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.

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.


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