Confidential STD Pregnancy Panel | Treatment Available

What

This panel screens for the following 7 common sexually transmitted diseases (STDs): chlamydia, gonorrhea, hepatitis B, hepatitis C, syphilis, HIV-1, and HIV-2.

Treatment options may be available. See "After the Test" section.

Who

Must be 18+ years of age to purchase

Orders not permitted in: AK, HI, AZ

How

Type of sample to be collected:
Blood (venipuncture—a needle is used to draw blood from a vein)
Urine

This test features confirmation testing; see ‘Confirmation’ section for details.

Where

Find a location near you

Schedule an appointment, then visit one of our Patient Service Centers.

About the test

Screening for STDs as early as possible during a pregnancy is critical, as serious pregnancy complications can occur that put your health and the health of your baby at risk.

Sexually transmitted diseases are common infections that spread from person to person during sexual activity, blood transmission, or genital contact. Since many STDs do not have symptoms, you may not be aware that you have an infection. The only way to confirm an STD is to get tested. This panel tests for chlamydia, gonorrhea, hepatitis B, hepatitis C, syphilis, and 2 human immunodeficiency viruses (HIV-1 and HIV-2).

The STD Pregnancy Panel screens for 7 sexually transmitted diseases: chlamydia, gonorrhea, hepatitis B, hepatitis C, syphilis, HIV-1, and HIV-2.

Chlamydia is a bacterial sexually transmitted infection (STI) caused by Chlamydia trachomatis. The CDC reports chlamydia as the most commonly reported STD in the United States. However, some men and most women with chlamydia may never experience symptoms, which makes it underreported and very easy to spread from person to person. For men, testing for chlamydia is usually done with a physician-collected swab; for women, with a physician-collected or self-collected vaginal swab; or, for both men and women, a sample of urine. Chlamydia can be treated with antibiotics. If chlamydia is not treated, it usually does not go away on its own. It can stay within the body for years without symptoms, and may flare up and cause serious complications. In men, untreated chlamydia can spread to the testicles and epididymis (tubes that carry sperm from the testicles). In women, untreated chlamydia can spread to reproductive organs and can cause pelvic inflammatory disease (PID) and ectopic pregnancy. Infertility may result in both men and women.

Gonorrhea is a bacterial sexually transmitted infection caused by Neisseria gonorrhoeae. The CDC reports gonorrhea as the second most commonly reported STD in the United States. However, both men and women may never experience symptoms, which makes it underreported and very easy to spread from person-to-person. It can cause infection in the genitals, throat, and rectum. Testing for genital gonorrhea is usually done with a sample of urine or a penile or vaginal swab. Gonorrhea is easily treatable, but usually will not go away on its own. If gonorrhea is treated early, it is unlikely to lead to complications; however, if it is not treated, it can spread and may cause serious complications. In men, untreated gonorrhea can spread to the testicles and prostate gland. In women, untreated gonorrhea can spread to reproductive organs and can cause pelvic inflammatory disease (PID) and ectopic pregnancy. Infertility may be a result in both men and women.

Syphilis is a bacterial sexually transmitted infection caused by Treponema pallidum. Men and women may never experience symptoms of syphilis, which makes it very easy to spread from person to person. It can cause infection in the genitals, throat, and rectum and can lead to sores, rashes, and lesions on your body. Testing for syphilis is usually done with a sample of blood (collected by finger prick). Syphilis is treatable, but usually will not go away on its own. Treatment with antibiotics is very effective; however, if your test results are positive, it is important to start treatment immediately and get tested frequently. If syphilis is not treated, it can cause damage to the brain, eyes, heart, nerves, bones, joints, and liver.

HIV, or human immunodeficiency virus, is a sexually transmitted viral infection. Without treatment, HIV infection may cause acquired immunodeficiency syndrome (AIDS). HIV attacks the immune cells and weakens the body's defenses against infection. Initially, men and women infected with HIV may have no or mild symptoms for many years, which makes it easy to spread through unprotected sex. The virus can pass from person to person through contact with HIV-infected semen, vaginal fluid, breast milk, or blood.Testing for HIV is done with a sample of blood (collected by finger prick). There are 2 types of HIV found in the US, HIV-1 and HIV-2. HIV-1 is the most common. Our test checks for both types of HIV. There is no cure for HIV or AIDS, but there are treatment options that can slow the progression of the disease. HIV does not go away on its own. If left untreated, HIV can cause damage to the immune system and may develop into AIDS.

Hepatitis B is an infection of the liver caused by the hepatitis B virus (HBV), which is spread from person to person by mixing bodily fluids through sexual contact and sharing needles. HBV may affect a baby during childbirth. Approximately 90% of infants who become infected with HBV are likely to develop a chronic infection. Hepatitis B can be a short-term infection for some people, but for many others, it may become a long-term, chronic condition. Initially, HBV can cause flu-like symptoms, nausea, aching joints, persistent fatigue, and jaundice (yellowing of the eyes or skin). Chronic infections may significantly impair liver function and lead to serious health conditions, such as severe liver scarring (cirrhosis) and liver cancer. There is no cure for HBV, but vaccination can prevent infection. HBV antigens cause the body's immune system to react and make antibodies. Screening is performed with a hepatitis B surface antigen (HBsAg) test that detects whether these HBV-specific antigens are present in the bloodstream. Negative results indicate no antigens were found and may suggest that there is no active or past infection. If HBV antigens are detected, another test, HBV DNA (also known as polymerase chain reaction or PCR testing), is performed. A positive test for HBV DNA is needed for proper diagnosis and treatment.

Hepatitis C is a liver infection caused by the hepatitis C virus (HCV), which is spread through contact with infected blood. HCV can affect infants during childbirth. In some cases, Hepatitis C can be a short-term infection. However, it becomes a long-term, chronic condition for more than half of those with HCV. This infection may significantly impair liver function and can lead to chronic health conditions, such as cirrhosis and liver cancer. An antibody test for HCV (also known as anti-HCV tests) is performed to detect whether HCV-specific immunoglobulin (IgG) antibodies are present in the bloodstream. A negative anti-HCV test result indicates that a person has never been exposed to the virus. If HCV antibodies are detected, the test is followed by HCV RNA (also known as polymerase chain reaction or PCR testing). A positive test for HCV RNA is needed for proper diagnosis and treatment.

While many sexually transmitted diseases and infections may be asymptomatic, this does not make them any less dangerous. Each of these bacterial or viral sexually transmitted infections is different, and the symptoms may vary, as shown below:

Chlamydia:

Painful urination (dysuria)
Burning sensation while urinating
Vaginal discharge that is white, yellow, or gray and may have an unusual odor
Bleeding between periods
Rectal pain, bleeding, or discharge
Unusual sores in or around the genital area

Gonorrhea:

Painful urination
Burning sensation while urinating
Increased vaginal discharge
Bleeding between periods
Rectal pain, itchiness, bleeding, or discharge
Painful bowel movements

Hepatitis B:

Abdominal pain
Fatigue
Fever
Dark yellow urine
Light-colored or clay-colored stools
Joint pain
Loss of appetite
Nausea
Vomiting
Jaundice
Abnormal liver function tests
Mild to severe chronic liver disease
Cirrhosis
Primary liver cancer (hepatocellular carcinoma)

Hepatitis C:

Abdominal pain
Fatigue
Fever
Dark yellow urine
Light-colored or clay-colored stools
Joint pain
Loss of appetite
Nausea
Vomiting
Jaundice
Mild to severe chronic liver disease
Cirrhosis
Liver cancer
Depression
Abnormal liver tests

Syphilis:

Sores on the vagina, rectum, lip, or mouth
A rough, red, or reddish-brown rash that appears on 1 or more parts of the body
Fever
Fatigue
Sore throat
Headache
Muscle ache
Unintentional weight loss
Patchy hair loss
Vision changes
Changes to cognitive function (confusion, depression, personality changes)
Hearing loss

HIV-1 and HIV-2:

Flu-like symptoms (fever, muscle aches, chills, sore throat, swollen lymph nodes)
Rash
Night sweats
Fatigue
Mouth ulcers

AIDS: Individuals living with HIV who do not receive treatment will eventually have a weakened immune system and may develop AIDS. The following symptoms may occur during this late stage of HIV infection:

Unintentional rapid weight loss
Persistent fever
Excessive night sweats
Fatigue that is severe, unexplained, and persistent
Diarrhea lasting more than a week
Sores on the genitals, anus, or mouth
Infection in one or both of the lungs (pneumonia)
Changes to cognitive function (memory loss, depression) and other neurologic disorders
Prolonged swollen lymph glands
Red, brown, pink, or purple blotches that appear on or under the skin or inside the eyelids, mouth, or nose

Our Sexually Transmitted Disease (STD) Pregnancy Panel is for women who are pregnant and want to get tested for common STDs. You must be 18 years of age or older to purchase.

You do not need to do anything special to prepare for the sample collection. This test does not require fasting.

When your results are ready, we will send them to you in a clear, easy-to-read report.

You will have the option to speak with an independent physician to discuss your results and treatment options, if applicable.

If your results differ from expected ranges, you may receive an alert call to inform you.

Together, you and your physician may develop a personalized plan to treat your condition.

If a medication is prescribed, it will be sent by the physician to the pharmacy of your choice.

If initial syphilis, HIV, or hepatitis C results are abnormal, confirmation testing is performed on the sample you have already provided, as required by standard diagnostic guidelines.

How Does it Work?

Take an in-person test at a Quest Diagnostics location.

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Schedule your appointment after purchasing a test to minimize wait time.

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Take control of your health

Conveniently shop and pay online for lab tests without a doctor's visit. An independent physician will review your request and if appropriate, confirm your order and offer oversight.

Schedule and manage your appointments

Conveniently schedule your appointment online at one of our Quest Diagnostics locations. Certain tests may also offer self-testing home delivery.

Get your results online

View your results through your secure account online. And it's easy to share the result with your doctor.

Your results are available on our free, secure patient portal that you can access on your smartphone, tablet, or desktop. You will receive an email notification when your results are ready. You can also share your results with your doctor, family, or friends.

FAQs

How are STDs spread to a developing baby during pregnancy?

It is possible to spread certain STDs to a baby during pregnancy, childbirth, or breastfeeding. Syphilis, HIV, and HCV can cross the placenta and infect a baby during pregnancy and childbirth. Gonorrhea, chlamydia, and hepatitis can be spread to a baby while passing through the birth canal. HIV and syphilis can also be transmitted through breastfeeding. Syphilis can be spread through sores (chancres) on the breast or nipple, while HIV can be transmitted through breastmilk.

Is there a difference between an STD and STI?

Although the names and acronyms are frequently used interchangeably, they mean different things. A sexually transmitted infection (STI) is the pathogen, such as a bacteria or virus, which is passed during sexual contact. A sexually transmitted disease (STD) is the result of the infection.

What is the difference between HIV-1 and HIV-2?

HIV is the viral infection caused by 1 of 2 retroviruses, HIV-1 or HIV-2.

Retroviruses encode their genetic material using ribonucleic acid (RNA) rather than deoxyribonucleic acid (DNA). When HIV infects a cell, it utilizes the host cell's ability to convert viral RNA to DNA in order to multiply and spread. The newly replicated HIV then leaves the host cell to infect other cells.

HIV-1 is the most common and most virulent form of the virus and is responsible for the majority of AIDS infections worldwide. HIV-2 is less common and while it can still lead to AIDS, it typically progresses more slowly than HIV-1. In terms of treatment, there are antiretroviral drugs that can be used to treat both types of HIV, but there is currently no cure for HIV.

STD Pregnancy Test Panel

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