Why Men Don't Get Tested More Often For STDs

By Dr. Marina Gafanovich

Sexually transmitted diseases are becoming increasingly common. For individuals who are sexually active, especially those with multiple partners, the two basic recommendations include using protection and getting tested.

The primary reason why testing for STDs is important is because the some diseases have no apparent symptoms and most people can have STD without knowing it.

Approximately 19 million people in the US are affected with STD each year. When it comes to a gender characterization, STDs can affect any man who is sexually active and can occur at any age. They can also affect men of every race and sexual orientation. As mentioned before, most STDs do not have symptoms. Symptoms that do sometimes occur in men may include pain or burning during urination, a need to urinate more frequently, pain during ejaculation, abnormal discharge from the penis or bumps, blisters or sores on the penis or genitals.

Practicing safe sex is one of the best ways to reduce chances of infection. However, men often assume that oral sex is risk-free when it comes to STDs. That is not the case since several types of STDs including syphilis, herpes and gonorrhea can be transmitted during oral sex. Certain STDs are transmitted during anal sex and are more common in men who have sex with men.

Men also often assume that their doctors are screening them for STDs during their annual physical exams. That is not the case. You will not be tested for STDs unless you specifically request it. In addition, if you are tested, you may not be given every test you may need that is why it is important to ask your doctor exactly what you are being tested for.

Human papillomavirus is a common STD that affects both men and women. While women can be tested for HPV with a Pap smear, there is currently no HPV test for men. Again, if you notice any bumps or warts, you should immediately talk to your doctor.

Another reason why men don't get tested for STDs is because they are hesitant in discussing their sexual history and sexual lifestyle with their doctors. However, if you are sexually active with multiple partners, and especially if you engage in anal sex, it is in your interest to discuss your sexual lifestyle and the risks associated with it with your physician. You can always tell your doctor if you suspect a specific STD or if you are simply looking for preventive screening.

It is important to note that while women do get tested for STDs through annual exams, there are no recommendations for men to be screened annually as well. Also, it is believed that men seek health services less frequently than women. Women are tuned to getting screened for an annual pap smear for cervical cancer and also get tested for STDs for birth control, but men do not go to a doctor till they have a visible health issue. Also, since women are more likely to have complications from STDs (such as infertility and chronic pelvic men), they are more motivated to ensure regular screenings.