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STI testing queries
Hi doctors , I have been diagnosed with genital warts on April 2025 and treated the same , no warts till now , I got tested for hiv 1 and 2 , syphilis, hepatitis b and c , hsv 1 and 2 all were negative, but i haven't got tested for chlymadia and gonorea ( doctors did not prescribe me to take those tests ) , should I get tested for chlymadia and gonorea now ? Note : I don't have any sympathy for chlymadia and gonorea and I did not have any sexual exposure after 2025 till now , please pour your suggestions?
Note : I'm planning to get married in the month of September so I'm asking these as a precaution to be taken from my side , also i completed two doses of hpv gardasil 9 vaccine and third one is scheduled on September month , my future wife also completed two doses of vaccination and third one is scheduled.
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If you have had no sexual exposure since 2025 and no symptoms, you do not need routine testing for chlamydia or gonorrhea. Your previous genital warts (HPV) do not mean you have these infections. If you want extra reassurance before marriage, you may get tested
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kindly connect
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Please consult
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If you don't have any symptoms than no tests are required.But if you want to rule out gonorrhoea and clamydia you can get yourself tested for these diseases .
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if you would like additional reassurance before marriage,a urine NAAT test for Chlamydia trachomatis and Neisseria gonorrhoeae is the most accurate screening test and is reasonable to consider.
Next Steps
Complete the third dose of Gardasil 9 as scheduled.It is encouraging that both you and your future wife are vaccinated.
Complete the third HPV vaccine dose.
Consider a urine NAAT for chlamydia and gonorrhea if you want comprehensive premarital STI screening.
Continue follow-up with your dermatologist if any new genital lesions appear.
Avoid unnecessary repeat STI testing in the absence of new sexual exposure or symptoms.
Practice safe sex,maintain a healthy lifestyle,
Regular Exercise
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If you've had no sexual exposure since 2025 and have no symptoms, routine chlamydia and gonorrhea testing is generally not necessary. Complete the third HPV vaccine dose as scheduled, and if you have any concerns before marriage, discuss them with your doctor.
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●𝗬𝗲𝘀 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 .
●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰
●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳.
●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲 𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.
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Yes u can go ahead with tests.. for ur satisfaction...
To be safe and sure..
Before marriage...
Take proper counselling to clear ur doubt
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Dr. Mrinal Gautam
Psychiatrist
3 yrs exp
Kolhapur
It is highly commendable that you and your partner are taking such proactive, responsible steps to protect your sexual health ahead of your marriage in September. Your negative results for HIV, Syphilis, Hepatitis B & C, and HSV 1 & 2 are reassuring, and having no recurrence of genital warts since April 2025 indicates excellent clearance of that active HPV episode.
To address your specific question directly: Yes, you should get tested for Chlamydia and Gonorrhea now as a standard pre-marital precaution, even though you are completely asymptomatic.
The primary clinical reason to test is that both Chlamydia and Gonorrhea are notoriously "silent" infections. In men, up to 10% of Gonorrhea cases and up to 50% of Chlamydia cases can present with absolutely no symptoms (asymptomatic carriage), persisting quietly in the urethra for months or even years. Because you had a prior exposure to HPV (which causes genital warts), it confirms past exposure to a sexually transmitted pathogen, making a complete clearance screen highly logical before entering a monogamous marriage. Getting tested now ensures absolute peace of mind and prevents any risk of asymptomatic transmission to your future wife.
Next Steps
Order a Urine NAAT for Chlamydia and Gonorrhea: Request a Nucleic Acid Amplification Test (NAAT) on a first-catch urine sample. This is the gold-standard, highly sensitive, and completely painless diagnostic method to screen for both bacteria.
Complete Your Gardasil 9 Vaccination Series: Ensure both you and your future wife receive your scheduled third doses of the HPV vaccine in September. Completing the full three-dose regimen is crucial for establishing maximum, long-term immunological protection against high-risk and wart-causing HPV strains.
Review Results with a Physician: Once you receive your urine NAAT results, share them with a general physician or urologist. If by any chance a test comes back positive, a simple, short course of oral antibiotics will completely cure the infection before your wedding.
Health Tips
When collecting your urine sample for the NAAT, ensure it is a "first-catch" specimen. This means you must collect the very first 20–30 mL of your urine stream (the initial part of the flow) and you should not have urinated for at least 1 to 2 hours prior to collection. Using mid-stream urine can wash away the localized bacterial DNA, potentially causing a false-negative result.
Maintain Open Communication: Share your proactive screening plan with your partner. Normalizing pre-marital screening builds a strong foundation of mutual trust, safety, and shared health values as you begin your lives together.
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Dr. Tinkle Rani
Sexologist
9 yrs exp
New Delhi
Based on the information you have provided:
You were diagnosed with genital warts in April 2025 and completed treatment.
You have remained wart-free since then, which is reassuring.
You have had no sexual exposure after 2025.
Your tests for HIV-1 & 2, syphilis, hepatitis B, hepatitis C, and HSV-1 & 2 were negative.
Both you and your future wife have received 2 doses of Gardasil 9, with the 3rd dose scheduled before your marriage. Based on current medical practice, there is no strong indication to test for chlamydia or gonorrhea at this stage if:
You have no symptoms (such as burning during urination, penile discharge, testicular pain/swelling, or pelvic pain).
You have had no new sexual exposure since your last potential exposure in 2025.
Chlamydia and gonorrhea are bacterial infections that are usually detected and treated when there is recent exposure or symptoms. In an asymptomatic person with no sexual activity since 2025, routine testing is generally not required.
Next Steps
For a comprehensive evaluation and personalized treatment plan, you may also consult us at 9 3 1 5 6 6 1 5 6 5.
Health Tips
Complete your HPV vaccination schedule. Continue to monitor for any new genital lesions. Maintain good genital hygiene and avoid smoking, as smoking may increase HPV persistence. Have open communication with your future wife regarding your previous HPV infection and treatment. Overall, based on your history, there is no medical necessity to undergo chlamydia or gonorrhea testing before marriage, although a single urine NAAT is a reasonable option if it will help relieve your anxiety. From what you've described, your overall outlook is reassuring, and completing your vaccination schedule is the most important remaining step. Thank you
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Dr. Moin Ahmad Siddiqui
Trichologist
7 yrs exp
Lucknow
Yes
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.