Many people turn to their doctor or OB-GYN when seeking STI testing. These providers can screen for a variety of infections as part of your annual checkup, wellness visit, or sexual health consultation. While this route is often covered by insurance and convenient if you’re already scheduled, it comes with trade-offs — including lower privacy and limited control over which tests are ordered.
How STI Testing Works Through a Doctor or OB-GYN
Getting tested in a clinical setting usually follows this process:
- Initial consultation: Your provider will ask about your sexual history, symptoms, and any recent exposures or concerns.
- Sample collection and exam: Depending on your conversation, they may perform a pelvic exam or collect urine, blood, or swab samples (vaginal, cervical, rectal, or throat).
- Lab testing: Samples are sent to a lab, and results are typically returned within 2 to 7 days. Some practices use portals; others call with results.
- Billing and records: Insurance is almost always billed. The lab tests will appear on your explanation of benefits (EOB), and your results become part of your permanent medical record.
Pros and Cons of Doctor-Based STI Testing
Pros
- Often covered by insurance
- Can include other preventive care in the same visit
- Access to in-person exams and prescription treatment
- Ability to request specialized tests if needed
Cons
- Lower privacy — tests are recorded in your medical chart
- You must ask — many doctors won’t screen unless prompted
- May only test based on symptoms or risk assessment
- Out-of-pocket costs can be unpredictable, even with insurance
When Testing Through a Doctor or OB-GYN Makes Sense
This route is a good fit if:
- You already have a scheduled wellness or pelvic exam
- You’re planning to use insurance to cover the cost
- You want an in-person consultation with a trusted provider
- You may need treatment or prescriptions during the visit
When to Consider Other Options
Doctor-based testing might not be ideal if you:
- Prefer not to have STI results in your medical history
- Want a private or self-pay experience with no insurance billing
- Are seeking a full screening panel that’s not routinely offered
- Need clearer, up-front pricing or faster turnaround
What to Expect at Your Visit
If you bring it up, most doctors will add STI testing to your appointment. But unless you request it, they may only test for chlamydia and gonorrhea, or skip screening entirely. The specific tests, lab processing, and follow-up timelines vary by provider. Be aware that all results and lab orders will be visible in your electronic health record and likely on your insurance EOB.
How It Compares to Other Testing Options
Doctor-ordered testing is often thorough and well-integrated with overall care, but it’s not always the most discreet or efficient option. Compared to lab-based testing through an online provider, going through a doctor means more paperwork, less control over what’s tested, and slower results. At-home testing is even more private and convenient but may not be a fit if you need a pelvic exam, prescription, or in-person support.
Quick Comparison: Doctor vs Lab-Based Testing
Final Thoughts
Your doctor or OB-GYN can be a trusted resource for STI testing, especially if you’re already due for a checkup. But if privacy, flexibility, or cost transparency is your priority, lab-based testing through an online provider might offer a more streamlined experience. It provides many of the same clinical benefits—without involving your insurance, medical record, or appointment schedule.
Frequently Asked Questions
Does my doctor automatically test for STIs during a checkup?
No. STI testing is not included by default. You must request it or present symptoms for most providers to order screening.
Will testing through my doctor be private?
No. Results are documented in your health record and often shared through insurance billing and patient portals.
Is it free if I have insurance?
Sometimes. While many plans cover STI testing, your out-of-pocket costs depend on your deductible, copay, and the lab used.
Can I get a full panel from my OB-GYN?
Yes, but it may require asking directly. Some providers only test for two or three conditions unless you specifically request a broader screen.
Can my doctor treat me if I test positive?
Yes. Doctors can prescribe treatment and provide in-person guidance, as well as follow-up plans or retesting recommendations.