Sexually transmitted diseases (STDs) are on the rise in the United States. Indiana State follows a similar trend as witnessed by the Centers for Disease Control and Prevention (CDC) nationwide. CDC’s statistics from the past five years indicate a surge in combined cases of the three common, reportable STDs, namely chlamydia, syphilis, and gonorrhea in Indiana. CDC claims that the cases reached an all-time high in the state in 2018. Teenagers and young adults are the most impacted population groups in Indiana.
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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 Indiana. 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.
Do you know STDs are one of the strongest indicators that you are indulging in unprotected sexual activity? And that its consequences could be drastic for the individual as an STD increases your risk of contracting HIV (human immunodeficiency virus) by 2 to 5 times. You must think about making STD testing a regular part of your annual health inspection and if you have multiple partners, think about getting screened every three to six months. STD treatment can prevent you from getting HIV, so it can be assumed that STD testing, treatment, and prevention, are direct prevention interventions for HIV.
On the other hand, untreated STDs are one of the leading causes of many chronic, life-threatening diseases such as chronic pelvic pain, cancer, and male/female infertility. Pregnant females and newborns are specifically vulnerable to the risks associated with undiagnosed and untreated STDs. The good news is that antibiotics are available and can cure almost all STDs. The key is to get tested and diagnose the infection at the right time and an early stage.
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In Indiana, a syphilis outbreak was witnessed between 1999 and 2000, after which a steep drop in the number of cases was observed. However, within the past five years, the rate of primary and secondary syphilis cases has significantly increased. Between 2015 and 2018, the Indiana State Department of Health reported a 19.4% increase in the reported chlamydia cases and a 53.5% increase in reported gonorrhea cases in the state. Since 2015, the Indiana health department has noticed a 27.8% increase in syphilis cases.
Furthermore, according to the data shared by the Indiana State Department of Health, STDs reached an all-time high in 2018 as 34,926 chlamydia cases, 12,193 gonorrhea cases, and 367 cases of primary, secondary syphilis were reported in the state. In addition to this, the ISHD stated that at least 2 cases of congenital syphilis were reported in newborns. Each day in 2019, the state of Indiana reported 133 positive cases of STDs,
As far as gonorrhea, chlamydia and syphilis cases are concerned, both diseases have reportedly undergone a sharp rise. In 2005, the number of chlamydia cases increased significantly, and the trend continued for the next seven years before recording a slight drop between 2013 and 2015. However, during this time, syphilis cases dropped by 28% after recording an unprecedented high in 2003.
According to the CDC State Health Profile, Indiana state ranked 27th among the fifty US stated in chlamydia infections at a rate of 437.9 cases/100,000 people. It ranked 23rd in gonorrheal infections at a rate of 118,9 cases/100,000 people.
The Indiana State Department of Health reported that more cases of syphilis, gonorrhea, and chlamydia were reported among teens and young adults in 2018. Regarding gonorrhea, a majority of infections occurred in men (over 50%) in 2018, particularly among men who have sex with men (MSM). Chlamydia was predominantly prevalent in females than males as three-quarters of cases were identified in females.
Non-Hispanic Blacks reported a higher number of chlamydia cases between 2014 and 2018, with cases reaching over 4000 among people aged 20-24, out of which over 2,500 cases were diagnosed among females and around 1455 among males. The second most impacted age group in the black race was 15-19, with more than 3400 cases. Out of these, over 2300 cases were reported in females and around 1050 in males.
A similar situation is observed among the white population in Indiana as age 20-24, and 15-19 reported the largest proportion of chlamydial infections in 2014-2018 with 5392 and 3701 cases, respectively. White males reported 1372 (age 20-24) and 598 (age group 15-19) chlamydia cases, and females reported 3103 (15-19 age group) and 4019 (20-24 age group) cases. According to CDC State Health Profile 2015-2016, the state reported 609 cases per 100,000 people in women, which was 2.3 times higher than males, which reported 261.3 cases per 100,000 people.
However, the fact cannot be ignored that in Indiana, the black population is disproportionately impacted by all three reportable STDs. STDs are more prevalent among minorities than the white population in this state. Among the state’s general population, 4.3% come from a Hispanic background and reported 5.2% of chlamydia cases in 2005, while gonorrhea impacted Hispanics much less than chlamydia. Among the Hispanic population, the number of syphilis cases was considerably higher, with 8% in 2005.
According to the Indiana State Department of Health’s STD prevention specialist, Caitlin Conrad, this disproportionateness is due to several factors.
“It can be anything from more online dating sites than we’ve ever had before [where] people have more access to more partners and more anonymous partners to reduced stigma [because] maybe people don’t feel as scared of STDs as they used to because they’re all treatable conditions. Conrad noted that "people are getting tested pretty frequently now and have access to better healthcare services.”
Indiana is among the 8 states that received federal funding from the Combat Antibiotic-Resistant Bacteria (CARB) federal fund to find emergency protocols for resistant gonorrhea treatment.
The state’s STD Prevention Program is launched with the mission to curb the spread of STDs and reduce underlying complications that could lead to HIV. Through this program, financial and technical assistance is offered to local STD programs to carry out disease surveillance, ensure regular screening for case detection and treatment of identified cases. Furthermore, the program is also responsible for ensuring case follow-up and further counseling/education. Health care providers across the state collaborate to offer appropriate low-cost screening services for the three common STDs and offer prevention counseling to impacted people.
The STD Prevention Program engages partner agencies, community groups, and other stakeholders to decrease the STD-related disparity among vulnerable communities/populations, including improving health inequalities among people with STDs.
The Clark County Health Department and Hoosiers Hills AIDS Coalition have collaborated for the state’s HIV/STD Program. Their joint office is located in Jeffersonville. The program offers a full range of intergraded services to the citizens of Clark, Floyd, and 12 surrounding counties located in Southeast Indiana.
The Rural Center for AIDS/STD Prevention (RCAP) was founded in 1994 and promoted HIV/STD prevention throughout rural America. The program offers prevention services and develops strategies to overcome behavioral and social barriers to rural HIV/STD prevention. RCAP’s headquarter is at Indiana University in the Department of Applied Health Science, School of Public Health – Bloomington.
A nucleic acid amplification test is a laboratory procedure that professionals often perform to make detecting a particular nucleic acid or gene being targeted easier and more convenient while still ensuring that the sample being collected is relatively minimal. Nucleic acid amplification tests, or NAATs, are usually the mainstay diagnostic test for most STDs due to their ability to detect the presence of pathogenic nucleic acids and genes in the patient sample with utmost accuracy and speed. NAATs depends on their ability to replicate the target RNA and DNA to create numerous copies – resulting in an increased convenience in the detection of the desired molecules instead of trying to either blindly look for one strand in a minuscule sample or collecting a large sample that could make the patient uncomfortable throughout the process. Although NAATs are often preferred for a more conclusive diagnosis of STDs, certain exceptions such as the availability of resources and instances of intermittent viral shedding could make NAATs less desirable than other tests. Fret not, however, as your physician is knowledgeable regarding these instances and would often request the best diagnostic procedure for your instances.
Although NAATs are well-known for their accuracy and sensitivity in detecting most STDs, it is also subject to certain inconsistencies, especially in the case of herpes infections. In Herpes, outbreaks often result in a relative increase in the patient’s viral load – leading to a timeline that usually has specific peaks at certain intervals instead of a consistent rise in viral load throughout. As such, sensitive tests such as NAATs are still unable to accurately diagnose herpes conditions, especially in cases where the patient has recently become asymptomatic and is currently between outbreaks. Other tests such as culture testing and type-specific virologic tests are often employed instead as a confirmatory diagnosis for the patient’s condition.
It would vary depending on the condition that is being tested. STDs behave differently due to the varying pathogenicity of each STD’s causative organism. In some instances, you can get accurately tested as early as two weeks following exposure, while some are intermittently inaccurate due to its recurrence (much like in the case of herpes infections). To avoid this, be sure to discuss the intricacies of the test with your physician to understand whether a particular test could provide you with a conclusive diagnosis or if it still needs another confirmatory test to establish its premise.
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.