Written by Victoria, RSEI Educator | Published December 6th, 2023

The Centers for Disease Control recommends that people who are sexually active get tested at least once a year for sexually transmitted infections (STIs). However, this recommendation also depends on the number of partners a person has and if they know their status or not. A healthcare provider can recommend a testing schedule that makes the most sense for each individual. 

But one thing people ask us time and time again is where they can get tested and how much it’s going to cost – especially if they want to get an STI test more than once a year. 

Fortunately, we have seen a huge increase in the availability and diversity of options for STI testing. One of the newest options is at-home STI Testing Kits. As youth-serving adults, we should know as much as we can about the healthcare options that are available to folks, and at-home STI testing might be the better option for some of the communities we support. 

How is it possible to test for STIs at home? 

Essentially a person would do the sample collection at home. Typically, they would then send those samples to the laboratory so that the lab can run the tests and provide the results. 

Different STI tests can require different samples – whether that be urine, blood, or a swab of the throat, genitals, or anus.The type and location of the sample can depend on what type of STIs they are testing for, and what types of sex or sexual contact the person is having. Testing providers may ask, for example, if someone is having vaginal sex, oral sex, or anal sex, and/or if they are having sex with people with penises, people with vulvas, or both. 

What are the benefits of home STI tests?

For some people, testing at home is more convenient than finding the time and traveling for an appointment. 

It also might be safer for some folks to avoid going to a healthcare facility, especially if they are immune compromised or just want to generally avoid exposing themselves or loved ones to illnesses when they can. 

While we want to normalize getting tested, we acknowledge that some folks might not be super comfortable getting an STI test or going to the doctor. At-home testing might feel safer and more comfortable as it allows a person to do the test in the privacy of their own home. Most at-home testing kits that are mailed come in discreet packaging, so even if a person lives with other people, they won’t know where the package is from.

This option also allows folks to know exactly what tests are being conducted and for which STIs.

How accurate are the results?

If a person follows the testing instructions, these STI tests can be just as accurate as going to a health center in person. It is important to make sure that the testing kit is not expired, and that the samples are returned in a timely manner to ensure accurate results.

If someone has questions or concerns about at-home testing or their results, they should talk to a healthcare provider. And if they do have a positive result, they should consult with a healthcare provider for follow-up care and treatment options.

How much does it cost?

Like in-person STI testing, cost can depend on where someone gets their test and if they have insurance. Some places offer free or low cost testing kits that can be ordered online. Some folks may also have a health center nearby where they can retrieve a test and then collect the samples at home.

Where can I find at home STI testing kits?

Some regular healthcare providers offer them, so it’s worth asking! Either way, everyone can look at options for STI testing near them by using the Centers for Disease Control locator. If they check “show only self-testing providers” then they can see what at-home testing kits are available in the area. 

What types of STIs can you test for at home?

This depends on where someone gets a kit from, as different kits might test for different things. Some kits include tests for HIV, chlamydia, syphilis, gonorrhea, herpes, trichomoniasis and human papillomavirus (HPV). Each kit should specify what they are able to test for. If a person isn’t sure what they need, they can talk to a healthcare provider. They could also call the at-home testing service to see which tests they recommend.

What happens if I test positive?

Take a deep breath, and remember, every STI is treatable or curable! STIs are common – the CDC estimates that 1 in 5 U.S. citizens has an STI. 

If someone tests positive for an STI, the online service or local health center that provided the test should follow up with them. But if they don’t, the person should be sure to seek out treatment from a healthcare provider. STIs don’t go away on their own, even if symptoms come and go, so it’s important to be seen and get started on treatment as soon as possible.

How do I know if at-home STI testing is right for me?

We always encourage folks to talk with a healthcare provider. From there, explore the different testing kit options, including the various websites which often have a Frequently Asked Questions section, testing instructions, and information about the types of STI tests they offer. 

Some at-home testing providers have an age requirement – but not all! If you are under 18, make sure you check. 

Keep in mind that some STIs can take days or even months after a sexual experience before they will show up on a test. Whether a person decides to get tested in a clinic or at-home, it’s important to get tested regularly! 

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