Pillow Talk with a Purpose: How to Talk to Your Partner About STI Testing

Jun 15, 2025 | blog, Sexual Health

Talking to your partner about STI testing doesn’t have to be awkward, its not like you are asking them if they believe pineapple belongs on pizza (although that’s a relationship deal breaker for some). Think of it more like asking them to brush their teeth before kissing you, respectful, responsible, and definitely not a mood killer. Start with a calm and casual tone. You could say, “Hey, before we get any closer, I think it’s important we both get tested, just to make sure we’re starting off healthy and safe.” It’s not an accusation; it’s a mutual check-in, like confirming neither of you is allergic to certain type of food or drinks before going to dinner.

 In this scenario, you can visit;

  • Zewditu Memorial Hospital: Free HIV testing, ART, STI treatment
  • AHF Addis Clinic (AIDS Healthcare Foundation): Free HIV/STI testing, counseling, condoms, PEP, PrEP
  • I Addis Ababa University Health Services:Free HIV testing, pregnancy testing, emergency contraception
  • Bole Drop-in Centre: Free HIV/STI testing, PrEP, ART, self-test kits
  • Mary’s Laboratory & HIV Counseling Center: Free HIV testing, education, and support
  • Henry van Ameringen Health Center (Shola Market): Free HIV/STI testing and treatment
  • Marie Stopes Ethiopia: Not free, but highly subsidized and affordable

Now, let’s talk facts, because knowledge is sexy. STIs (Sexually Transmitted Infections) don’t always come with big neon signs. Many, like Chlamydia or Gonorrhoea, can hang out silently without symptoms, especially in the early stages. Left untreated, they can lead to infertility, chronic pain, or even increased HIV risk. Getting tested doesn’t mean you’re positive, it shows you’re open to test and confident. Plus, testing is often quick, involves a urine sample or a simple swab, and you usually don’t even have to take your pants all the way off (bonus!) and no, it’s not the doctor giving you “the look”, they have literally seen it all, comforting isn’t it?

Going together can actually be a bonding experience. You can even reward yourselves after your clinic visit with a dinner date. The important thing is, testing shows you care about your health  and your partner’s. You’re not giving a lecture, you’re starting a conversation that says, “I like you enough to want us both to be healthy, together.” That’s not awkward, that’s being mature and reflects on your commitment to your partner.

Nothing says “romance” like knowing neither of you has syphilis. And if one of you does? No shame, STIs are incredibly common, treatable, and way less awkward when caught early. Just follow your doctor’s advice and finish your meds (yes, even if your symptoms vanish like your motivation after a long Monday).

At the end of the day, talking about STI testing shows maturity, self-respect, and care for your partner. It’s not about fear, it’s about facts, trust, and keeping your shared love story drama-free. Take a deep breath, keep it light, and remember it’s not about who’s been where—it’s about going forward, healthy and informed, together!

Written by: Hermon Israel, 4th Year Medical Student

How to Reduce Your Risk of STIs

Jun 8, 2025 | blog, Sexual Health

Sexually Transmitted Infections (STIs) have been a concern across many countries for centuries with specific documentations going back 500 years. These early records highlight their persistent effect on both society and the public health sector. They’re more common than you might think! A person with STI may not always show symptoms and because of this many young people may be unaware of their STI status until it gets to the later stages. The good news? STIs can be prevented. In this blog we will discuss simple proven ways to protect yourself and others.

  1. WRAP IT UP!

The proper and consistent usage of condoms is one of the most effective ways of preventing STIs, including HIV, Gonorrhea and Chlamydia. As a bonus it helps in preventing pregnancy too!

For the best outcome:

  • Use a new condom for every sexual intercourse. Never use two at once as that can potentially lead to breakage.
  • Put it on before ANY skin-to-skin or sexual contact
  • Both external (male) and internal (female) condoms are available. You can use whichever is preferred.
  • Watch how to guides or read the instructions on the box for proper application and usage.
  1. BE POSITIVE THAT YOU ARE NEGATIVE!

As previously mentioned some STIs don’t show any symptoms, with that being said it doesn’t mean that they aren’t harmful. For this reason you should:

  • Get tested at least once a year if you are sexually active.
  • If you have multiple partners or a new partner, test every 3-6 months.
  • Encourage your partner to get tested with you.
  • Testing is available at most public and private health care centers. The first step to protecting yours and your partner’s health, is knowing your status.
  • Routine STI testing usually includes:

HIV test – detects HIV
RPR or VDRL – for syphilis
NAAT test – for gonorrhea and chlamydia
Hepatitis B and C tests – for HBV and HCV
Pap smear with HPV test – for high-risk HPV (in women)
Not all clinics test for everything by default, so it helps to ask for a full STI panel.

  1. TALK THAT TALK BEFORE YOU UNLOCK THE SHOCK!

Bringing up the subject of STIs with a partner might feel uncomfortable at the start but once you do, it can be taken as a sign of respect and maturity.

You can broach the subject by asking:

  • When the last time was that they got tested,
  • If you can get tested together

Or making boundaries clear by saying:

  • That you would be having intercourse with condoms only

These conversations can build mutual trust and keep both parties safe.

  1. PREVENTION IS BETTER THAN CURE!

This is one of the most effective methods for preventing transmission of certain diseases like HPV (Human papillomavirus) and HBV (Hepatitis B Virus). Therefore, we have:

  • HPV vaccine: It protects against human papillomavirus, which is a virus that can potentially lead to cervical cancer.
  • Hepatitis B vaccine: This is recommended for all unvaccinated, uninfected people who are sexually active.
  • Ethiopia’s Ministry of Health provides HPV vaccination for girls aged 9–14 as part of its national prevention program.
  1. KNOW WHAT’S NEW: Doxy-PEP (Post-Exposure Prophylaxis)

Recent studies show that taking a single dose of Doxycycline (an antibiotic) can reduce the risk of any bacterial STI by 46%, with specific reductions of 65% for Chlamydia and 77% for Syphilis. However, this didn’t affect the risk of Gonorrhea infection.

Caution: Always talk to a health provider before using antibiotics this way.

Source: Epocrates 2024, WHO STI Guidelines

  • Where to Go for STI Services in Ethiopia

You can get confidential testing, counseling, and treatment at government local health centers and hospitals, Marie Stopes International, and private clinics.

Final Takeaway:

Protecting yourself from STIs shouldn’t take a backseat because of shame. You should prioritize your sexual health without restrictions.

Knowing this, use condoms, test regularly, ask questions, and if you haven’t yet, get vaccinated.

  • Take control of your health. Start with one small step today.

Written by – Bezawit Elias, 4th Year Medical Student 

True or False; Debunking 7 Common STI Myths

Jun 1, 2025 | blog, Sexual Health

In Ethiopia, widespread myths about sexually transmitted infections (STIs) continue to create unnecessary fear, stigma, and health risks. These misconceptions contribute to preventable infections, which lead to avoidable health complications. So today, let’s inform ourselves about common STI myths, how they harm us and how to deal with them.

 Myth 1: “STIs are only a concern for the uneducated or those in rural areas.”

 STIs affect individuals across all educational levels and geographic locations. Urban and educated populations are also at risk, particularly if they engage in unprotected sex. Anyone sexually active should prioritize safe practices, regardless of background.

 Myth 2: “Only promiscuous people get STIs.”

STIs can infect anyone sexually active, even with one partner, if precautions like condoms or regular testing are ignored. Having multiple sexual partners in itself does not increase the likelihood of contracting a sexually transmitted infection. It is the lack of proper protection and precautions, such as using condoms or getting tested regularly, that puts individuals at risk.

 Myth 3: “Condoms are not necessary in long-term relationships.”

Unless both partners have been tested and are monogamous, trust and commitment alone do not eliminate STI risks. If you’re in a long-term relationship and considering stopping condom use, both partners should get tested for STIs and have an open, honest conversation about exclusivity and sexual health before making that decision.

Myth 4: “Getting tested for STIs means you’re unfaithful or immoral.”

Testing is a critical part of staying healthy. Early STI detection prevents long-term complications and reduces spread. Open, honest and informed conversations help break the shame around testing, making it easier for people to seek care.

 Myth 5: “If I or my partner tested negative once, we’re both safe indefinitely.”

A negative STI test only reflects a person’s status at the time of testing. New exposures can occur, and some infections have window periods during which they may not be detectable. Test regularly, especially if sexually active with new partners, is recommended.

Myth 6: “You can’t get STIs from oral sex.”

While it is true that the risk of transmission is lower for oral sex compared to vaginal or anal sex, it is still possible to transmit certain STIs such as chlamydia, gonorrhea, and herpes through oral sex. Only practice oral sex with tested and trusted partners, or utilize barrier contraceptives if available (eg. Dental dam).

Myth 7: “You can tell if someone has an STI by their appearance.”

Most STIs do not present visible symptoms, especially in the early stages. Relying on appearance to assess STI status is unreliable and unsafe. Never assume safety based on appearance, testing is essential.

Additional Misconceptions:

  • “Condoms ruin the mood or reduce sensation.” It’s common to hear that condoms reduce pleasure, but they are designed to be as thin and comfortable as possible while offering essential protection.
  • “STIs aren’t serious.”STIs can cause infertility, cancer or even be fatal, without proper management.
  • “Emergency contraceptives prevent STIs.”Contraceptive pills only prevent pregnancy, not STIs; condoms are needed for dual protection.

As a sexually active adult or adolescent, it’s important to stay informed, practice safe sex, and communicate openly with your partners. 

Written by :- Dr. Hosaena Gebru

 

Couples who use contraceptives have more sex !

Feb 24, 2023 | blog, Sexual Health

“From the moment I started using contraceptives, my fear of an unwanted pregnancy was vanquished. I could fully indulge in my sexual desires with my partner, enjoying the thrilling spontaneity that fueled our relationship. It was a liberating experience that shattered the long-held myths and misconceptions about contraception.” Tsgereda Hailu, 26

Although the link between contraception and sexual frequency may not always register as statistically significant, it’s crucial to understand that sexual activity and intimacy are fundamental components of a healthy and happy relationship. However, it’s important to recognize that various factors can influence our libido. Hormonal imbalances, lifestyle choices, and overall physical health can all play a role in our sexual appetite. Therefore, it’s essential to consider these factors when deciding on a contraceptive method, rather than solely focusing on its impact on sexual frequency.

“One key benefit of contraception is the peace of mind it provides regarding unwanted pregnancies. This freedom from anxiety and stress allowed me to fully embrace my sexual experiences and explore my desires without any apprehension.” mentions Meron Baye, 27

Additionally, using contraception allows for a more spontaneous sexual dynamic. With no fear of an unintended pregnancy, couples can experiment with different sexual positions and forms of foreplay without the need to rush or worry about interruptions. This sense of liberation and excitement can lead to a more fulfilling and passionate sex life.

“It lessens the burden on one partner and can foster a greater sense of trust and respect within the relationship” she added

Ultimately, while the relationship between contraception and sexual frequency may not always be clear, By considering various factors that influence our libido and the benefits of contraception, couples can make informed decisions that enhance their sexual experiences and overall relationship satisfaction.

Let’s Talk About Sex, Baby

Feb 16, 2023 | blog, Sexual Health

The start of intimacy is not just about physical touch, it’s about the conscious and vulnerable conversations where you discuss your boundaries, kinks, and expectations. It can be awkward and anxiety-provoking to talk about sex with your partner, but leaning into these difficult conversations is crucial to creating lifelong sexual potential. Our first conversation about sex was a bit strange, as I fumbled to explain my likes and dislikes. But then came a significant moment where he saw through my shyness and I gave it all away. Have you ever wondered where the magic of intimacy actually begins? It starts with vulnerability and the courage to confront uncomfortable topics head-on.

The thought of discussing your sexual desires with your partner may be intimidating, but it takes trust and bravery to communicate effectively. To make this conversation more enjoyable, think about what you want to create together and take risks by sharing your preferences to expand the capacity for pleasure. Even if you’re not exactly sure what you want in the bedroom, it’s important to be honest and curious. Instead of limiting yourself to the traditional definition of sex, try exploring the idea of adult fun in many different ways, with or without genitals, friction, or orgasms. Consider enrolling yourself and your partner in the idea that your sex lives can be a playground for grown-ups, full of diverse options for partnered exploration.

One of the keys to great sex is taking turns speaking and actively listening with an open mind, avoiding judgment and being willing to share feelings of shame or embarrassment. Researchers have identified several universal components of magnificent sex, including present moment awareness, synchronized connection with your partner, erotic intimacy, empathy, authenticity, vulnerability, exploration, and transcendence beyond the physical. Remember that any issues that arise in your sexual relationship can be an opportunity for growth and increased intimacy. With persistence and effort, almost any problem can be solved.

Taking My Life Back, My Journey With Contraception

Feb 14, 2023 | blog, Sexual Health

From whispered tales to heated debates, birth control has been the subject of much chatter. Yet, amidst the clutter of opinions and myths, the true benefits of contraception are often obscured. 

My journey with birth control was filled with moments of distress and confusion, as I struggled to find the perfect fit for my body and lifestyle. The initial discomfort and pain I felt during intimate moments made me question if something was amiss, but little did I know, it was just the beginning of a transformative journey.

I embarked on a quest for knowledge, seeking answers to questions that plagued me. I talked to experts, read the research, and gained a deeper understanding of what my body was going through. I learned that choosing birth control is not just a personal decision, but a pivotal step in shaping our lives.

When it comes to preventing pregnancy, the world of contraception offers a diverse range of options. From short-acting methods that provide immediate protection to long-acting options that offer continuous coverage, the journey of choosing the right method can be a personal and empowering experience.  

Short-acting contraceptives, such as condoms, diaphragms, and spermicides, offer a convenient and accessible solution for those who prefer to have control over their contraception at the moment. These methods provide temporary protection and require consistent use each time a person has sex to be effective.     

On the other hand, long-acting contraception methods, such as IUDs and hormonal injections, offer a low-maintenance solution for those who want long-term protection. Once inserted or administered, these methods can provide coverage for several years, making them a popular choice for those who prefer a hands-off approach to birth control.

Choosing both hormonal IUD and implant have much lower doses of hormones than the pill so they are often good options for people who haven’t had great experiences with hormones in the past, like me, but know that none of them can protect against STIs. The only form of contraceptive to control STIs is a condom.

So, remember, take the time to educate yourself, ask questions, and weigh the pros and cons. Your body and your happiness are worth it. Don’t be afraid to try, fail, and try again. “The right birth control method is waiting for you, a solution to cherish and a burden to forget.”

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