Sexual Health Checks for Women: What's Included and When to Have One

A sexual health check screens for sexually transmissible infections (STIs) and reviews your overall sexual and reproductive wellbeing. Many STIs, including chlamydia, cause no symptoms, so testing is the only reliable way to know. It's usually a simple self-collected swab or urine sample, sometimes with a blood test, and most common infections are easily treated.

Sexual health check women's health GP Australia

A sexual health check is routine preventive care, in the same category as a blood pressure check or cervical screening. It isn't a judgement, and it isn't only for people with symptoms. 

Why test if you feel fine? 

Because most infections are silent. Chlamydia and gonorrhoea often cause no symptoms in women, yet untreated they can lead to pelvic inflammatory disease, chronic pelvic pain, blocked fallopian tubes, ectopic pregnancy and difficulty conceiving. Syphilis has also been rising in Australia, including among women of reproductive age, and can affect a pregnancy if undetected. 

 

When to have a check 

  • Once a year if you're under 30 and sexually active 

  • When you start a relationship with a new partner 

  • After sex without a condom, or if a condom broke 

  • If a partner tells you they have an STI 

  • Before trying to conceive, and early in pregnancy 

 

What's tested, and how 

  • Chlamydia and gonorrhoea: a self-collected vaginal swab or urine sample 

  • HIV, syphilis and hepatitis B and C: a blood test, based on your history 

  • Other infections: swabs when there are symptoms 

An internal examination isn't always needed, and is only done with your consent. 

 

Cervical screening is separate 

Cervical screening looks for HPV that can cause cervical cell changes and is recommended every five years from age 25, with self-collection available for many people. A sexual health check looks for other infections. It's often convenient to arrange both at the same visit. 

 

If a result is positive 

Most common bacterial infections, including chlamydia, gonorrhoea and syphilis, are curable with antibiotics. Your GP will explain treatment, advise when it's safe to have sex again and help you notify recent partners. A repeat test a few months later confirms the infection has cleared. Viral infections like herpes and HPV aren't cured but are very manageable. 

 

Book sooner if you notice 

  • Unusual discharge or odour 

  • Pain with sex or when passing urine 

  • Bleeding between periods or after sex 

  • Sores, lumps or itching in the genital area 

  • Pelvic pain

 

Looking after your sexual health 

Condoms with new or casual partners, regular testing after a change of partner and asking about HPV and hepatitis B vaccination all help protect you. 

Frequently asked questions

 

Book an appointment now 

elysianwomenshealth.com.au
1300 124 333
No referral needed for an initial assessment

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