The Marion County Health Department offers testing for
Gonorrhea, Chlamydia
, HIV and Syphilis.  Clients must
meet Illinois Department of Public Health (IDPH) screening
criteria for the Gonorrhea and Chlamydia testing. A fee of
$
20 covers the test for all four STD's.

The testing will be done by appointment only. If the patient
reports signs and symptoms of a STD or if they have a
positive test result, the patient will be referred to a local
medical facility for treatment. The office visit fee will be
based on a sliding scale according to income and family
size.
STD Testing
for Chlamydia, Gonorrhea and Syphilis
FEMALE patients must meet one or more of the following criteria:
  • Age 25 or younger and sexually active or pregnant
  • Age 26 or older with one or more of the following risks:
  • STD Signs or Symptoms
    - vaginal discharge
    - mucopurulent cervicitis
    - pelvic pain or suspected pelvic inflammatory disease
  • Sex partner of individual diagnosed with Chlamydia and/or Gonorrhea
  • Sex partner risk
    - new sex partner in past 3 months
    - more than 1 sex partner in past 3 months
  • STD Diagnoses/history in past 3 years
  • Pregnant (and one or more of the above risks)
  • IUD Insertion
  • Re-screen females infected with chlamydia and/or gonorrhea three months after treatment to detect
    re-infection
What is the screening criteria?
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Sexually transmitted
diseases (STDs) are
among the most
common infectious
diseases in the
United States today,
affecting more than
13 million men and
women annually.
  Gonorrhea
Chlamydia
Syphilis

What is it?
Gonorrhea is a sexually
transmitted disease (STD).
Gonorrhea is caused by
Neisseria gonorrhoeae, a
bacterium that can grow
and multiply easily in the
warm, moist areas of the
reproductive tract, including
the cervix (opening to the
womb), uterus (womb), and
fallopian tubes (egg canals)
in women, and in the
urethra (urine canal) in
women and men. The
bacterium can also grow in
the mouth, throat, eyes, and
anus.
Chlamydia is a common
sexually transmitted disease
(STD) caused by the
bacterium,
Chlamydia trachomatis,
which can damage a woman’
s reproductive organs. Even
though symptoms of
chlamydia are usually mild
or absent, serious
complications that cause
irreversible damage,
including infertility, can
occur “silently” before a
woman ever recognizes a
problem. Chlamydia also
can cause discharge from
the penis of an infected man.
Syphilis is a sexually
transmitted disease (STD)
caused by the bacterium
Treponema pallidum. It
has often been called “the
great imitator” because so
many of the signs and
symptoms are
indistinguishable from
those of other diseases.

How is it
spread?
Gonorrhea is spread through
contact with the penis,
vagina, mouth, or anus.
Ejaculation does not have
to occur for gonorrhea to be
transmitted or acquired.
Gonorrhea can also be
spread from mother to baby
during delivery.

People who have had
gonorrhea and received
treatment may get infected
again if they have sexual
contact with a person
infected with gonorrhea.
Chlamydia can be
transmitted during vaginal,
anal, or oral sex. Chlamydia
can also be passed from an
infected mother to her baby
during vaginal childbirth.
Any sexually active person
can be infected with
chlamydia. The greater the
number of sex partners, the
greater the risk of infection.
Because the cervix (opening
to the uterus)
of teenage girls and young
women is not fully matured
and is probably more
susceptible to infection, they
are at particularly high risk
for infection if sexually
active. Since chlamydia can
be transmitted by oral or
anal sex, men who have sex
with men are also at risk for
chlamydial infection.
Syphilis is passed from
person to person through
direct contact with a
syphilis sore. Sores occur
mainly on the external
genitals, vagina, anus, or
in the rectum. Sores also
can occur on the lips and
in the mouth. Transmission
of the organism occurs
during vaginal, anal, or
oral sex. Pregnant women
with the disease can pass it
to the babies they are
carrying. Syphilis cannot
be spread through contact
with toilet seats, doorknobs,
swimming pools, hot tubs,
bathtubs, shared clothing,
or eating utensils.

How is it
diagnosed?
Several laboratory tests are
available to diagnose
gonorrhea. A doctor or nurse
can obtain a sample for
testing from the parts of the
body likely to be infected
(cervix, urethra, rectum, or
throat) and send the sample
to a laboratory for analysis.
Gonorrhea that is present in
the cervix or urethra can be
diagnosed in a laboratory by
testing a urine sample. A
quick laboratory test for
gonorrhea that can be done
in some clinics or doctor’s
offices is a Gram stain. A
Gram stain of a sample from
a urethra or a cervix allows
the doctor to see the
gonorrhea bacterium under
a microscope. This test
works better for men than for
women.
There are laboratory tests to
diagnose chlamydia. Some
can be performed on urine,
other tests require that a
specimen be collected from
a site such as the penis or
cervix.
Some health care
providers can diagnose
syphilis by examining
material from a chancre
(infectious sore) using a
special microscope called
a dark-field microscope. If
syphilis bacteria
are present in the sore,
they will show up when
observed through the
microscope.

A blood test is another way
to determine whether
someone has syphilis.
Shortly after infection
occurs, the body produces
syphilis antibodies that can
be detected by an
accurate, safe, and
inexpensive blood test. A
low level of antibodies will
likely stay in the blood for
months or years even after
the disease has been
successfully treated.
Because untreated syphilis
in a pregnant woman can
infect and possibly kill her
developing baby, every
pregnant woman should
have a blood test for
syphilis.

How is it
treated?
Several antibiotics can
successfully cure gonorrhea
in adolescents and adults.
However, drug-resistant
strains of gonorrhea are
increasing in many areas of
the world, including the
United States, and
successful treatment of
gonorrhea is becoming
more difficult. Because
many people with gonorrhea
also have chlamydia,
another STD, antibiotics for
both infections are usually
given together. Persons with
gonorrhea should be tested
for other STDs.
Chlamydia can be easily
treated and cured with
antibiotics. A single dose of
azithromycin or a week of
doxycycline (twice daily) are
the most commonly used
treatments. HIV-positive
persons with chlamydia
should receive the same
treatment as those who are
HIV negative.
All sex partners should be
evaluated, tested, and
treated.

Persons with chlamydia
should abstain from sexual
intercourse until they and
their sex partners have
completed treatment,
otherwise re-infection is
possible.

Women whose sex partners
have not been appropriately
treated are at high risk for re-
infection. Having multiple
infections increases a
woman’s risk of serious
reproductive health
complications, including
infertility. Retesting should
be encouraged for women
three to four months after
treatment. This is especially
true if a woman does not
know if her sex partner
received treatment.
Syphilis is easy to cure in
its early stages. A single
intramuscular injection of
penicillin, an antibiotic,
will cure a person who has
had syphilis for less than a
year. Additional doses are
needed to treat someone
who has had syphilis for
longer than a year. For
people who are allergic to
penicillin, other antibiotics
are available to treat
syphilis. There are no
home remedies or
over-the-counter drugs that
will cure syphilis.
Treatment will kill the
syphilis bacterium and
prevent further damage,
but it will not repair
damage already done.

Because effective
treatment is available, it is
important that persons be
screened for syphilis on an
on-going basis if their
sexual behaviors put them
at risk for STDs. Persons
who receive syphilis
treatment must abstain
from sexual contact with
new partners until the
syphilis sores are
completely healed.
Persons with syphilis must
notify their sex partners so
that they also can be
tested and receive
treatment if necessary.
For more
information
regarding these
STD's, please review
the CDC's Fact
Sheet.


Gonorrhea Fact Sheet


Chlamydia Fact Sheet


Syphilis Fact Sheet
STD Facts
MALE patients must meet one or more of the following criteria:
  • Age 25 or younger and sexually active
  • Age 26 or older with one or more of the following risks:
  • STD Signs or Symptoms
    - urethral discharge
    - dysuria
  • Sex partner of individual diagnosed with Chlamydia and/or Gonorrhea
  • Re-screen males infected with chlamydia and/or gonorrhea three months after treatment to detect re-
    infection