
Sexually Transmitted Infections (STIs)
Sexually transmitted infections are infections that can be passed through sexual contact. They can affect people of any age and often cause no symptoms at all. Many STIs are simple to detect with modern tests, and early assessment helps prevent complications and reduces the chance of passing infections to others.
These articles are intended as educational sources, not diagnostic nor taking place of a proper medical assessment. If you need help, please book an appointment with one of our GP’s.
What an STI Is
STIs are infections that spread through vaginal, anal or oral sexual contact. Some are caused by bacteria, others by viruses or, less commonly, parasites. They can affect:
- the genitals
- throat or mouth
- rectum
- urinary tract
- skin around the groin
Many STIs cause mild symptoms or none at all. This is why regular testing is recommended for anyone who is sexually active, especially after new partners.
Common Symptoms of STIs
You may experience:
- Burning or discomfort when passing urine
- Genital discharge
- Itching or irritation
- Genital sores, ulcers or small blisters
- Pelvic or lower abdominal pain
- Testicular discomfort
- Bleeding after sex
- Rectal discomfort or discharge
Many people have no symptoms, but can still carry and pass on infections.
Common Reasons to Get Reviewed or Tested
Speak to a GP or sexual health clinician if you have:
- Have had unprotected sex with a new partner
- Have symptoms that concern you
- Have discharge or discomfort
- Notice sores, ulcers or blisters
- Have pelvic, lower abdominal or testicular pain
- Have a partner who has symptoms
- Want routine screening for reassurance
- Are planning pregnancy
- Have had a known STI exposure
Testing is simple and usually involves a urine sample, swab or blood test depending on symptoms and exposure.
Severe Symptoms – Seek Urgent Help
Seek urgent medical care if you develop:
- Severe pelvic or lower abdominal pain
- High fever or feeling very unwell
- Severe testicular pain or swelling
- Painful widespread rash
- Eye redness with discharge after STI exposure
- Confusion, severe headache or neck stiffness
- Rapidly worsening symptoms
These signs may indicate a more serious infection that needs urgent assessment.
Understanding Typical Symptom Patterns
Bacterial STIs
Symptoms may include:
- burning on urination
- discharge
- pelvic or testicular discomfort
Many people have no symptoms but still benefit from testing and treatment.
Viral STIs
May cause:
- small blisters or clusters of spots
- ulcers
- recurrent symptoms
- symptoms that come and go
Some viral STIs can remain in the body and flare from time to time.
STIs with no symptoms
Some infections are commonly silent:
- chlamydia
- gonorrhoea
- HPV
- certain viral infections
This is why regular testing is recommended.
STIs affecting the throat or rectum
These may not cause symptoms at all. Specific testing is usually required based on risk and exposure.
A GP can advise on the most appropriate tests depending on your history.
Common Organisms in Sexually Transmitted Infections
These organisms are associated with sexually transmitted infections. The table is for general understanding only and does not replace testing or medical assessment.
| Type | Organism | Notes |
|---|---|---|
| Bacterial | Chlamydia trachomatis | Very common and often causes no symptoms. Can affect genitals, throat or rectum. |
| Bacterial | Neisseria gonorrhoeae | Can cause discharge or discomfort. Throat and rectal infection may be symptom free. |
| Bacterial | Mycoplasma genitalium | Can cause persistent urinary or pelvic symptoms in some cases. |
| Viral | Herpes simplex virus | Causes small painful blisters or ulcers which may recur. |
| Viral | Human papillomavirus (HPV) | Some types can cause genital warts. Others may affect cervical screening results. |
| Viral | HIV | Early infection may cause flu-like symptoms. Testing is recommended after risk exposure. |
| Viral | Hepatitis B and C | Can be sexually transmitted. May not cause symptoms in the early stages. |
Partner Notification and Contact Tracing
If an STI is diagnosed, a GP or sexual health clinician may talk to you about letting recent partners know so they can be tested. This process is confidential and designed to prevent reinfection and reduce the spread of STIs.
Your clinician can discuss practical ways to approach this and, if needed, can help notify partners anonymously through specialist services.

When GPs May Recommend Testing or Further Review
A GP may suggest STI testing when:
- You have symptoms
- You have had a new sexual partner
- A partner has been diagnosed with an STI
- You have rectal or throat symptoms
- You have pelvic or testicular pain
- You are pregnant or planning pregnancy
- Symptoms are not improving
Testing is straightforward and confidential.

How GPs Assess STI Symptoms
A GP Considers:
- Your symptoms and their duration
- Type of exposure
- Whether there was condom use
- Past STI history
- Travel history
- General health and immune status
- Whether a throat, rectal or genital swab is indicated
- Whether a urine or blood test is needed normal
Some STI symptoms overlap with non-infectious conditions. Assessment helps identify the right approach.

How STIs Are Managed
Management may include:
- Appropriate testing
- Advice on partner notification
- Symptom relief
- Treatment if an infection is diagnosed
- Follow-up testing in certain situations
- Safety planning for future sexual health
GPs and sexual health clinicians offer confidential and non-judgemental care.

Related articles
Further Reading and Hub Links
Visit our Common Infections hub or browse more health topics in the AccessGP Knowledge Base.
If you would like STI testing advice or wish to discuss symptoms, you can book an online GP appointment with AccessGP.
Last reviewed by Dr Zamiel Hussain, GMC registered GP
Updated: 9 December 2025
