Date: 2012-02-10 09:43 pm (UTC)
It's two pronged, and the doctor is ignoring one of the prongs.

Yes, you could test clean this afternoon and pick something up tonight. There's always that chance. You would, however, at least have a baseline understanding of what your STI status is right now. If there's something you needed treated, you can have that done; if there's something you need to warn potential partners about, you can do that. If you do not currently have any STI's, congratulations.

In addition, if you have multiple partners you should be practicing extremely safe sex _anyway_, so you should be lowering your chances of picking something up tonight by taking good precautions. One of those precautions is getting yourself tested periodically.

It sounds like his doctor was speaking from a point of monogamy. With a monogamous person, yes, that's the best way to do things. But with someone who isn't monogamous, it's a more, uh, fluid situation and you need to test periodically regardless of when you are adding new partners.
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