Why do I need an STD test before an Abortion?

Why Do I Need an STD Test Before My Abortion?

Before getting an abortion, it is always a good idea to schedule an STD screening  where a professional can administer a test and provide follow up care if needed. This is an important part of comprehensive, compassionate care,  as untreated STDs can cause abortion related risks to skyrocket and leave lasting effects on the patient.

Are STDs Really That Common?

STDs and STIs are probably more common than you think. In fact, the CDC estimates that 1 in 5 American adults have an STD at any given time, and young adults aged 18-24 make up half of all new cases. STDs can go unnoticed for long periods of time because many cause no symptoms at first. Even if you feel healthy, an infection can affect your body in ways you might not see. Because of this, the CDC recommends that everyone who is sexually active get tested annually. If you have multiple partners or don’t know the history of your partner(s), it is recommended to get tested every 3-6 months. If your partner tests positive, assume that you are positive as well and do not continue any sexual activity until you have gotten tested yourself.

How STDs affect abortion procedures

Getting an abortion while having an untreated STD can increase the risk of serious complications. When bacteria or viruses from infections such as chlamydia, gonorrhea, or trichomoniasis are present in the reproductive tract, they can be pushed deeper into the uterus during an abortion procedure or medication-induced abortion. This can lead to pelvic inflammatory disease (PID)—a painful and serious infection that can cause fever, abdominal pain, scarring, and even future infertility. In some cases, the infection can spread to the bloodstream, leading to sepsis, which is life-threatening if not promptly treated.

Pelvic inflammatory disease is one of the most common and serious risks of having an abortion with an untreated STD, but it’s not the only one. Other complications can also occur, depending on the type of infection and the woman’s overall health. For instance, an untreated STD can increase the risk of post-abortion infection—even if it doesn’t progress to PID. This may cause fever, pelvic pain, abnormal discharge, or heavy bleeding. Some viral infections, such as herpes or HIV, can also pose risks. Abortion procedures may cause irritation or injury to infected tissue, increasing pain, inflammation, or viral shedding, which can worsen symptoms or increase transmission risk.

Providers who care will always want to lower any risk. By testing first, care teams can treat any infection ahead of time. Taking the time to get tested and treated can make a significant difference in protecting the patient’s overall well-being.

Where Can I Get an STD Test?

Getting an STD test is quick and simple. You might give a urine sample or have a gentle swab of your cervix or vagina. The process usually takes only a few minutes, and you can get results in a few days. Luckily, there are quite a few places where you can receive an affordable or completely free STD test. New Jersey’s Department of Health provides HIV and STD testing, and some places will also provide free treatment. There are also many clinics around the state who provide this service free of charge, and many health insurance plans will also cover it completely.

Supporting your health journey at First Choice

First Choice is here to guide you with nonjudgmental care and accurate information. We exist to support you throughout your pregnancy journey, whether you just found out and are still weighing your options, or nearing the end of your pregnancy and want help accessing free resources, we are here for you. If you have any further questions about STDs or abortions or if you want to schedule a pregnancy consultation, call us to talk to a trained professional.