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The Big 10: Most Common STDs Ranked by Risk, Symptoms, and How to Spot Them

The Big 10: Most Common STDs Ranked by Risk, Symptoms, and How to Spot Them

If you're here, chances are you've got questions, and maybe even a worry or two. Whether it's a strange new bump, a partner’s confession, or just the nagging feeling that something isn’t right, you deserve straight answers. So here it is: the unfiltered truth about the 10 most common STDs, ranked by how likely they are to spread, how they show up in your body, and how to catch them before they cause damage.
02 August 2025
12 min read
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Quick Answer: The top 10 most common STDs, ranked by prevalence and risk, include Chlamydia, Gonorrhea, HPV, Herpes, Syphilis, Trichomoniasis, HIV, Hepatitis B, Hepatitis C, and Mycoplasma genitalium. Many show no symptoms at first, so regular testing is crucial.

1.- Chlamydia: The Silent Spreader


Chlamydia is the most reported bacterial STD in the U.S., and for good reason. It’s wildly common, especially among people under 25, and it’s often completely symptom-free. That’s what makes it dangerous. You could be carrying it for months, passing it to partners, and never know until complications arise, like pelvic inflammatory disease or infertility.

When symptoms do show up, they can look like this:

  • Discharge: Watery or cloudy discharge from the penis or vagina
  • Pain: Burning during urination or lower abdominal pain
  • Rectal signs: Pain, discharge, or bleeding

Because it’s bacterial, Chlamydia is easy to treat with antibiotics. But you can’t treat what you don’t know you have.

“I thought it was just a UTI. I didn’t even get tested until I had my annual pap, and by then, it had spread to my fallopian tubes.” , Tasha, 26

People are also reading: I Thought I Was Safe Because We’re Both Women, Then I Got Herpes

2.- Human Papillomavirus (HPV): The Hidden Majority


HPV is so common, it’s estimated that nearly every sexually active person will contract it at some point. There are over 100 types, but a few cause genital warts or lead to cancers, like cervical, anal, and throat cancer. You can get HPV from skin-to-skin contact, and condoms only protect partially.

Here’s where it gets tricky: Most people with HPV have no symptoms. The virus can live quietly in your system for years before showing up on a Pap smear or in visible warts.

  • Genital warts: Flesh-colored bumps, sometimes clustered
  • No signs at all: Especially high-risk strains that lead to cancer

“My boyfriend had no symptoms. None. I only found out when my doctor said I had abnormal cervical cells.” , Jordan, 30

The HPV vaccine offers powerful protection, but testing is still crucial if you're sexually active. Regular Pap smears and HPV tests save lives.

3.- Gonorrhea: The Comeback Kid


Gonorrhea is making a resurgence, and it’s not playing nice. This bacterial STD is increasingly resistant to antibiotics, making treatment more complicated. Like Chlamydia, it often causes no symptoms. But when it does, they hit hard.

  • Painful urination
  • Thick, cloudy, or bloody discharge
  • Swollen testicles or pelvic pain
  • Rectal discomfort: Discharge, itching, soreness

In rare cases, untreated Gonorrhea can enter the bloodstream and become life-threatening. But early testing = early cure. Especially if you’re in a high-risk group (multiple partners, under 30, MSM), test regularly.

4.- Herpes (HSV-1 & HSV-2): The Unseen Outbreak


Herpes is the king of mixed signals. You can carry it for years without a single blister. You can have oral herpes (HSV-1) and get genital outbreaks. You can even transmit it when you have no symptoms. That’s why it’s one of the most stigmatized, and misunderstood, STDs out there.

  • Primary signs: Painful blisters or ulcers around genitals or mouth
  • Flu-like symptoms: Fever, swollen glands, body aches
  • Tingling before outbreak: Nerves near outbreak site may signal flare

Herpes isn’t “dirty” and it doesn’t mean someone cheated. It’s a skin virus. An extremely common one. You can live with it and still have a vibrant, joyful, sexually active life.

“I found out I had HSV-2 from a routine STD panel, no symptoms at all. I’d already dated three people by then.” , Ben, 32

Suppressive treatment reduces outbreaks and transmission. And yes, you can still date, love, and thrive.

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5.- Syphilis: The Great Pretender


Syphilis has earned its nickname for a reason. It mimics everything, and if missed, it morphs into terrifying stages. It’s been rising dramatically, especially among men who have sex with men, and among people assigned male at birth who experience homelessness or incarceration. But anyone can get it.

Stages and symptoms:

  • Primary: One or more painless sores (chancres) on genitals or mouth
  • Secondary: Rash on palms/soles, mucous patch in mouth, fever, swollen glands
  • Latent: No symptoms, but still infectious
  • Tertiary: Organ damage, neurological issues if untreated

“It looked like a bug bite. Didn’t hurt, didn’t itch. I only tested because a friend told me what her syphilis sore looked like.” , Danny, 27

Testing is simple. Treatment is penicillin. What’s dangerous is ignoring it.

6.- Trichomoniasis: The One Nobody Talks About


Trichomoniasis (or “trich”) is the most common STD you’ve probably never heard of. It’s caused by a parasite, not a bacteria or virus, and it often goes undiagnosed because the symptoms are vague, or nonexistent.

In people with vaginas:

  • Frothy, yellow-green vaginal discharge
  • Strong odor
  • Itching, soreness, or discomfort during sex

In people with penises:

  • Mild discharge
  • Burning during urination or after ejaculation

It’s treatable with antibiotics, but repeat infections are common. And even asymptomatic cases can increase risk of contracting HIV. Regular testing matters.

7.- HIV: The Game-Changer


HIV isn’t the death sentence it was in the ’80s, but it’s still a major health concern. Early detection saves lives. PrEP (pre-exposure prophylaxis) and effective treatment can prevent transmission and keep people living long, full lives. But here’s the catch: the early signs look like a cold.

  • Fever, fatigue, sore throat
  • Swollen lymph nodes
  • Night sweats or unexplained weight loss

The window period, when the virus is present but undetectable, is dangerous. You can test negative and still be contagious. That’s why routine testing is key.

“I tested positive after a hookup with someone who swore they were ‘clean.’ I wish I hadn’t waited three months to test.” , Luis, 35

Use protection. Know your partner’s status. And if you think there’s even a slight chance of exposure, test from home today.

People are also reading: What It Feels Like to Get Tested for HIV for the First Time

8.- Hepatitis B: The Liver Lurker


Hepatitis B is a viral infection that targets the liver. It's transmitted through blood, semen, and other body fluids. That means it can spread through sex, needle sharing, and even from mother to baby during birth. There's a vaccine, but many people never get it.

Acute Hep B can resolve on its own. Chronic Hep B can last a lifetime and lead to liver failure or cancer. Many people never feel sick, until it’s too late.

  • Jaundice (yellow skin/eyes)
  • Fatigue, nausea, abdominal pain
  • Dark urine or pale stool

“I didn’t even know it was an STD until I got diagnosed after a blood donation. No symptoms, nothing.” , Claire, 33

Get vaccinated. And if you’re sexually active or share needles, test regularly. Early diagnosis changes everything.

9. Hepatitis C: The Hidden Legacy


Hepatitis C used to be primarily spread through blood contact (like sharing needles), but sexual transmission, especially among HIV-positive MSM, is increasingly documented. It’s less likely to spread through sex than Hep B or HIV, but it’s still a risk.

Most people don’t have symptoms for decades. When symptoms do appear, they’re often vague:

  • Chronic fatigue
  • Liver discomfort or swelling
  • Jaundice or dark urine

The good news? Hep C is now curable with antiviral medications. But you can’t cure what you haven’t diagnosed. If you’ve ever had unprotected sex, a blood transfusion before 1992, or shared needles, even once, get tested.

10. Mycoplasma Genitalium: The New Kid on the Block


Mycoplasma genitalium is an emerging STD that’s often mistaken for Chlamydia or Gonorrhea. It can infect the urethra, cervix, and rectum, and it’s notoriously hard to diagnose. Most STD panels don’t even test for it unless specifically requested.

Symptoms overlap with other STDs:

  • Urethritis (burning pee, discharge)
  • Cervicitis (pelvic pain, bleeding after sex)
  • Rectal discomfort

“I tested negative for everything, but the symptoms kept coming back. Finally, a new doctor ran an MG test, and there it was.” , Sam, 29

This is a tough bug. It’s increasingly antibiotic-resistant, so early detection is critical. Ask for MG testing if you’re having symptoms and nothing else shows up.

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Why Ranking Risk Actually Matters


Some STDs are more infectious. Some cause lifelong illness. Some barely show a symptom, but cause infertility, chronic pain, or cancer if left untreated. Ranking STDs isn’t about fear, it’s about facts. Understanding transmission risk, symptom likelihood, and silent spread helps you test smarter, protect partners, and stay empowered.

  • High Risk, High Prevalence: Chlamydia, Gonorrhea, HPV
  • High Consequence, Lower Awareness: Syphilis, HIV, Hepatitis B
  • Silent Spreaders: Herpes, Trich, MG

Use this list not to panic, but to prepare.

If you’ve had unprotected sex, a new partner, or symptoms you’re not sure about, get tested today.

When Silence Is a Symptom Too


Not all STDs come with warning bells. In fact, the most dangerous infections are often the quietest. Chlamydia, HPV, Herpes, and even HIV can live in your body undetected for weeks, months, or even years. This silence isn’t harmless, it allows infections to spread to others and worsen inside you. And it’s why so many people carry shame or guilt when they finally do get diagnosed.

“I felt fine. I almost didn’t even go in for that routine test, but I’m glad I did. It ended up being positive for something I never saw coming.” , Mila, 28

Most people think STDs look like porn-star warning signs: visible sores, weird fluids, burning pain. But most of the time? They look like nothing. Or like common issues easily mistaken for other things, yeast infections, UTIs, shaving irritation. That’s why knowing your normal and testing regularly is your best defense.

If you feel off, even subtly, or if a partner discloses their status, don’t freeze. Don’t spiral. Just test. Knowledge protects. And you’re not alone.

What No One Tells You After the Hookup


The party's over, your clothes are back on, and maybe the thrill’s already fading. But sometimes, the aftermath lingers in your brain. Was the condom used correctly? Did they mention testing? Is that itch new, or have you just noticed it now?

This is the real post-hookup experience that never makes it into rom-coms: The quiet panic. The questions. The wish you’d asked one more question. Or none at all.

The truth is that you can have sex and still not know how you feel afterward. It doesn't make you careless. It makes you a person. What you do next is what counts. It's not a plan to wait for symptoms to show up; it's a risk. You deserve more than games of chance.

Take charge and order an STD Rapid Test Kit. This is how you change the ending, whether it's your first test or your tenth. With clarity. With care. Without any shame.

People are also reading: I Shared a Vape at a Party, Do I Need an STD Test?

FAQs


1. Which STD is the most common?

HPV is the most common STD globally and in the U.S., followed by Chlamydia. Most sexually active people will contract HPV at some point.

2. Can you have an STD and not know it?

Yes. Many STDs like Chlamydia, HPV, and Herpes can be completely asymptomatic, meaning no symptoms at all.

3. What STD causes a rash?

During its secondary stage, syphilis can cause a rash on your palms, soles, or body. Rashes can also happen with herpes and HIV.

4. When do STD symptoms show up?

It depends. Gonorrhea and chlamydia may show symptoms in 1 to 3 weeks, but HIV and syphilis may take longer or not show any symptoms at all.

5. Which STD hurts the most?

Open sores can make herpes outbreaks very painful. Advanced syphilis or gonorrhea that hasn't been treated can also cause a lot of pain.

6. Can you have more than one STD at the same time?

For sure. Chlamydia and gonorrhea are two infections that often happen together. That's why it's important to have combination tests.

7. Do regular tests find all STDs?

No. Unless you ask, mycoplasma genitalium and HPV may not be included. Always ask what is in your panel.

8. What is the best STD test to do at home?

The Combo STD Home Test Kit is great for regular screening because it checks for more than one infection at a time.

9. Is it possible to get STDs from oral sex?

Yes. Oral sex can spread herpes, gonorrhea, syphilis, and even HIV.

10. When should I get tested?

If you have new or multiple partners, notice symptoms, or are sexually active, get tested every 3 to 6 months.

You Should Get Answers, Not Guesses.


Not knowing is nothing to be ashamed of. STDs are a part of having sex, but with the right information, you can deal with them without fear. You have the right to know what's going on, whether you have a specific symptom or just a bad feeling.

Don't wait and wonder; get the answers you need.This at-home combo test kit quickly and privately checks for the most common STDs.

Sources


1. Centers for Disease Control and Prevention – STD Facts

2. Planned Parenthood – STDs & Testing

3. PubMed – Mycoplasma Genitalium as an Emerging STI

4. CDC – Hepatitis B FAQs

5. World Health Organization – HPV & Cervical Cancer