- These recommendations should apply regardless of whether or not condoms are used. A regular partner, increasing age or bisexuality is not necessarily protective of an STI.
- Patients with genital symptoms should have appropriate diagnostic tests and should be opportunistically screened for other STIs.
With or without symptoms, all men who have had sex with another man in the previous year should be offered tests for STIs at least once a year in the following way:
- gonorrhoea (throat/urine/anus)
- chlamydia (throat/urine/anus)
- hepatitis A serology – immunise if negative
- hepatitis B serology – immunise if negative
- HIV serology (if HIV-negative).
- any anal sex
- any anal symptoms (bleeding, itching, discharge, pain)
- past history of gonorrhoea or chlamydia
- sexual contact with someone recently diagnosed with an STI
- request for a test.
More frequent screening
Testing three to six monthly is recommended for men who attend sex-on-premises venues (SOPVs), use recreational drugs or seek partners via the internet.
- People diagnosed with chlamydia or gonorrhoea should be retested in three months.
- Once a patient is immunised against HAV and HBV further hepatitis A or B serology is unnecessary.
- For people with HIV, HBV surface antibody levels should be checked annually.
* Royal Australasian College of Physicians, Australasian Chapter of Sexual Health Medicine, 2004, Clinical Guidelines for the Management of Sexually Transmissible Infections among Priority Populations (external site) (last accessed January 2013) RACP, Sydney.