Delaware is one of those US states with the largest number of sexually transmitted disease (STD) cases. The centers for Disease Control (CDC) states that chlamydia and gonorrhea are the top two STDs in Delaware. As per the CDC's STD surveillance data, Delaware has the 8th highest rate of chlamydia diagnoses across the state, and in gonorrhea, it ranks tenth. Moreover, the state has the 24th highest rate of primary and syphilis (P&S) cases. In 2016, the state reported 5,365 chlamydia cases, 58 syphilis, and 1,702 gonorrhea cases altogether.
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Which Method of STD Testing is Suitable for Me?
Every sexually active individual must protect their sexual health. Regular STD testing is the only way to care for your sexual health. However, sometimes it becomes confusing to select the right testing method as there are so many options available. For your convenience, we have gathered information about all available STD testing methods in Delaware. Check them out to find out which option is suitable for you.
|Testing Method||Waiting Times||Speed of Results||Positive Consultation|
Private Testing (Walk-In Clinic)
10-20 Minutes with No Wait
Free With Positive Result
At-Home STD Testing
Free With Positive Result
Call for Appointment
Call for Appointment
Out-of-Pocket Cost Required
Limited Hours and Long Lines
Learn more in our ultimate guide to STD testing.
It can be, but it does not necessarily have to be. What many people need to understand is that laboratory tests would most often than not be relatively pricey due to the technology that is being utilized behind these diagnostic techniques. However, opting for specific laboratories that offer more convenient testing procedures and discounted prices for diagnostic tests would help ensure that the price will not be much of an issue in providing you with the conclusive diagnosis of your condition. It might take some independent scanning to find the right testing center for you in the most acceptable price range, but it is not as impossible as many people make it out to be.
Considering that a wide variety of testing kits and laboratory procedures can be performed to determine conclusively whether you have a particular STD or not, the time that it will take for your results to return will also be subject to the same inconsistency. Although there are specific laboratories that could produce your results even by the end of the day (albeit, it is extremely rare for institutions to do so unless necessary), most would often take a few days to a week before the results are either delivered or posted online through your secure personal profile (in the case of online transactions). In addition to that, the capability of the laboratory performing the test may also contribute to the overall timeframe of result delivery – causing delays in cases where there are several requests or understaffed to provide expedited results.
For more information, skip to the FAQs section on this page.
People aren't generally aware of their sexual health status, so when they develop an STD, they cannot detect it. That's because STDs tend to be asymptomatic, and initially, there aren't many symptoms. This is noted explicitly among women as they cannot identify any difference until the situation gets worse. That's why medical experts encourage all sexually active individuals, regardless of their gender, sexual orientation, or age, to get tested even if they think nothing is wrong.
In Delaware, the number of STD cases is increasing steadily, and one of the reasons is that protection is not being used. Sexually active people now refrain from using condoms due to many advanced contraception measures available, which increases the risk of STI (sexually transmitted infection) transmission. However, it is worth noting that STDs are preventable if you are aware of safe sex practices and get yourself tested regularly. Screening once a year is a great way to stop the spread and rise of STDs.
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The STD situation in Delaware is erratic. While the state, on the whole, boasts high rates of common STIs like chlamydia and gonorrhea, when it comes to other STDs such as syphilis and hepatitis B, Delaware has some of the lowest rates. The most concerning aspect about Delaware STD rates is that regardless of the disease, the cases of most STIs are showing an upward trend statewide. In fact, that's the scenario in the entire country where the rates of STDs are increasing for the past four years, specifically for gonorrhea, syphilis, and chlamydia.
Reportedly, the population-adjusted rate of chlamydia cases in Delaware was 566.3/100,000 people in 2016-17, putting the state at number 14 overall and recording a 7% higher rate than the national average. This rate is at least twice more than the 226 cases/100,000 people reported by West Virginia, the state with the lowest rate of chlamydial infections. In addition, Delaware's chlamydial infection rate has been on the rise since 2014. Compared to the year 2012 statistics, it was around 20% higher in 2014.
The number of gonorrhea cases reported around the same time was 187/100,000 population. This rate was roughly 10% higher than the overall national average between 2016-17, and the state was ranked at no. 14 in the highest gonorrhea infections rate list of the 50 US states. It is nearly five times higher than the rate of gonorrhea cases in Vermont, which was 32.5/100,000 people making it the bottommost state in gonorrhea in the USA. Like chlamydia, the gonorrhea rate has also increased in Delaware since 2012 and has nearly doubled by now.
In Delaware, the rate of syphilis infection is fairly low, with 6 cases/100,000 people in 2016, putting it at number 29 in the national list of highest syphilis rates. Delaware's rate of syphilis cases is one-third lower than the national rate and seven times higher than Wyoming's rate with 0.7/100,000 people. Wyoming has the nation's lowest rate of syphilis in the country. Although a drop was observed in syphilis cases in the state, compared to 2012 statistics, it has increased by nearly 50%.
Despite reporting a decline in the number of gonorrhea cases over the past two years, the state's rate of chlamydia infections has increased nevertheless. In 1998, there were 2,608 chlamydia cases diagnosed statewide, while by 2011, the number increased to 4,508. Surprisingly, females accounted for most of the cases diagnosed between 1998 and 2011.
Moreover, people aged 18-29 were more involved in social media use; as per the latest survey by the Pew Research Center, around 86% of overall social media use was attributed to this age group, and that's the same group responsible for reporting the highest number of STDs cases. This situation is not just observed in Delaware, but the nationwide trend is also quite similar. In Delaware, around 68% of all chlamydia cases are diagnosed in adolescents and youth between 15 and 24.
Regarding gonorrhea, around 67% of all diagnosed cases in Delaware were diagnosed in 15-29-year olds. This indicates an alarming new trend that STIs and STDs are dramatically increasing among Delaware teens, specifically those between 14 and 17. Young adults tend to be more sexually active in Delaware than teens in other states, making up around 25% of its sexually active population. In the US, people between 15-24 age groups account for around 20 million newly diagnosed STIs, claims the CDC.
In 2015, the rate of chlamydia and gonorrhea among women was higher than men, reported CDC. People aged 11-15 reported 38 chlamydia cases and seven gonorrhea cases, those aged 15-19 reported 996 chlamydia and 134 gonorrhea cases, females between 20-24 reported 1,233 chlamydia cases and 212 gonorrhea cases, women between age 25-29 reportedly had 489 of all chlamydia cases and 149 of overall gonorrheal infections. Conversely, there were three congenital syphilis cases reported between 2011 and 2015.
In Delaware, STD data, which includes data on gonorrhea, chlamydia, and primary and secondary syphilis is reported to the Division of Public Health (DPH) by STD clinics, correctional facilities, private physician offices, laboratories, and outpatient facilities. In 2019, DPH planned to ramp up its STI diagnosis efforts and invested heavily in newborn baby screening services by outsourcing from a private firm.
According to state officials, through an increased focus on STDs, it will become possible to deal with the increasing number of cases, which has become a general trend due to the viruses growing resistance against antibiotics. The state overall performs around 40,000 venereal tests per year. Delaware's Sexually Transmitted Disease Program provides statewide management, training, and education to care providers for ensuring the prevention/treatment of STDs.
The Delaware Public Health Laboratory (DPHL) is augmenting its efforts to improve STDs testing methods and continually add new and advanced molecular methods. Therefore, the STIs section was predominantly improvised to include various tests under one section in January 2018. Previously, these were part of the Microbiology and Virology sections. However, due to an increase in testing volumes, these two sections were merged.
All physicians, laboratories, and health care providers in Delaware are required to report patients diagnosed with STDs to the Division of Public Health Sexually Transmitted Disease Program. This is a crucial aspect of offering an appropriate public follow-up to patients, identifying outbreaks, and understanding the STDs trends in Delaware.
Similar to how other testing procedures behave, false-positive results are still evident even in STD testing. False-positive and even false-negative results are standard instances that showcase the imperfection of the test’s design – a factor that is present everywhere. However, despite certain inconsistencies in laboratory tests as such, physicians commonly use confirmatory tests that would often take another path entirely to arrive at the same conclusion – solidifying the initial test’s diagnosis while still ensuring that the second test is not following the inconsistencies of the first.
Depending on the test being performed and the testing physician's targeted diseases, various types of samples can be requested from you. In some instances, a minuscule blood sample of a few milliliters will be collected, some might ask for a urine sample, and others may opt for a genital swab. Again, the sample being collected will depend on the test being conducted and the outcome that is being targeted for this particular procedure.
It does vary on a case-to-case basis. Insurance policies are often particular with the instances that they would be covering with their program. Some may cover severe accidents, some may even consider “orphan disease,” and yes, some may also cover the expenses for performing STD diagnostic tests. However, considering that your insurance provider will have to verify the person's identity availing of the program, STD testing laboratories that employ a minimal collection of patient information may not accept insurance policies to prioritize privacy over affordability.
Yes. Certain companies offer at-home testing kits wherein you are the one that will collect the specimens necessary for the test at the comfort of your own home. Sure, it might sometimes be subject to errors due to the potential contamination of the sample from collection to transportation, but it does offer a great deal of privacy and convenience for patients who would prefer to have their identities hidden in fear that their community will judge them.
Similar to what was previously mentioned, herpes infections are known for their recurring tendencies – causing outbreaks now and then and thus causing an intermittent spike in the patient’s viral load for specific instances. In addition to that, other STDs also take time to proliferate and produce a sufficient viral load that could warrant a positive and, more importantly, accurate diagnosis and detection from the tests being administered. As such, detecting an STD a few days following exposure is often complex and unpredictable – leading physicians to follow a certain timeframe instead for testing STDs instead of blindly testing immediately following exposure. Physical exams, however, may supplement inaccurate laboratory diagnoses, especially in cases where the test is prone to false results.
How Does it Work?
Most people experience feelings of hesitation when going to get tested for STD, despite knowing they might have contracted one. EasySTD was created to change that.
Visit your nearest lab or clinic, order your home testing kit online, and follow the given instructions from an STD testing provider.
After ordering your STD test, visit the testing center to get tested or take a self sample including urine, cotton swab, or finger prick with the home testing kit and mail it back.
Receive the lab-certified results of your STD test from your test provider via mail or phone within 2 to 3 days. If the test comes positive, consult your doctor immediately.