Unhappy news: STIs are on the rise in South Africa. This year, the Gauteng Department of Health issued a plea for South Africans not to engage in risky sexual behaviour after the region saw a spike in Male Urethritis Syndrome (MUS), something commonly caused by gonorrhoea and chlamydia. One thing that could be driving rising STI levels? STD myths, along with many people having unprotected sex.
To avoid spreading misinformation – and STIs – we’re debunking some common STD myths with the truth.
STD Myth: Once you’ve got an STI, you can’t get the same one again
Myth: You can’t get STIs from oral sex
Reality: “In general, most of the STIs we talk about don’t do their thing quite as well in the mouth as well as they do in the genital or anal area,” says Wyand. Even though oral sex is safer sex, it’s not risk-free, and vag contact is not a requirement to become infected. Gonorrhoea, syphilis, and chlamydia, to a lesser extent, can all be passed orally.
Myth: You can’t have two STIs at once
Reality: Having two STIs at once – called co-infection – is extremely possible. “Actually, having one STI may increase the susceptibility to another,” says Wyand. Take herpes, for example. An outbreak can act as a breeding ground for HIV if your partner has it. Being infected with other STDs also increases your risk of developing HIV. Plus, a 2020 study also found that 83.3% of HIV-positive women in KwaZulu-Natal have other STIs too.
READ MORE: Can You Really Get An STD From Kissing?
Myth: If you don’t have any symptoms, you’re STD-free
Reality: “It is very common for any STD to not have apparent symptoms,” says Wyand. Chlamydia, in particular, is known as a silent infection since it’s light on warning signs. “Women can go much longer with chlamydia without seeing or feeling anything atypical,” says Wyand. In fact, a study published in the journal found that 63 percent of cervical chlamydia cases and 54 percent of gonorrhoea cases were symptom-free.
Myth: You can only catch herpes during an outbreak
Reality: From sores around the genital area to cold sores around the mouth, it’s easy to see why so many people think they can spot a herpes infection from a mile away. It’s not so simple, though. Even if there are no sores in sight, the infection could be lurking beneath the surface. “The virus can and does become active even if you don’t see anything,” says Wyand. Still, that doesn’t mean herpes will automatically be transferred to a partner. Many couples are able to keep their sex lives active without the unaffected partner ever acquiring it, so long as they’re open to using condoms and having honest discussions, says Wyand.
Myth: A pap smear tests for STDs
Reality: Many women assume (incorrectly) that a yearly visit to the OB-GYN is all it takes to make sure everything down there is A-OK. A pap smear tests the cells in your cervix for cancer and HPV but doesn’t take STIs into account. To cover yourself, ask your gyno to tack on an STI test at your next visit. That might call for a blood or urine sample, or another swab test.
READ MORE: What’s The Difference Between STDs and STIs?
Myth: The pill protects you from STDs
Reality: The Pill’s main job is to keep you baby-free, not STI-free. Condoms are the only birth control method that acts as protection against STDs.
Myth: Only women with many partners have STIs
Reality: No slut-shaming here. While it’s true that the more partners you have, the more you’ll be exposed to infections, STIs rear their ugly heads even in monogamous relationships. Each party brings their own sexual history to the bedroom – and sometimes that history involves an STI. “Even in a monogamous relationship, if either one of the partners has had previous partners, there could be an STD from many years ago that they’re not even aware of that can still be transmitted,” says Wyand. Truth is, most sexually active people will have an STD at some point, so it shouldn’t be shameful. “More and more we’re saying, ‘Do you know what it means to have an STD?’” says Wyand. “It means you’re pretty normal.”
READ MORE: It’s Time To Stop Believing These Sexual Health Myths
