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What is the difference between STD and STI?

Published in STIs and STDs 2 mins read

The difference between STD and STI is primarily in the terminology used; STD stands for "sexually transmitted disease," and STI stands for "sexually transmitted infection," but they essentially refer to the same thing: infections passed during sex.

While the terms are often used interchangeably, there's a subtle nuance:

  • STI (Sexually Transmitted Infection): This term is often preferred by medical professionals because it acknowledges that a person can be infected and transmit the infection to others before they develop symptoms or a disease.

  • STD (Sexually Transmitted Disease): This term emphasizes the disease state, meaning the infection has progressed to cause noticeable symptoms or health problems.

Key Differences Summarized

Feature STD (Sexually Transmitted Disease) STI (Sexually Transmitted Infection)
Emphasis Disease state; presence of symptoms. Infection; can be present without symptoms.
Perspective Focuses on the negative health outcome (the disease). Focuses on the presence of the infectious agent.
Usage While still used, STI is increasingly preferred by healthcare providers. Increasingly preferred term, emphasizing early detection & prevention.
Example A person with symptomatic herpes has an STD. A person with asymptomatic chlamydia has an STI.

Why the Shift to STI?

The shift towards using "STI" is driven by:

  • Increased Awareness: It highlights the fact that someone can be infected and infectious even without showing symptoms.
  • Prevention: The term STI encourages earlier testing and treatment, preventing the infection from progressing into a disease.
  • Reduced Stigma: Some believe "infection" carries less stigma than "disease."

Practical Implications

Ultimately, both terms describe the same group of infections transmitted sexually. Regardless of the term used, it is important to:

  • Get tested regularly, especially if you are sexually active.
  • Practice safe sex to prevent transmission.
  • Seek prompt treatment if you suspect you have an STI/STD.

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