The Benefits of Self-Testing for HIV and Other Common STDs

Thinking how big of a role have shame and fear in the continuous rise of STDs prevalence, researchers have found a way to make testing for the common STDs a bit easier and comfortable. With the invention of self-testing kits for HIV and other common STDs such as gonorrhea, syphilis, and herpes, people are now free to test themselves at the privacy of their own homes. 

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How does self-testing for HIV and other common STDs work?

Self-testing is a process that allows the individual to get tested and later interpret the results at the privacy of their own home or whatever safe and private place that they choose. Currently, there are various brands of self-testing kits; however, they are all offering a somewhat similar form of self-testing kits. 

These kits usually come with instructions and all of the needed material to collect the required sample, which is most often a blood sample or a mouth swab. Today, we have self-testing kits that can detect the presence of gonorrhea, syphilis, herpes, HIV, and other common STDs. While using a self-testing kit to detect gonorrhea or syphilis requires the sample to be sent out to a laboratory that the manufacturer is collaborating with, HIV self-testing kits usually provide somewhat of accurate results in a few minutes.

There is the second, third, and fourth generation of HIV self-testing kits, with the fourth generation tests being able to detect a presence of recent infections, which is suggested to be the best option for a self-test. The HIV self-tests are detecting the presence of IgG and IgM antibodies, and with that, they are detecting the presence of HIV. 

All non-reactive self-test results are considered to be negative for the presence of HIV. However, all reactive (positive) results need to be confirmed later by visiting a healthcare professional and doing proper treatment. Despite that, self-tests are highly valuable in the detection of HIV.

The benefits of self-testing

The benefits of self-testing are clear. Having the option to get tested, not only for HIV but for other common STDs as well, while enjoying complete anonymity surely increases the number of individuals that decide to get tested and ask for help in the cases of a positive result. 

The CDC (Centers for Disease Control and Prevention) has conducted an evaluation of HIV self-testing among men who have sexual intercourse with other men. The international controlled trial has shown that men who have sex with other men and decide to get self-tested are more likely to get tested more frequently as compared to those who choose to visit the local healthcare facilities instead. 

The trial also showed that despite the fact that many have thought that having the ability to self-test at home can make individuals feel more comfortable to engage in risky sexual behaviors, self-testing did not increase this risk. Self-testing has helped many individuals to identify their HIV status and become aware of their HIV infection. 

Self-testing kits for the common STDs have been especially popular in Africa, where there is a high STDs prevalence, and sex and reproductive health are still stigmatized topics, often linked to feeling fear and shame of getting a positive result which only contributes to the rise of the STDs prevalence. The possibility to get tested and stay anonymous in the process plays a big role, encouraging more and more individuals to get tested and determine the state of their current reproductive health. With that, the rates of the common STDs, including HIV, are expected to decline over time.

Conclusion

Self-testing has played a big role in enhancing the quality of life and life-span in general of the many individuals that otherwise engage in risky sexual behaviors. With the ability to get tested for STDs at home and get the results in a matter of minutes, people are more likely to pay better attention to their reproductive health, especially in high burden countries such as Africa where talking about sex and reproductive health often causes feelings of shame and fear.

References

https://www.aidsmap.com/about-hiv/how-accurate-self-testing-hiv

https://hivstar.lshtm.ac.uk/publications/

https://www.cdc.gov/hiv/testing/self-testing.html

https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002512

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