STI Testing in Nigeria: What to Expect and How to Prepare

Reviewed by: Amela Pharmacy team, Uyo Last updated: 7 Feb 2026

You know that moment at the pharmacy counter when someone lowers their voice and says, “Please… I just want to check something”? That pause usually means one thing: they want clarity and privacy, not drama.

STI testing is a normal part of adult health. It can feel awkward, but it shouldn’t feel confusing. This guide keeps it simple: when to consider a test, what actually happens, how to prepare, and the red flags that mean you shouldn’t wait.

A quick micro-story: a young couple came in after a long market run, still holding their nylon bags. They asked if testing meant “everyone will know.” We told them it’s routine, confidential, and better than guessing. They both smiled. “So we can just do it quietly?” Yes, you can.

Why testing matters even when you feel fine

Many STIs don’t cause obvious symptoms, so people can carry them without knowing. When symptoms do show up, they can be mild or easy to ignore. (who.int)

Untreated STIs can lead to serious health problems, including fertility issues, pregnancy complications, and increased risk of HIV. The sooner you know your status, the sooner you can protect yourself and your partner(s). (who.int)

When should you consider a test?

There isn’t a single “right” moment for everyone, but these are common reasons to get tested based on widely used screening guidance:

• You’re sexually active and haven’t tested before.
• You have a new partner or more than one partner.
• Your partner has symptoms or was diagnosed with an STI.
• You’re pregnant or planning a pregnancy.
• You’ve had oral or anal sex and want the right site tested.

These situations align with standard screening advice, which recommends regular testing for sexually active people, especially those with new or multiple partners, and specific checks in pregnancy. (cdc.gov)

What happens at a sexual health clinic?

Most sexual health services follow a simple, respectful process. You’ll be asked a few questions about your symptoms and sexual history, then offered the tests that fit your situation. Testing may include urine samples, blood tests, and swabs from the vagina, urethra, or anus. (nhs.uk)

You can request a male or female clinician where possible, and you can ask questions before anything is done. The goal is to make testing clear and comfortable, not scary. (nhs.uk)

What kinds of tests are common?

The specific tests depend on your symptoms and sexual history, but here’s a simple overview:

• Urine tests can check for infections like chlamydia and gonorrhoea.
• Blood tests can check for infections like HIV and syphilis.
• Swab tests can be taken from the vagina, urethra, throat, or anus depending on exposure.

These are standard testing methods used in sexual health services. (nhs.uk)

A practical “before you go” checklist

Use this to make the visit smoother, especially if you’re busy and just want to get in and out (we see you, okada riders and market mums).

• Write down any symptoms you’ve noticed, even if they seem small.
• Note roughly when the symptoms started.
• Think about any recent partners so you can describe your risk clearly.
• Bring a list of any medicines you’re taking.
• Plan a time when you can have a private phone call for results, if needed.

You don’t need to overthink it. The clinic staff will guide you.

Common symptoms people overlook

STI symptoms can be subtle. Common signs include unusual vaginal or urethral discharge, genital ulcers or sores, and lower abdominal pain. Some people have no symptoms at all. (who.int)

If you’ve recently had unprotected sex and notice any of these, don’t sit on it. Testing is faster and easier than living with anxiety.

Red flags: seek urgent help sooner rather than later

Get prompt medical care if you have any of the following:

• Severe lower abdominal pain or pain that is getting worse.
• Genital ulcers or sores that are painful or not healing.
• Unusual discharge with significant discomfort.
• You are pregnant and think you may have an STI.

STIs can cause serious complications, including pregnancy-related risks, so early medical care matters. (who.int)

Talking to a partner (without a fight)

This is the part many people dread, but it doesn’t have to be dramatic. Keep it simple: “I’m getting tested for peace of mind. I’d like us to both know our status.” It’s a health conversation, not a courtroom.

If you want, the clinic can advise on how to notify partners and do it confidentially. (nhs.uk)

A quick note about stigma

In Nigeria, people still whisper about sexual health. But in real life, the pharmacy counter tells another story. People test, treat, and move on. Your health deserves normal attention, just like your blood pressure or your malaria test.

When NEPA takes light and the fan stops, we still want the right information. When the rainy season keeps you indoors, we still want to keep things safe. Quiet care is still care.

Short disclaimer

This article shares general information, not personal medical advice. If you’re worried about symptoms or exposure, please seek professional care for testing and treatment.

Sources & further reading

• World Health Organization: Sexually transmitted infections (STIs)
• CDC: Getting Tested for STIs
• NHS: Sexually transmitted infections (STIs)

Take care of your health. Quietly, confidently.