Decision guideLast updated: August 26, 2026Source-backed review

When to test after STI exposure: window periods

A “window period” is the gap between exposure and when a test can usually detect infection. Testing too early can miss an active infection. CDC also publishes post-exposure repeat-testing checkpoints, which are not the same thing as detection windows. The right plan depends on the infection, test technology, exposed sites, symptoms, treatment, and clinical context.

Short answer

  • Chlamydia & gonorrhea (NAAT): CDC post-exposure guidance says an early negative NAAT can be repeated at 1–2 weeks when no presumptive treatment was given.
  • HIV: CDC lists 10–33 days for NAT, 18–45 days for a lab antigen/antibody test, and 23–90 days for antibody tests.
  • Syphilis: CDC post-exposure guidance identifies repeat serology at 4–6 weeks and 3 months when an initial result is negative and infection in the source cannot be ruled out.
  • Hepatitis: HBsAg can appear about 1–12 weeks after HBV exposure; HCV RNA usually appears at 1–2 weeks and HCV antibodies at 8–11 weeks.
  • If a possible HIV exposure was within 72 hours, seek medical advice about HIV PEP now instead of waiting to test.

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CDC windows and checkpoints at a glance

InfectionTestWindow or checkpointMeaning
ChlamydiaNAAT at exposed sitesRepeat checkpoint: 1-2 weeksRepeat-testing checkpoint
GonorrheaNAAT at exposed sitesRepeat checkpoint: 1-2 weeksRepeat-testing checkpoint
HIVLab antigen/antibody test (blood from a vein)Usually detects at 18-45 daysDetection range
HIVAntibody test, including most self-testsUsually detects at 23-90 daysDetection range
HIVNucleic acid test (NAT)Usually detects at 10-33 daysDetection range
SyphilisSerologic blood testingRepeat at 4-6 weeks and again at 3 monthsRepeat-testing checkpoint
Hepatitis BHepatitis B surface antigen (HBsAg)Can appear about 1-12 weeks after exposureDetection range
Hepatitis CHCV RNA testRNA usually becomes detectable at 1-2 weeksDetection range
Hepatitis CHCV antibody testAntibodies usually become detectable at 8-11 weeksDetection range

Compiled from the linked CDC sources. Individual test brands and clinical situations can differ. Check the test instructions and ask a clinician when exact timing matters.

Practical scheduling

  • Within 72 hours of a possible HIV exposure: seek medical advice about HIV PEP immediately. It must be started within 72 hours and works best as soon as possible.
  • ~1–2 weeks post-exposure: CDC post-exposure guidance allows repeating an earlier negative chlamydia or gonorrhea NAAT when no presumptive treatment was given.
  • ~4–6 weeks post-exposure: this overlaps the lab HIV antigen/antibody range and the first CDC syphilis repeat-testing checkpoint.
  • ~3 months post-exposure: this reaches the end of the CDC antibody-test range for HIV and a later syphilis follow-up checkpoint in the cited guidance.
  • If treated for chlamydia or gonorrhea: CDC recommends rescreening at 3 months because reinfection from untreated partners is common.

If you have symptoms

Don’t wait for a window period. Symptoms (discharge, sores, painful urination, pelvic pain, rash) mean a clinician evaluation today - testing in a symptomatic context is diagnostic, not screening, and the timing/coding rules are different.

Sources: CDC 2025 nPEP recommendations · CDC HIV testing windows · CDC hepatitis C testing · CDC Pink Book: Hepatitis B · CDC HIV PEP · sources checked August 26, 2026.

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