Pap Test vs. STI Testing: Understanding the Difference and Best Practices

It is common to confuse the Pap test with testing for sexually transmitted infections (STIs). While both are related to sexual health, these exams have different objectives, methods, and recommended frequencies.

 

Pap Test: Screening for Cervical Cancer

The Pap test is designed to detect cellular abnormalities in the cervix, such as precancerous or cancerous lesions. This test is often performed alongside HPV (human papillomavirus) testing, as HPV is the leading cause of cervical cancer.

 

Recommended frequency in Canada:

  • Starting at age 25, individuals with a cervix who have ever been sexually active should have a Pap test every 3 years.
  • At age 70, testing can stop if you have had three negative results in the past 10 years. Otherwise, continue testing until these criteria are met.
  • Regular screening remains essential even if you are vaccinated against HPV, as the vaccine does not protect against all HPV types.

This test does not screen for STIs.

 

STI Testing: Protecting Your Sexual Health

STI testing is aimed at detecting sexually transmitted infections, such as chlamydia, gonorrhea, HIV, syphilis, hepatitis or herpes. The tests vary depending on the infections being screened for and may include swabs, urine tests, or blood tests.

Recommended frequency:

  • Between every new sexual partner: Ideal for ensuring your safety and that of your partners.
  • If you are sexually active with multiple partners: More frequent testing is advised.
  • With a stable and exclusive partner: Annual testing is recommended.

However, you should get tested as soon as any signs or symptoms appear. Never rely solely on your partner’s test results; protecting your health requires personal vigilance and regular testing.

 

Which Appointment Should You Choose?

  • Pap Test: If you want to check the health of your cervix and prevent cervical cancer, according to the recommended frequency.
  • STI Testing: If you have concerns about your sexual health, symptoms, or a change in partners.

In most cases, it is possible to combine both types of tests during a single appointment. Contact us to discuss your needs and book an exam tailored to your situation.