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Some STDs, like molluscum, genital warts, and pubic lice, are detected by examination and aren't generally confirmed with testing. Other STDs, like herpes and primary syphilis, can generate a high suspicion via clinical exam that is later confirmed via lab tests. Other STDs, like chlamydia and gonorrhea, may present signs that are strong enough indicators to suggest the need for presumptive treatment, but must be confirmed later via testing. Screening tests for people without symptoms are an important part of STD testing, as the clinical exam is often perfectly normal even in a patient with STDs. Discuss the availability and limitations of STD testing with your health care provider to determine the right approach.

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