Sex, Gender Identity, and Sexual Health Testing with Epicentre

At Epicentre, we’re proud to offer inclusive, discreet, and accurate sexual health testing for all people, no matter how they identify. But we also understand that navigating sexual health services can be challenging—especially for LGBTQIA+ individuals—because healthcare systems have too often failed to consider identity, dignity, and diversity.

So let’s talk about it—because your health matters, and your identity is valid.

💬 Understanding the Difference Between Sex and Gender Identity

One of the most common concerns we hear is confusion around how testing is determined—especially for trans, non-binary, or gender-diverse individuals. At Epicentre, we want to be clear:

🧬 Sexual health testing is based on anatomy and risk, not on gender identity.

This means that even if you identify as a different gender from the one you were assigned at birth, your testing needs may still relate to the parts of your body that could be exposed to STIs.

This does not invalidate your gender identity—we respect who you are. But biologically, the way an infection behaves in the body depends on where it can live and grow. For example, someone with a cervix may need a different kind of test than someone with a penis, regardless of their gender identity.

As Kessler et al. (2020) note, accurate STI screening must consider both current anatomy and sexual behaviour—including types of sex, number of partners, and use of protection. That’s why at Epicentre, we never assume. Our self-testing process is private, personalised, and respectful, built to meet your needs without awkward questions or assumptions.

🏳️‍🌈 Dignity vs Diagnosis: Why Inclusivity in Sexual Health Care Matters

Research shows that LGBTQIA+ individuals are less likely to access sexual health services, not because they care less—but because of how they’re treated when they do.

A recent study by Hoskin, Blair, and Jenson (2016) found that while heterosexual cisgender patients were most concerned about receiving a scary diagnosis, LGBTQIA+ individuals were more worried about being disrespected, misgendered, or misunderstood during their exam

. One trans participant even said they avoided testing because they “didn’t want someone poking around in the parts [they] feel [they] shouldn’t have.” This is a powerful reminder that dignity must come before diagnosis.

At Epicentre, we’ve heard these concerns—and we’re changing the experience.

🔬 How Epicentre’s Testing Works

Our Sexual Health Self-Test Kits are:

– PCR-based, which means they detect the DNA of infections like chlamydia, gonorrhoea, herpes, HPV, syphilis, trichomonas, and more.

– Highly accurate, even in early infections.

– Discreet and non-invasive—just a urine sample or swab, no blood or clinic visits needed.

– Delivered confidentially, with clear, secure results emailed to you.

– Referral-supported, so if you test positive, we’ll connect you with a local, affirming healthcare provider.

We offer test packages for female and male anatomy, but we also work with you to select the right test based on your body and behaviour, not outdated checkboxes. Plus, we never ask you to defend your identity.

Book a test with experts
Stellenbosch, Western Cape

For directions to Epicentre Health Box Pick-Up at the Local Choice Pharmacy Stelkor, 34 Piet Retief St, click here:

For directions to Epicentre Health Box Pick-Up at Stelkor Kampus, click here:

For directions to Epicentre Health Box Pick-Up at Stelkor Simonsrust, click here:

💡 Why This Matters for Students and Young People

Young people between 15–24 account for half of all new STIs globally, according to the CDC. Many infections are asymptomatic, meaning you could have an STI and not know it. That’s why regular testing is so important.

But as Hoskin et al. (2016) highlight, barriers like fear, embarrassment, and past discrimination stop many LGBTQIA+ students from seeking help. Epicentre is here to break those barriers—by making testing:

1. Accessible (we offer student discounts through Varsity Vibe and Payflex split payments)

2. Private (collect samples at home, no clinic visit required)

3. Judgment-free (we’re trained in LGBTQIA+ inclusive care)

Our Sexual Health Home Packages

  • Cervical / Vulvo-Vaginal Large Sexual Health Package

    Includes: Atopobium vaginae, Bacterial vaginosis-associated bacteria 2 (BVAB2), Candida spp, Chlamydia trachomatis, Escherichia coli O18, Gardnerella vaginalis, Herpes simplex virus, Human Papilloma virus (HPV), Lactobacillus spp, Mobiluncus spp, Mycoplasma genitalium, Mycoplasma hominis, Neisseria gonorrhoeae, Prevotella bivia, Trichomonas vaginalis, Uncultured Megasphaera spp, Ureaplasma urealyticum

    Lab results in 5 to 7 working days - No referral required

  • Cervical / Vulvo-vaginal Extra Large Sexual Health Package

    Includes: Atopobium vaginae, BVAB2, Bacteroides fragilis, Enterococcus faecalis, Escherichia coli O18. Gardnerella vaginalis, Lactobacillus crispatus, Lactobacillus gasseri, Lactobacillus iners, Lactobacillus jensenii, Mobiluncus curtisii, Mobiluncus mulieris, Prevotella bivia, Staphylococcus aureus, Streptococcus agalactiae, Uncultured Megasphaera 1, Unclutured Megasphaera 2, Candida albicans, Candida dubliniensis, Candida glabrata, Candida krusei, Candida lusitaniae, Candida parapsilosis, Candida tropicalis, Chlamydia trachomatis, Haemophilus ducreyi, Mycoplasma genitalium, Mycoplasm hominis, Neisseria gonorrhoeae, Treponema pallidum, Ureaplasma urealyticum, Trichomonas vaginalis, Herpes Simplex Virus type 1, Herpes simplex virus type 2, HPV

    Lab results in 5 to 7 working days - No referral required

  • Penile and Prostate Care Large Sexual Health Package

    Includes: Haemophilus ducreyi, Mycoplasma genitalium, Mycoplasma hominis, Neisseria gonorrhoeae, Ureaplasma urealuticum, Trichomonas vaginalis, Herpes simplex virus, Chlamydia trachomatis, Enterococcus aureus, Candida spp, Gardnerella vaginalis, Atopobium vaginae, Streptococcus agalactiae, Prevotella bivia

    Lab results in 5 to 7 working days - No referral required

  • Medium Sexual Health Package

    Includes: Escherichia coli O18, Chlamydia trachomatis, Mycoplasma genitalium, Mycoplasm hominis, Neisseria gonorrhoeae, Ureaplasm urealyticum, Trichomonas vaginalis, Herpes simplex virus 1 (HSV1), Herpes simplex virus 2 (HSV-2)

    Lab results in 5 to 7 working days - No referral required

✨ Your Health, Your Identity, Your Terms

Sexual health is a human right—and no one should feel ashamed to care for theirs.

At Epicentre, we’ve worked hard to create a space where you can feel safe, seen, and supported. Whether you’re cis, trans, non-binary, queer, or questioning, your health journey deserves respect.

🧡 You are more than your body.

🩺 But your body still deserves care.

Let’s make sexual health testing easier, safer, and more inclusive—together.

Meet The Author

Juliette Zuccarini is a health consultant with a background in Genetics, Physiology, and Psychology, holding an Honours degree in Genetics from Stellenbosch University. She works at Epicentre Health Research, where she leads training and product development focused on functional blood chemistry. Her role involves interpreting blood test data and turning it into practical, patient-friendly health insights.

With experience in both research and lab-based healthcare, Juliette has a talent for translating complex science into accessible, empowering information. Her writing is shaped by her academic foundation and hands-on expertise.

Our Popular Packages

  • Complete Women’s Fertility Panel

    Includes: FSH, LH, Progesterone, Prolactin, AMH, TSH, FT3, FT4, Serum Iron & Ferritin

    Lab results in 2-5 working days. No referral required

  • Femmflo Panel

    Includes: LH, Oestradiol, Total Testosterone, TSH, Ferritin, SHBG

    Lab results in 2-5 working days. No referral required

  • Complete Gut Profile

    Includes: Akkermansia muciniphila, Bifidobacterium bifidum, Bifidobacterium breve, Bifidobacterium genus, Bifidobacterium lactis, Bifidobacterium longum, Faecalibacterium prausnitzii, Lactobacillus acidophilus, Lactobacillus gasseri, Lactobacillus genus, Lactobacillus helveticus, Lactobacillus paracasei, Lactobacillus plantarum, Lactobacillus reuteri, Lactobacillus rhamnosus, Roseburia hominis, Streptococcus thermophilus, Bacteroides fragilis, Escherichia coli, Prevotella genus, Bacteroides genus, Candida albicans, Clostridium difficile, Enterococcus faecalis, Haemophilus influenzae, Klebsiella pneumoniae, Staphylococcus aureus, Streptococcus pneumoniae, Campylobacter spp., Clostridioides difficile, Plesiomonas shigelloides, Salmonella spp., Yersinia enterocolitica, Vibrio spp., Enteropathogenic E. coli (EPEC), Enteroaggregative E. coli (EAEC), Enterotoxigenic E. coli (ETEC), Shiga-like E. coli (STEC), Shigella/ E. coli (EIEC), Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia, Helicobacter pylori.

    Lab results in 5-7 working days. No referral required

  • Gut Essentials Test

    Includes: Akkermansia muciniphila, Bifidobacterium bifidum, Bifidobacterium breve, Bifidobacterium genus, Bifidobacterium lactis, Bifidobacterium longum, Faecalibacterium prausnitzii, Lactobacillus acidophilus, Lactobacillus gasseri, Lactobacillus genus, Lactobacillus helveticus, Lactobacillus paracasei, Lactobacillus plantarum, Lactobacillus reuteri, Lactobacillus rhamnosus, Roseburia hominis, Streptococcus thermophilus

    Lab results in 5-7 working days. No referral required

  • Urinary Tract Infection (UTI) Package

    Includes: E. coli, E. faecalis, C. albicans, C. albicans, C. dubliniensis, C. glabrata, C. krusei, C. lusitaniae, Candida parapsilosis, C. tropicalis, S. aureus S. agalactiae

    Lab results in 5 to 7 working days - No referral required

  • Cervical / Vulvo-Vaginal Large Sexual Health Package

    Includes: Atopobium vaginae, Bacterial vaginosis-associated bacteria 2 (BVAB2), Candida spp, Chlamydia trachomatis, Escherichia coli O18, Gardnerella vaginalis, Herpes simplex virus, Human Papilloma virus (HPV), Lactobacillus spp, Mobiluncus spp, Mycoplasma genitalium, Mycoplasma hominis, Neisseria gonorrhoeae, Prevotella bivia, Trichomonas vaginalis, Uncultured Megasphaera spp, Ureaplasma urealyticum

    Lab results in 5 to 7 working days - No referral required

  • Penile and Prostate Care Large Sexual Health Package

    Includes: Haemophilus ducreyi, Mycoplasma genitalium, Mycoplasma hominis, Neisseria gonorrhoeae, Ureaplasma urealuticum, Trichomonas vaginalis, Herpes simplex virus, Chlamydia trachomatis, Enterococcus aureus, Candida spp, Gardnerella vaginalis, Atopobium vaginae, Streptococcus agalactiae, Prevotella bivia

    Lab results in 5 to 7 working days - No referral required

  • ODX Ultimate Package

    Includes: Glucose, HBA1C, Insulin- fasting, C-Peptide, U&E and Electrolytes, Amylase, Lipase, UA, LFT, LDH, Iron Serum, Ferritin, Lipogram, Apolipoprotein A/B, TSH, FT4, FT3, Fibrinogen, CRP, CRP Ultrasensitive, Homocysteine, Vit D3, Vit B12, FBC, Calcium, Phosphate, Magnesium, Magnesium RBC, DHEA S, Cortisol Serum, Oestradiol, Testosterone, Free Testosterone, Progesterone, SHGB, FBC, Copper, Zinc

    Lab results in 2-5 working days. No referral required

  • Female Hormone Package

    Includes: LH, Oestradiol, Total Testosterone, TSH, Ferritin, SHBG, Prolactin, AMA

    Lab results in 2-5 working days. No referral required

  • Menopause Package

    Includes: FSH, LH, Oestradiol

    Lab results in 2-5 working days. No referral required

  • Women’s Fertility Package

    Includes: FSH, LH, Serum Progesterone, Prolactin

    Lab results in 2-5 working days. No referral required

  • HPV Screening Package

    Includes: HPV Test

    Lab results in 2-5 working days. No referral required

  • Express STI Screening Package

    Includes: RPR, Chlamydia, HIV Screening Antibody (AB), HBsAg, Herpes IGM

    Lab results in 2-5 working days. No referral required

  • The Men’s Annual Wellness Package (Foundation)

    Includes: Fasting Glucose, FBC, Lipogram panel, LFT, UA, TSH, U & E and Creatinine, Vit D

    Lab results in 2-5 working days. No referral required

  • Women’s Annual Package (Foundation)

    Includes: Fasting Glucose, FBC, Lipogram panel, LFT, UA, TSH, Vit D, U & E and Creatinine

    Lab results in 2-5 working days. No referral required