RealOptions provides medical testing, diagnosis, and treatment of STD’s and STI’s for those who are sexually active and desire testing.

Sexually transmitted diseases (STDs) are caused by infections that are passed from one person to another during sexual contact; that is contact with genitals and surrounding areas, body fluids, or mucous membranes like the mouth.These infections often will not cause any observable symptoms. Medically, infections are only called diseases when they cause symptoms. That is why STDs are also called "sexually transmitted infections." But it’s very common for people to use the terms "sexually transmitted diseases" or "STDs," even when there are no signs of disease.

There are many kinds of sexually transmitted diseases and infections.

Fast Facts about STIs

  • You can get an STI the first time you have vaginal, anal or oral sex.
  • Some STIs have no cure, while others can be treated through medication.
  • Most people infected with an STD are unaware unless they are tested
  • You can get an STD from someone who does not know he/she is infected.
  • You can’t tell who has an STD by looking at them.
  • Some STDs can be transmitted to a baby during pregnancy or birth.
  • For women, untreated STIs, even if they are asymptomatic, can lead to Pelvic Inflammatory Disorder, infertility, or pregnancy complications.
  • You are more at risk for contracting an STI if you are 
    • A woman
    • Between the ages of 15 and 24
  • If you are pregnant and considering an abortion it is important to be tested first for STIs.
    • During an abortion procedure cells infected with Chlamydia or Gonorrhea can travel from your cervix up into your uterus. When the infection travels and is not treated, you are at greater risk for developing a secondary infection called Pelvic Inflammatory Disease. PID can lead to serious consequences including infertility, ectopic pregnancy, abscess formation and chronic pelvic pain. 

Common STDs


Chlamydia (klah MIH dee ah) is an infection caused by a kind of bacteria that is passed during sexual contact, or during birth from mother to baby. It is the most common sexually transmitted bacterial infection in the United States. About three million American women and men become infected with chlamydia every year. It is especially common among women and men under 25.  Chlamydia can infect the penis, vagina, cervix, anus, urethra, eye, or throat.

Most people who have chlamydia don’t know it since the disease often has no symptoms.

  • Chlamydia is the most commonly reported STD in the United States.
  • Sexually active females 25 years old and younger need testing every year.
  • Chlamydia can impact a woman’s ability to have children if left untreated.

Gonorrhea (gon-o-RHEE-a) is an infection caused by a kind of bacteria that is passed during sexual contact. It can infect the penis, vagina, cervix, anus, or throat. Sometimes it is called "the clap" or "the drip."  It can also be passed from mother to baby during childbirth.

  • This disease can impact a woman’s ability to have children if left untreated.
  • Gonorrhea can be a serious health risk if it is not treated. It infects more than 800,000 women and men in the United States every year.
Genital Herpes:

Genital herpes is a common STD, and infects more than 1 in 6 people between ages 14 and 49. Most people with genital herpes infection do not know they have it and have no symptoms.

  • The most common herpes symptom is a cluster of blistery sores — usually on the vagina, vulva, cervix, penis, buttocks, anus or mouth. You can get genital herpes even if your partner shows no signs of the infection.
  • If you have any symptoms (like a sore on your genitals, especially one that periodically recurs) laboratory tests can help determine if you have genital herpes.
  • There is no cure for herpes, but treatment is available to reduce symptoms and decrease the risk of transmission to a partner.

HIV stands for Human Immunodeficiency Syndrome. AIDS stands for Acquired Immunodeficiency Syndrome and it means that your body’s white cells (CD4+ cells) have been reduced so much that your body is no longer able to fight off diseases by itself.

  • HIV is the infection that causes AIDS.
  • HIV has few or no symptoms for up to 10 years or more before symptoms of AIDS develop.
  • You are more at risk for contracting HIV if you have another sexually transmitted infection.
  • There is no cure for HIV/AIDS, but treatment is available.
  • HIV is located in blood, semen, vaginal fluid, and breast milk of those infected and can be spread between sexual partners during sexual contact or from mom to baby during pregnancy, birth, or breastfeeding. 
  • HIV infects your immune system, reducing your immune system cell count to such an extent that your body can’t fight off common illnesses.
  • There’s medication used to slow down the process of AIDS but it has no cure.

HPV stands for “human papillomavirus”, a virus that causes an STD.  It is spread by skin to skin contact, or vaginal, anal, or oral sex with an infected person. This virus can cause genital warts and cancer of the cervix, vulva, vagina, penis, anus, or throat, .

  • Usually those infected with HPV will show no symptoms and therefore most who have HPV don’t know it.
  • Genital HPV can cause genital warts- precancerous/cancerous cells on the genital areas.
  • There is no drug to cure HPV infection but there are treatments available to manage the problems caused by HPV.

Trichomoniasis or “trich” is the most common and curable STD in the US and is caused by a parasite called Trichomonas vaginalis.  Most people with this infection will have no symptoms and do not know they are infected. 

  • Trichomoniasis is most commonly spread through vaginal sex, and most commonly infects the vagina or penis.  Less commonly, it can infect other body parts like the mouth, hands, and anus. 
  • This STD in pregnant women can cause babies to be born too early and to have low birth weights. 
  • Trichomoniasis can increase your risk of getting other STDs, like HIV.
Hepatitis B and C

Hepatitis B and Hepatitis C are liver infections caused by viruses that can be passed from person to person by contact with blood, semen, or another body fluid during sexual contact, while sharing needles, or from mother to baby during birth.

  • There STDs can become a chronic and serious liver infection, leading to liver disease or liver cancer.

Syphilis (SIFF-I-lis) is a sexually transmitted disease caused by bacteria that are passed through sexual contact. It can infect the vagina, anus,urethra, or penis, as well as the lips and mouth.  

This STD can also be passed from mother to baby during pregnancy, causing the baby to be born too early, have a low birth weight, be born dead.  Babies born with syphilis who are not treated immediately can develop deafness, cataracts, seizures, or die shortly after birth. 

Syphilis can be a serious health risk if it is not treated. About 36,000 American women and men become infected with syphilis every year.

  • Syphilis is easy to cure in its early stages, but if left untreated can cause damage to the brain and nervous system and even death. 
  • Signs and symptoms of syphilis include a firm, round, small, and painless sore on the genitals, anus, or mouth, or a rash on the body, especially on the palms of the hands or soles of the feet


At Real Options we routinely test for gonorrhea and chlamydia using a urine sample. If this test is positive for an infection, then we will provide you with treatment and explain how your partner(s) can be treated.

For chlamydia and gonorrhea testing, do not urinate or engage in sexual intercourse for one hour before testing.

We also offer full panel STD testing and treatment. Ask about our full panel STD testing options!

Tests available include:

  • Gonorrhea
  • Chlamydia
  • Syphilis
  • Hepatitis B and Hepatitis C
  • HPV (available with a pap smear as part of our Well Woman Care
  • HIV

You owe it to yourself to be safe. Don’t ignore the important step of being tested.

We are here to help. The caring staff at RealOptions provides confidential (private) consultations and are sensitive to your needs and concerns.

As comprehensive health care clinics, we understand that your physical and sexual health is just one component of your life. We are devoted to providing services with a holistic view and treatment of the whole person while considering social and mental factors along with physical symptoms. Our trained Optimal Health Coaches are available to share tools and information with you to help you build healthy relationships and live your best life.


RealOptions provides no to low cost, confidential, and medically accurate consultations on STD testing and treatment options.