STI Testing: Which Test Do I Need? | Epicentre SA
Sexual HealthDecision Guide

STI Testing: Which Test Do I Actually Need?

Six packages, two sample types, three branches and a home kit option. This page matches your situation to the right test so you do not have to guess.

By Aimee Zuccarini · Published · Updated · Reviewed by Dr. Samantha Naidoo, MB ChB, FCP (SA)
⭐ 4.7 Google Rating✓ No doctor's referral🕑 15 minutes🔒 Confidential

Blood Test vs PCR Swab

This is the first thing that confuses people. Epicentre offers two types of STI test. They detect different infections using different methods, and you may need both for full coverage.

Blood tests detect antibodies: proteins your immune system builds in response to infection. A nurse draws blood from your arm. This is how HIV, syphilis, hepatitis B and herpes are detected. The trade-off is that antibodies take weeks to develop, so blood tests have a longer window period (4 – 12 weeks).

PCR swab tests detect the actual DNA of the organism. You collect the swab yourself in a private room. This is how chlamydia, gonorrhoea, trichomoniasis, mycoplasma, ureaplasma and HPV are detected. PCR catches infections from just two weeks after exposure because it does not wait for an immune response.

In short: blood = HIV, syphilis, hepatitis B, herpes. Swab = chlamydia, gonorrhoea, trichomoniasis, mycoplasma, ureaplasma, HPV. For full coverage you need both. Not sure which infections are silent? Read that first.

Find Your Situation

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New Relationship

Testing before ditching condoms

Test together. The Sexual Health Express covers five infections via blood: HIV, syphilis, hepatitis B, chlamydia and herpes. To add swab-detected infections, combine it with the Medium PCR Package.

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Routine Annual Screen

Sexually active, no specific concern

Annual testing is recommended for everyone who is sexually active, even in a long-term relationship. The Sexual Health Express covers the core five via blood. If budget allows, add the Medium PCR Package for the nine swab-detected targets.

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I Have Symptoms

Discharge, burning, sores or itching

Symptoms point to an active localised infection. A PCR swab identifies the exact organism. The Medium Package (9 targets) is the best starting point: it includes mycoplasma and ureaplasma, which are common causes of urethritis that most clinics miss.

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After Unprotected Sex

Anxious after a one-off exposure

Test now for a baseline, then retest after the window period. Blood infections (HIV, syphilis): confirm at 6 – 12 weeks. PCR infections (chlamydia, gonorrhoea): test from 2 weeks.

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Partner Tested Positive

Specific infection to rule out

Tell reception which infection your partner was diagnosed with. Chlamydia or gonorrhoea: PCR swab. HIV or syphilis: blood test. Not sure: the Medium PCR plus the Sexual Health Express covers everything.

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The Complete Picture

Test everything, nothing left to chance

The Extra Large Package tests 35 targets: every common STI plus HPV, vaginal microbiome, BV markers and Candida species. Walk-in or home kit.

Quick Comparison

PackageTargetsSamplePriceHome Kit
HIV Screening1BloodR168Walk-in only
Sexual Health Express5BloodR1,076Walk-in only
Small PCR4Self-swabR1,235
Medium PCR9Self-swabR1,508
Large10+HPVSelf-swabR1,925
Extra Large35Self-swabR3,305

All prices include VAT. Payflex interest-free instalments. 10% student discount. 10% pensioner discount.

Still not sure? Take the 30-second quiz on our packages page, or walk in and tell reception what you are concerned about.

Walk-In or Home Kit?

Walk-in if you need a blood test, want the fastest turnaround, or prefer nurse-assisted collection. Durban (Hillcrest, 031 880 2150), Cape Town (Observatory, 021 201 1658), Johannesburg (Parktown North, 082 065 2172). Mon – Fri, 08:30 – 16:00. No appointment needed.

Home kit if you want total privacy or cannot reach a branch. PCR swab tests only. Discreet packaging, prepaid return. Stellenbosch pickup available. Students get 10% off.

Frequently Asked Questions

Which STI test should I get?
Basic: HIV Screening (R168). Routine: Sexual Health Express (R1,076). Thorough: Medium PCR (R1,508). Complete: Extra Large (R3,305).
Blood test vs PCR swab?
Blood detects antibodies to HIV, syphilis, hepatitis B and herpes (window: 4 – 12 weeks). PCR swab detects DNA of chlamydia, gonorrhoea, trichomoniasis, mycoplasma, ureaplasma and HPV (window: 2 weeks). For full coverage, you need both.
How much does STI testing cost?
HIV R168. Express R1,076. Small PCR R1,235. Medium PCR R1,508. Large R1,925. Extra Large R3,305. VAT included. 10% student discount. 10% pensioner discount. Payflex instalments.
Do I need a doctor's referral?
No. Walk into any branch or order a home kit. No referral, no appointment.
How long for results?
Blood: 2 – 5 working days. PCR: 5 – 7 working days. Via email. Express options available.
Can I test at home?
Yes for PCR swab tests. Home kits: discreet packaging, prepaid return. Blood tests need a walk-in visit.
What if I test positive?
Epicentre connects you to trusted sexual health professionals for treatment. Most STIs are treatable or manageable.

Stop Guessing. Start Testing.

15 minutes. No doctor's referral. Results to your email only.

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Medically reviewed by Dr. Samantha Naidoo
MB ChB, FCP (SA) · Medical Director, Epicentre Laboratories

Epicentre Walk-In Labs does not provide medical diagnoses. For medical diagnoses and advice, please consult your healthcare practitioner. Practice #1117394.