Best STI Screening in Kathmandu Find It Before It Finds You
Screening is the only tool that works on infections that produce no symptoms — and in the STI world, those are the majority. Scheduled, risk-matched screening at Thamel Clinic intercepts infection before it becomes damage.
Medically Reviewed Content
Reviewed by: STD Specialist (MBBS, MD - Medicine)
NMC Registration:
Last medical review: June 1, 2026
This content follows evidence-based medical guidelines and is regularly updated to reflect current medical practices.
Screening Gaps in Nepal
- No national STI screening program — individual initiative is the entire safety net.
- Most of our screen positives had zero symptoms — the data on asymptomatic infection is not theory, it is our lab.
- Life-event screens are rising — pre-marital, pre-conception and post-travel screens are the highest-value moments.
- Privacy enables repetition — a screen that is easy and discreet becomes a habit that lasts.
The Case for Scheduled Screening
The defining feature of sexually transmitted infections is that they are mostly silent: ~70–80% of chlamydia in women, most pharyngeal and rectal gonorrhea, the entire latent phase of syphilis, years of HIV, decades of hepatitis B carriage. Every one of those is detectable by a simple scheduled screen — and every one causes serious harm if it is only found by symptoms.
Screening is a deliberately repeated habit, not a one-time panic response: a risk assessment, a matched panel, an interval, a reminder. The output is either a clean documented result — or an infection caught early enough that a week of antibiotics closes the matter entirely.
This page explains the screening schedules we run, who falls into which category, and how a screening visit works in practice.
Who Screens, How Often
Every adult — once
One full panel in adult life, whatever your risk reads as — the universal baseline.
Annually — most adults
Sexually active with any partner turnover or prior STI history — the standard interval.
Every 3–6 months — higher risk
MSM, sex workers, multiple/anonymous partners, PrEP users, partners of positive patients.
Event-triggered
New partner, unprotected exposure, partner diagnosis — tested post-window.
Pregnancy
First prenatal visit panel — protects the baby directly.
HIV-positive
At least annual — co-infection screening is part of HIV care.
The Screening Panel
- Core: Chlamydia + Gonorrhea PCR + Syphilis paired serology + HIV 4th gen.
- Extended: adds Hepatitis B & C.
- Comprehensive: STI-29 PCR for maximal coverage.
- Site-complete: rectal and pharyngeal swabs where exposure indicates — the sites most screens miss.
- Couples format: both partners screened together; results delivered individually.
What a Screening Visit Involves
- 5-minute risk review — partners, protection, sites, prior screens.
- Matched sampling — urine/self-swab plus one blood draw.
- Results in 24–48 hours — private channel delivery.
- Negative → your next interval documented; positive → same-visit treatment plan.
- Repeat booking — the schedule is set before you leave.
The Math of Screening
An annual core screen costs less than treating one complication — and prevents the expensive ones entirely: PID and fertility work-ups, tertiary syphilis care, late HIV diagnosis. The calculation is not close; the only barrier is the habit, and the habit is what the screening program provides.
Screening Packages & Indicative Costs
| Service | What It Includes | Cost (NPR) |
|---|---|---|
| Risk review + consult | Schedule design, result interpretation. | Rs. 450 |
| Core screen | GC/CT PCR + syphilis + HIV. | Package — call |
| Extended screen | Core + hepatitis B/C. | Package — call |
| Comprehensive (STI-29) | Maximal coverage molecular panel. | Package — call |
| Couples screen | Both partners, individual results. | Package — call |
Panel rates offer the best value — call for current pricing.
Why Screen Here
- Intervals matched to risk — not a generic yearly for everyone.
- Site-complete available — including rectal and pharyngeal.
- Carrier-focused methods — PCR and serology built for asymptomatic detection.
- Results with interpretation — never just a report.
- Habit-friendly privacy — a visit indistinguishable from any checkup.
- Immediate treatment path — positives convert same-visit.
Frequently Asked Questions
I feel fine — why screen?
Because the infections screening targets are the ones that feel like nothing — silent chlamydia, latent syphilis, asymptomatic HIV. Feeling fine is the normal state of a carrier.
How often should I screen?
Annually for most; every 3–6 months at higher risk; after specific exposures; at life events. Your interval is set from your history.
What does screening involve physically?
A urine sample or self-collected swab plus a blood draw — no internal examination needed for asymptomatic screening.
Is a screen confidential?
Completely — neutral visit, sealed results, nothing shared with anyone.
What if the screen finds something?
Same-visit treatment planning — the whole point of screening is that a found infection is early enough to fix simply.
Still have questions? Contact us or book an appointment for personalized guidance.
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Last Updated: October 19, 2026 |Clinic: Thamel Clinic |Licensed: Registered