Massachusetts sexually transmitted diseases (STDs) cases are although below the national average, but the state’s rates of three most common STDs, chlamydia, gonorrhea, and syphilis, are the highest among New England states. Massachusetts rates for chlamydia and syphilis increased substantially in 2015. The state ranked 41 out of the 50 US states in chlamydial and gonorrheal infections and 14th in primary and secondary syphilis rate per 100,000 people in 2015, according to the state profile released by the Centers for Disease Control and Prevention (CDC).
Board Approved
Medically reviewed by one or more members of the editorial boardDiscover Nearby Options
STDs are infections passed from person to person through sexual contact. The infection may be caused by bacteria, viruses, yeast, or parasites. There are over 20 different types of STDs, but the most common, reportable diseases are chlamydia, gonorrhea, and syphilis.
The CDC and the US Preventive Services Task Force recommend testing for chlamydia in sexually active females under 24 years of age as well as older females who are at higher risk of infection. The testing should be made a necessary part of their routine health checkup. Routine screening of males is recommended in higher prevalence clinical settings, for instance, correctional facilities, adolescent clinics, and STD clinics. Although every sexually active individual, regardless of their gender, should get tested for an STD at least once a year, the screening requirements are stricter for men who have sex with men and people with multiple sex partners.
20 Hope Ave Ste 311, Waltham, Massachusetts 02453
7.33 mile
Tel: 7816470347
Today's best offer is: $10 off any order. Discount will be applied automatically.
6 Lexington St 2nd Floor, Waltham, Massachusetts 02452
7.77 mile
Tel: 7818991405
Today's best offer is: $10 off any order. Discount will be applied automatically.
61 Lincoln St Suite 308, Framingham, Massachusetts 01702
8.75 mile
Tel: 5083707341
Today's best offer is: $10 off any order. Discount will be applied automatically.
Please visit the website or call for eligibility requirements. STD testing, HIV PrEP and PEP for patients 18+. Trichomoniasis testing available as part of STD testing services.
501 Boston Post Rd, Sudbury, Massachusetts 1776
2.38 mile
Tel: (866) 389-2727
Please visit the website or call for eligibility requirements. STD testing, HIV PrEP and PEP for patients 18+. Trichomoniasis testing available as part of STD testing services.
105 Main St, Maynard, Massachusetts 1754
4.06 mile
Tel: (866) 389-2727
Please visit the website or call for eligibility requirements. STD testing, HIV PrEP and PEP for patients 18+. Trichomoniasis testing available as part of STD testing services.
344 Great Rd, Acton, Massachusetts 1720
6.87 mile
Tel: (866) 389-2727
24 Union Ave , Stes 8 and 10, Framingham, Massachusetts 01702
7.28 mile
Tel: (508) 872-2652
Appointment Required: No
Walk-in clinic, no need of referrals. It offers affordable co-pays and other affordable rates for services. Please call for information
945 Worcester St, Natick, Massachusetts 01760
7.48 mile
Tel: (508) 650-6208
Tel: (508) 650-6252
Appointment Required: No
Please visit the website or call for eligibility requirements. STD testing, HIV PrEP and PEP for patients 18+. Trichomoniasis testing available as part of STD testing services.
137 W Central St, Natick, Massachusetts 1760
8.59 mile
Tel: (866) 389-2727
Please visit the website or call for eligibility requirements. STD testing, HIV PrEP and PEP for patients 18+. Trichomoniasis testing available as part of STD testing services.
188 Linden St, Wellesley, Massachusetts 2482
8.63 mile
Tel: (866) 389-2727
Need to register as a patient.
43 Foundry Ave, Waltham, Massachusetts 02453
8.73 mile
Tel: (781) 693-3800
Tel: (781) 693-3817
Appointment Required: Yes
200 Springs Rd, Bedford, Massachusetts 01730
8.82 mile
Tel: (781) 687-2000
Tel: (800) 838-6331
Appointment Required: Yes
Provides services to LGBTQI Community, IDU's and Immigrants and Refugees. Institute does not turn anyone away. Spanish, Portuguese and English language translation available. PrEP enrollment, PrEP Navigation, and support. ...
1 Grant St, Suite 100, Framingham, Massachusetts 01702
9.01 mile
Tel: (508) 935-2960
Appointment Required: No
354 Waverly St, Framingham, Massachusetts 01702
9.15 mile
Tel: (800) 853-2288
Appointment Required: Yes
Some charges associated with your services may be covered by your insurance or a state-funded program. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. We also provide services for people without insurance. You may be eligible for...
91 Main St, Ste 103, Marlborough, Massachusetts 01752
9.32 mile
Tel: (800) 258-4448
Tel: (508) 970-1119
Appointment Required: Yes
Use our confidential STD symptom checker to get an idea of what STDs/STIs your symptoms align with and what STD tests are recommended to you.
Start Symptom CheckerWhich 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 Massachusetts. Check them out to find out which option is suitable for you.
This is one of the most popular ways to get tested for STDs today. These tests combine the best of both worlds for convenience and accuracy. You will order the test online at home, but you can walk into a professional lab testing center to get tested.
Another option is to simply visit your regular clinic and talk to your doctor.
If you do not want to visit a testing center, then a great alternative is an at-home test kit. You don’t even need to leave your house to get tested for STDs this way, which makes it the most discreet option. Everything is done through email and snail mail.
One last option for STD testing is a trip to a free clinic. If you go to a public STD-testing clinic, then you may get a free or discounted test, depending on your financial situation.
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.
Test Advisor
Know all about STD testing options, and the costs of different STD tests.
Massachusetts STD Data
According to the Massachusetts Department of Health Integrated HIV/AIDS, STD, and Viral Hepatitis Surveillance Report 2019, the state recorded 31,642 cases of chlamydia in 2019, which makes it the most frequently reported STI in the Commonwealth. The total number of reported chlamydia infections increased by 49% from 21,211 in 2010 to over 31,642 in 2019, and a similar trend was observed between 2015 and 2019 when the cases increased 32%, from 23,937 to 31,642 in Massachusetts.
The statewide chlamydia incidence rate was over 444 per 100,000 population in 2019, which was lower than the 2018 national rates of 539.9/100,000 people. In 2019, the state ranked the 12th lowest in chlamydia incidence rate among the 50 US states. It is worth noting that the largest concentration of chlamydial infections is reported in urban areas. The top five cities most impacted by chlamydia in 2019 were Provincetown (over 2,000 cases/100,000 people), Lawrence (over 1,300 cases/100,000 people), Brockton (1,223/100,000 people), Springfield (1,064/100,000 people), and Chelsea (981/100,000 people).
The state recorded a sharp incline of 58% in gonorrhea infection rate between 2016 and 2017, making gonorrhea the second most common infectious disease in Massachusetts during this time. Between 2010 and 2019, the state reported 3.3 times more cases among males, from 1,483 to 5,014 cases, respectively. During 2015 and 2019, cases of gonorrhea among males increased 89% from 2,650 to 5,014, while the number of gonorrhea diagnoses among males was twice more than females in 2019, with 5,014 and 2,105, respectively. However, it is worth noting that the number of gonorrhea cases among females has increased by 2.1 times between 2010-2019, with 1,012 and 2,105 cases, respectively.
In 2019, the state’s gonorrhea incidence rate was 109.1/100,000 population, which was lower than the national rate of 179.1/100,000 population in 2018. Massachusetts ranked 11th lowest in incidences of gonorrhea among the 50 US states. In 2019, the state reported 7,175 gonorrhea cases, and the cities with the highest incidence rates were Provincetown with 1,434.0/100,000 people, Springfield with 382.5/100,000 people, Boston with 312.8/100,000 people, Brockton with 278.8/100,000 people, and Fitchburg with 262.5/100,000 population.
Between 2010 and 2019, Massachusetts reported a 2.7 times increment in the number of confirmed infectious syphilis cases, with 465 and 1,243, respectively. During 2015 and 2019, a similar trend was noted as the state recorded a 56% increase with 798 and 1,243 cases, respectively.
Males reported the highest disease burden between 2010 and 2019 as their case totaled around 89% to 94% each year. In 2018, there were 9 times more syphilis cases reported in males in the state compared to females. In 2019, there were 9 cases of congenital syphilis reported in Massachusetts, whereas the statewide rate of infectious syphilis (which means primary and secondary stages of syphilis) increased substantially with 17.7 cases/100,000 people in 2018.
The state ranked 24th in primary/secondary syphilis rates among the 50 states. The five states that reported the highest disease burden include Boston with over 46 cases/100,000 population, Everett with 46.0 cases/100,000 people, Chelsea with 45.3 cases/100,000 people, Springfield with over 42 cases/100,000 people, and Framingham with 39.2 cases/100,000 people.
Like the other parts of the country, Massachusetts has been badly impacted by the HIV epidemic. Data from state-wide epidemiological profile indicates that the number of people living with HIV in the state has increased by a whopping 21%, from 19,037 as recorded in 2019 to 20,739 in 2018. The total number of newly diagnosed cases in the state was 650.
Previously as per the data from the state health profile formulated by the CDC in 2015, the total number of newly diagnosed cases in Massachusetts was 600. The state was ranked 19th among the 50 U.S states for having the highest newly diagnosed HIV cases.
The epidemiological profile of Massachusetts indicates that the number of new diagnoses of HIV infection relatively remained stable at 700 diagnoses per year right from 2009 to 2013. Then later on during 2014 to 2018, the average dropped to 641 cases per year. The report further indicated that HIV-related mortalities in the state were highest in 2009 with 319 mortalities and lowest in 2011 with 263 mortalities per year.
The average rate of HIV-related death per year from 2009 to 2018 was 291. The cities and towns in Massachusetts with highest numbers of persons living with HIV infection (PLWH) in 2018 includes Provincetown (16,528.3 per 100,000), Boston (856.9), Springfield (852.1), Chelsea (784.0), and Holyoke (775.6).
Another report from CDC indicates that about 11% of the people with HIV residing in Massachusetts are not aware of them being HIV positive, which means that 89% of the people have been tested and know their status. In line with the national goals for HIV, the health authorities are trying to bring up the numbers to at least 90% of the people aware of them being HIV positive.
Pre-exposure prophylaxis is a medicine taken orally to prevent HIV infection. The medicine is given to those who belong to high-risk groups or live in communities where the prevalence of the infection is more. As per the same data, during 2018, 8,195 adults and adolescents have prescribed the medicine. Furthermore, CDC report shows that approximately 47,181 tests were conducted in the state of those 102 people who were linked to primary medical care within 90 days of the diagnosis by CDC-funded programs.
In 2019, around 46% of chlamydia cases in Massachusetts were reported among males, 67% among females, and 32% among the transgender community. Around 595 cases were reported among young adults and adolescents aged 15-24. During the same year, in Massachusetts, 25% of gonorrheal infections were reported among males, 48% among females, and 33% among the transgender community, while 32% of all cases were reported in people aged 15-24 years.
The estimated rate of infectious syphilis in 2019 was higher among men who have sex with men, with 588.5 cases reported per 100,000 population, and a majority of them were aged 18-64. This is 102 times higher infection rate than males who do not report sex with men as their rate was 5.8/100,000 population. Syphilis incidence across the state has increased by 56% among gay/bisexual men while men who have sex with men reported 71% of all syphilis cases reported in 2019.
Black (non-Hispanic) and Hispanic/Latino individuals accounted for 7% and 12% of the total state population, and 17% and 29% of the reported cases of infectious syphilis cases belonged to these races. Another shocking fact reported in the Massachusetts Department of Health’s STD surveillance report 2019 is that between 2010 to 2019, twice as many chlamydia cases were reported among females each year compared to males. The ratio of female to male chlamydia cases was 19,376 for females and 12,152 for males during this period. The most significant number of reported chlamydia cases was among 20-24 years olds and the second most impacted group was 15-19-year-olds.
However, the largest increase, nearly three times high, was recorded among individuals aged 50+ as cases increased from 270 in 2010 to 760 in 2019. Around half of all gonorrhea cases were reported among people aged 20-24 and 25-29 years between the same period. The number of cases among individuals aged 50+ nearly quadrupled between 2010 and 2019 with 149 and 612, respectively. Individuals aged between 30-39 years also reported a higher infection rate, with 459 reported cases in 2010 to 1,825 cases in 2019.
According to a report by AIDSVu, in 2018, 20,739 people were living with HIV in Massachusetts. Of the total number, 650 alone were newly diagnosed during the same year. The rate of people living with HIV in Massachusetts per 100,000 population was 349. Considering the total number of people living with HIV in the state, 70.7% were males, while 29.3% were females.
The same report indicated that of the total numbers of people living with the disease, White Americans population had a 39.9% share, followed by 29 % black Americans and 27 % individuals from Hispanic or Latin backgrounds. 42.4% of the cases were reported in the age group 55 years and above, 29.7% in ages 45 to 54 years, 15.5% in the age group 35 to 44 years, and 10.4% and 2.1% in the age group 25 to 34 and 13 to 24 respectively.
According to AIDSVu, in male categories, 63.6% of the transmission was due to male or gay sexual contact. 9.9% was transmitted due to heterosexual contact and 18.5% due to contaminated syringes. In females, the most popular transmission modes of the virus were heterosexual contact, 67.1%, followed by 29.7% due to the use of contaminated syringes.
Massachusetts Department of Public Health’s Partner Services Program (PSP) helps people diagnosed with STDs to get treatment for their infections. Furthermore, through this program, their partners are notified about their possible exposure to an STD and are offered help in getting tested as well as receiving medical care as per their needs.
The Massachusetts General Hospital Infectious Diseases Division offers world-class clinical care, research, treatment, education, and management of sexually transmitted infections. The Infectious Diseases Division has been offering innovative, standard-setting, and comprehensive care for STD patients and those suffering from any infectious disease since 1956. The department offers a wide range of inpatient/outpatient clinical care services to patients with infectious diseases.
The physicians associated with this division are required to conduct a broad range of basic and clinical research activities in numerous areas, including molecular biology, microbiology, host defense, and immunology. Moreover, the Massachusetts General Hospital Sexual Health Clinic promotes sexual health awareness by ensuring appropriate screening and treatment of STIs and offering access to preventive services, including HIV pre-exposure prophylaxis (PrEP).
The Bureau of Infectious Disease and Laboratory Sciences (BIDLS) in Massachusetts tracks, tests, and combats infectious disease. BIDLS educates people in Massachusetts regarding preventive measures to contain the spread of disease and improve the quality of life for state residents. BIDLS works to protect people from infectious disease by offering tracking, education, health information, laboratory testing, vaccines, and relaying data to relevant medical professionals, local/regional health departments, state agencies, hospitals, schools, community-based organizations, first responders, correctional facilities, and the masses.
Massachusetts General Hospital, located in Boston, has a specialized HIV clinic that provides comprehensive and multidisciplinary care to individuals living with HIV in the state. This clinic provides counseling, awareness and preventive care, primary medical care, antiretroviral therapy, and case management for HIV-positive residents of the state. The clinic and some of the prestigious universities located in the state are also involved in the research and development of HIV vaccines.
TUFTS Medical Center is yet another center specialized in providing cutting-edge treatments to individuals with HIV. HIV is a disease that needs long-term or, in some cases, lifetime care, and TUFTS medical center is one of the places where patients have been coming for years to get HIV-related treatments.
UMass Memorial Health is a medical center that provides all the primary medical care to patients with HIV. The services also include counseling and nutritional programs for people living with HIV and medical treatments, including case management services. Care for women who have been diagnosed with HIV and are pregnant is also provided at the UMass Memorial Center.
Fenway Health is one of the country's most prominent HIV-specialized care providers. This organization is dedicated to providing primary medical care and counseling services for HIV-infected patients. The organization also provides antiretroviral therapy and side effects management services to those patients who require the treatment. Fenway health has financial assistance and health insurance programs for individuals belonging to low-income groups.
Select a city below to see more local STD testing options
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.
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.
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.
Standard STD testing can detect common sexually transmitted diseases such as HIV (Human Immunodeficiency Virus), chlamydia, gonorrhea, syphilis, herpes, and hepatitis B and C. Additional tests may be required for less common STDs or specific situations.
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.
Help stop the spread of STDs by knowing your status. Get tested today!