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LETTER OF THE WEEK
Sexually Active Couple Wants
To Avoid Sexual Souvenirs

Dear Harlan,

My significant other and I have started a sexual relationship and are both concerned about the possibility of transmitting an STD or other infection that neither of us knows we have. Neither of us has had sex — unprotected or otherwise — in three years or so. Also, neither of us has any symptoms of an STD or other disease. What test or tests are available to us that will prove conclusively that we are in no danger of infecting one another so long as we do not have unprotected sex outside our relationship?

Active Again

Dear Active Again,

I understand your concern — outbreaks of chlamydia are being reported on some U.S. college campuses across the country. The (U.K.) Times reports that 1 in 10 British adults has chlamydia. The stats in the U.S. report that roughly 1 in 4 college-age students has herpes and 1 in 5 has human papillomavirus (the virus that causes genital warts). The problem with testing for sexually transmitted infection is that not every STI can always be diagnosed. For example, HIV tests can't always be detected until HIV antibodies appear, and that can take three months or longer from the date of infection. Yes, there are tests for chlamydia, HIV, HPV, hepatitis-B and herpes, but with each test there are variables that can affect the outcome. Some tests are more reliable than others. And that's why you need a doctor to guide you. In fact, EVERYONE who is sexually active NEEDS a doctor to consult. You need someone you can talk to should you experience pain while urinating, discharge, bumps, sores, aches, pains, odors or anything out of the ordinary in private places. Sexually active women need an annual (or semi-annual) gynecological exam and pap. Sexually active men need to get examined and tested, too. And yes, you can be faithful and a sexual souvenir from the past can pop up. For specific questions, talk to a medical professional and contact the ASHA STI hotline by calling 919-361-8488 (9 a.m. to 6 p.m. EST, Monday through Friday). Also, visit the ASHA Web site at www.ashastd.org.

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