. Others may spread from saliva, kissing, or even toilet seats—though that’s extremely rare.

What Do STDs Look Like?

Symptoms You Shouldn’t Ignore:

  • Bumps, blisters, or sores around the genitals or mouth
  • Rash on the body, including genitals or face
  • Unusual discharge from the penis or vagina
  • Pain during urination or sex
  • Hives, joint pain, or flu-like symptoms
  • Red or itchy eyes
  • Swollen lymph nodes, especially in the groin

Types of STIs – The Most Common STDs

TypeSymptomsDiagnosis
Trichomoniasis – Parasitic Infection– Genital itching/irritation 
– Frothy, foul-smelling discharge
– Burning sensation during urination
– Microscopy (Wet Mount Test)
– Antigen Detection Test
– Nucleic Acid Amplification Test (NAAT)
– Culture Test
Gonorrhea – Bacterial Infection– Burning sensation during urination 
– Green/yellow discharge
– Painful/swollen testicles 
– Vaginal bleeding
– Throat soreness 
– Nucleic Acid Amplification Test (NAAT)
– Swab and Culture Test
– Rapid Gonorrhea Test
Chlamydia – Bacterial Infection– Painful urination
– Lower abdominal pain 
– Unusual discharge 
– Pain during intercourse
Most chlamydia infections are silent, especially in women.
– Nucleic Acid Amplification Test (NAAT)
– Urine Test
– Swab Tests
HPV (Human Papillomavirus) – Viral InfectionEarly diagnosis can help prevent:
Cervical Cancer, Anal Cancer, and Throat cancer
-Often no symptoms 
-Genital warts 
– Pap Smear (Pap Test) 
– HPV DNA Test (High-Risk HPV Test)
– Visual Examination (For Genital Warts)
– Colposcopy and Biopsy
Herpes- Viral Infection

HSV-1 : Oral Herpes
HSV-2 : Genital and/or Oral Herpes
– Painful blisters or sores 
– Tingling or burning sensations 
– Flu-like symptoms in early stages
– Visual Exam by a Doctor
– Swab Test
– Blood Test (Antibody Test)
HIV (Human Immunodeficiency Virus) – Viral Infection– Flu-like symptoms 
– Fever 
– Fatigue 
– Rash 
– Sore throat
– HIV Antigen/Antibody Test (4th Generation Test)
– Nucleic Acid Amplification Test (NAAT)
-HIV RNA Test
Syphilis – Bacterial Infection (Multi-stage)– Painless sore (primary stage)
– Rash on hands, feet, body (secondary)
– Swollen lymph nodes
– Neurological symptoms – Severe headaches, Vision or hearing loss, memory problems, Muscle weakness or coordination issues (Late stage – neurosyphilis)
– Blood Tests
– Swab of a Syphilis Sore (Chancre)
– Cerebrospinal Fluid Test (For Late-Stage Cases)

Did You Know?
The Department of Health – Abu Dhabi (DoH) mandates premarital screening for STIs like HIV and syphilis to help reduce the spread of infections and protect reproductive health.

What Should You Do If You Test Positive?

Gonorrhea

  • Start treatment immediately
  • Inform your sexual partners so they can get tested and treated
  • Avoid sexual activity until treatment is complete and symptoms (if any) have cleared
  • Get re-tested in 3 months, as reinfection is common

Trichomoniasis

  • Your sexual partners should also be treated to avoid reinfection
  • Avoid sexual activity until treatment is complete and symptoms are gone

Chlamydia

  • Consult a doctor and start treatment right away
  • Inform your sexual partners so they can get tested and treated
  • Avoid sexual activity until treatment is complete and symptoms have cleared
  • Get re-tested in 3 months—even if you feel fine, as reinfection is common

HPV (Human Papillomavirus)

  • Don’t panic—a positive result doesn’t mean you have cancer
  • Follow up with your doctor for further evaluation (e.g., colposcopy)
  • Continue routine screening and practice safer sex
  • Get vaccinated if you haven’t already—the vaccine can protect against other strains

Herpes (HSV-1 & HSV-2)

  • Your doctor may prescribe antiviral medications to reduce outbreak severity and frequency
  • Antivirals also reduce the risk of transmitting herpes to a partner
  • Encourage your partner(s) to get tested and treated, even if they have no symptoms

HIV (Human Immunodeficiency Virus)

  • Your doctor will confirm the result with a second test
  • You’ll undergo further blood work (CD4 count, viral load)
  • Start antiretroviral therapy (ART) immediately
  • Your partner should also get tested and begin treatment if positive

Syphilis

  • Don’t panic—syphilis is completely curable, especially in early stages
  • Your doctor will likely prescribe an antibiotic injection
  • Avoid sexual activity until treatment is complete and follow-up testing confirms you’re clear
  • Notify sexual partners so they can get tested and treated

How Often Should You Get Tested?

There’s no one-size-fits-all answer, but here’s a general guide:

GroupRecommended Testing Frequency
Sexually active women <25At least once a year
Gay, bisexual, or MSMEvery 3–6 months (depending on partners)
Individuals with multiple partnersEvery 6–12 months
Pregnant womenEarly in pregnancy, then possibly later again
Anyone with a new partner(s)Before engaging in unprotected sex

If you’re showing early symptoms, don’t wait—get tested right away. You can also use home test kits for privacy and convenience.

When Should You See an STD Doctor?

You should visit a doctor (Usually Family medicine) or clinic if:

  • You notice abnormal bumps, discharge, or pain
  • You’ve had unprotected sex with a new partner
  • You’ve been informed that a partner tested positive
  • You’re planning a pregnancy or are already pregnant
  • You want to be sure, peace of mind is important

Many people delay care due to shame or fear, but seeking help shows strength. They are common, and doctors are there to help, not judge.

STD Complications: What Happens If You Ignore Them?

When left untreated they don’t just go away on their own. Over time, they can cause a wide range of health complications, some of which may be permanent. The table below breaks down the risks based on gender and overall health impact:

Complications by Gender

CategoryComplications
For WomenPelvic Inflammatory Disease (PID)
– Infertility
– Ectopic pregnancy
– Pregnancy complications
For MenEpididymitis (inflammation of the testicles)
– Reduced fertility
– Prostatitis
General ComplicationsIncreased risk of HIV
– Chronic joint pain
– Neurological issues
– Heart and liver damage
– Emotional and relationship strain

Some Sexually Transmitted diseases, like HIV and herpes, are untreatable, but with early detection and proper medications, symptoms can be managed and further transmission prevented.

Prevention: Protecting Yourself and Others

Prevention starts with awareness. Here’s how to reduce your risk:

  • Use condoms or dental dams for all types of sex
  • Get vaccinated (HPV and Hepatitis B)
  • Limit sexual partners
  • Open communication with partners about testing
  • Regular screenings—even when you feel fine

And yes, even with all precautions, Sexually Transmitted Diseases and Infections can happen, but you can minimize the impact with smart habits and regular checkups.

Conclusion:

Here’s the truth: sexually transmitted infections are common—but they’re also manageable, preventable, and often curable. Whether you’re exploring causes, symptoms, or how they affect different age or social groups, awareness is key.

It’s time to break the stigma and start open conversations—especially in underserved communities, including rural areas, the LGBTQ+ population, and across racial and age divides.

Take ownership of your health. Ask the uncomfortable questions. Get tested regularly. And if you think something’s off, trust your gut and talk to Family Medicine/ STD doctor.

Knowledge is protection. Action is empowerment.

Reference: DOH

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Written By
Dr. Rahaf Wagdy

Medical Content Writer

Dr. Rahaf Wagdy is an Egyptian nuclear radiologist and medical content creator who merges her clinical expertise with digital creativity. With over five years of experience in medical content writing in both Arabic and English, she is dedicated to simplifying...

Medically Reviewed By
Dr. Danya Bushwereb

Consultant Family Med

Dr. Danya Bushwereb is a family medicine doctor, she brings over 15 years of comprehensive medical expertise to her role as a consultant in family medicine at Reem Hospital. Specializing in mental health concerns like anxiety, depression, and post-traumatic stress...

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