If your sexual history and current signs and symptoms suggest that you have a sexually transmitted infection, contact a medical professional to get tested and treated.

Treatment

Sexually transmitted diseases (STDs) or sexually transmitted infections (STIs) caused by bacteria are generally easier to treat. Viral infections can be managed but not always cured. If you are pregnant and have an STI, getting treatment right away can prevent or reduce the risk of your baby becoming infected.

Treatment for STIs usually consists of one of the following, depending on the infection:

Antibiotics. Antibiotics, often in a single dose, can cure many sexually transmitted bacterial and parasitic infections, including gonorrhea, syphilis, chlamydia and trichomoniasis. Typically, you'll be treated for gonorrhea and chlamydia at the same time because the two infections often appear together.

Once you start antibiotic treatment, it's necessary to follow through. If you don't think you'll be able to take medication as prescribed, tell your doctor. A shorter, simpler course of treatment may be available.

In addition, it's important to abstain from sex until seven days after you've completed antibiotic treatment and any sores have healed. Experts also suggest women be retested in about three months because there's high chance of reinfection.

Antiviral drugs. If you have herpes or HIV, you'll be prescribed an antiviral drug. You'll have fewer herpes recurrences if you take daily suppressive therapy with a prescription antiviral drug. However, it's still possible to give your partner herpes.

Antiviral drugs can keep HIV infection in check for many years. But you will still carry the virus and can still transmit it, though the risk is lower.

The sooner you start treatment, the more effective it is. If you take your medications exactly as directed, it's possible to reduce your virus count so low that it can hardly be detected.

If you've had an STI, ask your doctor how long after treatment you need to be retested. Getting retested will ensure that the treatment worked and that you haven't been reinfected.


Coping and support

It can be traumatic to find out you have a sexually transmitted disease (STD) or a sexually transmitted infection (STI). You might be angry if you feel you've been betrayed or ashamed if you might have infected others. At worst, an STI can cause chronic illness and death, even with the best care that's available.

These suggestions may help you cope:

Hold off placing blame. Don't assume that your partner has been unfaithful to you. One (or both) of you may have been infected by a past partner.

Be honest with health care workers. Their job is not to judge you, but to provide treatment and stop STIs from spreading. Anything you tell them remains confidential.

Contact your health department. Although they may not have the staff and funds to offer every service, local health departments have STI programs that provide confidential testing, treatment and partner services.

Preparing for your appointment

Most people don't feel comfortable sharing the details of their sexual experiences, but the doctor's office is one place where you have to provide this information so that you can get the right care.

What you can do

Be aware of any pre-appointment restrictions. At the time you make the appointment, ask if there's anything you need to do in advance.

Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.

Make a list of all medications, vitamins or supplements you're taking.
Write down questions to ask your doctor.

Some basic questions to ask your doctor include:

What's the medical name of the infection or infections I have?
How, exactly, is it transmitted?
Will it keep me from having children?
If I get pregnant, could I give it to my baby?
Is it possible to catch this again?
Could I have caught this from someone I had sex with only once?
Could I give this to someone by having sex with that person just once?
How long have I had it?
I have other health conditions. How can I best manage them together?
Should I not be sexually active while I'm being treated?
Does my partner have to go to a doctor to be treated?
What to expect from your doctor
Giving your doctor a complete report of your symptoms and sexual history will help your doctor determine how to best care for you.

Here are some of the things your doctor may ask:

What symptoms made you decide to come in? How long have you had these symptoms?
Are you sexually active with men, women or both?
Do you currently have one sex partner or more than one?
How long have you been with your current partner or partners?
Have you ever injected yourself with drugs?
Have you ever had sex with someone who has injected drugs?
What do you do to protect yourself from STIs?
What do you do to prevent pregnancy?
Has a doctor or nurse ever told you that you have chlamydia, herpes, gonorrhea, syphilis or HIV?
Have you ever been treated for a genital discharge, genital sores, painful urination or an infection of your sex organs?
How many sex partners have you had in the past year? In the past two months?
When was your most recent sexual encounter?
What you can do in the meantime
If you think you might have an STI, it's best to not to be sexually active until you've talked with your doctor. If you do engage in sexual activity before seeing your doctor, be sure to follow safe sex practices, such as using a condom.