6 Things Every Sexually Active Person Should Know

If you’re sexually active, here are 6 questions you may want to ask yourself?

Is it really a big deal to get tested for STDs (sexually transmitted diseases)?

In short — yes, it’s very important. Even though it can be scary to think about the possibility of getting bad news — or it can be worrisome to wonder how an STD diagnosis might affect a relationship, it’s still important to get tested. And it’s important to get tested if you’ve been sexually active – even if you don’t have any symptoms. Because many STDs don’t have any noticeable symptoms at all.

Why is it important to get tested?

It’s important to get tested so that you don’t inadvertently infect other people. If you don’t know you have an STD, you may spread that infection to a partner without realizing it. It’s also important to get tested so that you can get treatment for the STD.

If you always use condoms, do you still need to be tested?

Yes. Condoms are not 100% effective in preventing the spread of infections. Some STDs can be spread by skin-to-skin contact in the genital area that’s not covered by a condom.

If there aren’t any symptoms, why would you need treatment?

That’s a reasonable question. If you don’t feel sick or you aren’t having any problems, why would you need to get treatment? Because left untreated, STDs can cause some pretty major complications.

Future infertility
Endanger a future or current pregnancy
Increase your risk for HIV (the virus that can lead to AIDS)
Pelvic inflammatory disease (PID)
Bladder problems
Liver cancer or cirrhosis
Cervical cancer
Anal cancer
Blindness
Dementia
Damage to other organs
Reduced life expectancy

We aren’t listing these potential complications to scare you, but it’s important that you understand the risks. Many of these physical complications can be avoided if you get tested for STDs and receive the appropriate treatment. The CDC (Centers for Disease Control and Prevention) recommends yearly screening for certain STDs for anyone under age 25 who is sexually active and for anyone older who has a new sex partner, multiple sex partners, or anyone who has had any sort of sexual activity with someone who has an STD.

What are other effects of STDs?

Carrying a disease or infection in your body can cause physical damage, but STDs can also be difficult on your emotional and relational health.

For many people, there’s still a stigma to an STD diagnosis. Some people feel like only certain types of women get STDs. So you may avoid testing because you aren’t that type of woman or because you don’t want to be labeled that type of woman. But the truth is that you can get an STD after any type of sexual activity, even if you only do it one time. According to the CDC, there were nearly two and a half million cases of STDs reported in 2018. Sexual health is a legitimate health concern for everyone.

If you have been diagnosed with an STD or if you think you may have one, it’s important to talk to someone who may help you break through the stigma and shame. You don’t have to carry shame and emotional trauma on top of the physical effects.

An STD can also be a challenge for relationships to overcome. It can be a challenge for a current relationship, but it will also come up in future relationships. Because this subject is so emotionally charged, it can bring our worst fears and biggest insecurities to the surface. And these feelings impact relationships. It’s completely normal for partners to need time to process the emotions around an STD diagnosis. And it’s possible that an STD will be a deal-breaker in relationships.

We’re a culture of instant gratification. And sometimes we don’t pause to consider the long-term effects of our choices. The desire for sex and for physical connection is normal. But it’s important to remember that the choices we make today affect our future. You deserve good physical and emotional health today and in the future, and you deserve strong, connected relationships today and in the future. We want you to feel empowered to make choices with knowledge and confidence so that you take the best care of yourself – your current self and your future self.

How can you best protect yourself from getting an STD?

The only way to completely avoid an STD is not to have vaginal, anal, or oral sex.

You can reduce your risk by having sex only in a long-term, mutually monogamous relationship (you both only ever have sex with each other and you know neither of you has an STD).

You can talk to your medical provider about ways to lower your risk or to schedule a test or to talk about treatment.

If you’re sexually active and don’t have a medical provider or you don’t feel comfortable talking to your doctor, you can call us to set up a confidential appointment to discuss STD testing and so we can help you get the resources you need to be healthy.

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Do I Have to Tell My Partner I Want an Abortion?

January 23, 2026

Facing an unplanned pregnancy can bring up difficult questions, especially when it comes to your relationship. You may be wondering whether you are required to tell your partner you’re considering an abortion, or whether it’s okay to keep that information private. Fear of conflict, concern about pressure, or a desire to protect your emotional well-being can all play a role. These feelings are common, and it’s okay to take time to think through what feels safest and healthiest for you. Collage offers a confidential and non-judgmental space where you can discuss these concerns without pressure. Before making any decisions, we provide cost-free pregnancy services , including ultrasounds, to help you understand important details about your pregnancy. Our goal is to give you accurate medical information and the space you need to move forward with clarity. You’re welcome to schedule a private, confidential appointment to learn more when you feel ready. Understanding Your Autonomy In many states, adults are not legally required to tell a partner if they’re considering or planning an abortion. Medical decisions about your body are generally protected by privacy laws, meaning the decision is legally yours. Some exceptions exist, such as parental involvement laws for minors, but partner notification is typically not required for adults. Even when the law is clear, the emotional side of this decision can feel complicated. You may feel torn between maintaining privacy and wanting honesty in your relationship. There is no single “right” approach, only what best supports your well-being and circumstances. When Safety Is a Concern In some relationships, sharing your thoughts with a partner may lead to understanding or emotional support. In others, it may not feel safe. If you’re worried about pressure, manipulation, anger, or physical harm, prioritizing your safety is essential. You’re never obligated to share information that could put you at risk. If you feel unsafe or unsure, confidential help is available through the National Domestic Violence Hotline (800-799-SAFE). Support is available 24 hours a day, seven days a week. Why Medical Information Matters Whether or not you involve your partner, having accurate medical information is an important step. An ultrasound can help confirm gestational age, pregnancy location, and whether the pregnancy is viable. These details matter for your health and can help you feel more grounded as you consider your next steps. You Are Not Alone At Collage, we offer a confidential, respectful environment where your voice and concerns are taken seriously. Our team provides pregnancy confirmation, emotional support, and space to think through your situation without pressure or judgment. You deserve time, clarity, and peace of mind as you decide what is right for your life. Connect with Collage to discuss your questions in a supportive and confidential setting. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.

How to Handle Holiday Gatherings When You Haven’t Shared Your Pregnancy News Yet

December 17, 2025

Holiday gatherings often bring familiar traditions, questions, and expectations. But when you’re carrying the news of an unexpected pregnancy that you haven’t shared, the season may feel different this year. You might be participating in celebrations while quietly navigating thoughts and emotions that others cannot see. If you want clarity about your pregnancy or a private space to consider your next steps, Collage offers free services, including pregnancy tests, ultrasounds, and confidential consultations, to support your needs. Schedule your appointment today. Prepare Yourself, Not the Perfect Conversation You may not be ready to share your news, and that’s okay. What can help is preparing yourself: deciding on the topics you’re comfortable discussing, the questions you want to avoid, and the boundaries you want to set. This proactivity allows you to answer without feeling like you need to tell all and not overshare. Create Space Throughout the Gathering Instead of thinking about the whole event at once, break it into smaller, manageable moments. Emotional regulation becomes easier when you give yourself space to reset. Try: Stepping outside for a few breaths of fresh air Finding a quiet room for a brief pause Taking a short walk after a meal Giving yourself permission to excuse yourself from overwhelming conversations These small steps can help protect your peace. Remember that if at any point during the gathering you’re ready to go home, go ahead. Take care of yourself by calling it a day when necessary. Meet Your Basic Needs Early pregnancy symptoms such as nausea and fatigue can be uncomfortable during gatherings. Come prepared to meet your own needs by bringing pregnancy nausea candy, snacks to settle your stomach, and a water bottle. Store these items in your purse, knowing they’re ready when you need them. You Don’t Have to Navigate This Season Alone If you want clarity before facing holiday conversations, Collage can help you understand your pregnancy and answer questions in a calm, confidential setting, which can make these boundaries easier to hold. Contact us whenever you’re ready to schedule a free appointment. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services .

I Don’t Want Another Abortion

November 11, 2025

Learning you’re unexpectedly pregnant can bring up complicated emotions, uncertainty, fear, or even exhaustion if you’ve faced this situation before. You may know that you don’t want another abortion, but still wonder what options exist for your future. At Collage, we provide free and confidential support so you can explore your choices in a compassionate environment. Whether you want to understand what parenting or adoption could look like or simply need someone to listen, you’re not alone. Schedule a free appointment today to learn how we can help. Exploring Parenting Parenting can feel like an enormous responsibility, especially if your finances, relationships, or housing situation are uncertain. Many women ask themselves: “Can I really do this on my own?” “Where will I find the help I need?” “What kind of future can I provide for my child?” These are real and valid questions. At Collage, we’ll help you identify the resources and support available in your community. From offering a warm, supportive presence as you explore this option to providing referrals for resources like housing or childcare support, we’ll ensure you’re not facing these challenges alone. Parenting can be both demanding and deeply rewarding. With encouragement, community connections, and the right information, you can feel more confident in providing a stable, nurturing environment for your child. Understanding Adoption If parenting doesn’t feel like the right fit for your current situation, adoption offers another path forward, one rooted in hope and love. You remain in control of the process, deciding how involved you wish to be in your child’s life. You can select from multiple adoption plans depending on your comfort level: Open adoption: Allows for ongoing communication and contact between you, your child, and the adoptive family. Semi-open adoption: Offers limited contact through a third party, maintaining privacy while keeping some connection. Closed adoption: Protects complete confidentiality with no exchange of identifying information. Financial support is available throughout the adoption process. You’ll never pay for legal or medical services related to adoption. Best of all, adoption agencies can help ensure your needs are met and your wishes are respected every step of the way. Adoption is not an easy decision, but for some women, it brings a sense of peace and purpose, knowing their child is loved and cared for in a stable environment. We can discuss this option with you and offer referrals to reputable agencies so you feel informed. Taking the Next Step Your situation is unique, and so is your decision. Whether you’re considering parenting or adoption or simply need time to process your feelings, Collage is here to provide information and encouragement. We’re available to answer questions, explain your options, and connect you with trusted community resources, all at no cost and in a confidential setting. Schedule your free appointment today to start finding clarity and peace of mind. FAQ: Is it normal to feel uncertain about my decision? Yes. Many women experience mixed emotions when facing an unexpected pregnancy. It’s okay to take time and talk through your options before deciding. What if I don’t think I can afford to parent? We can connect you with programs and community partners that provide material and emotional support, so you will feel more equipped to parent if you choose to. How does adoption work? You remain in control. You’ll choose the family and the level of contact and receive guidance from trusted professionals who handle the legal and practical aspects of the process. Are services at Collage really free? Yes. All services are completely free and confidential. Your privacy and comfort are our priority. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.