STD Testing & Treatment in Central San Jose
You can have an STD without noticeable symptoms, which means testing may be the only way to know your status. Whether you have concerns after a recent sexual encounter, are starting a new relationship, or are due for screening, getting tested can help you make informed decisions about your health.
Whatever your reason for getting tested, you can access confidential care at RealOptions. We provide STD/STI testing in Central San Jose for gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, and HIV. If you test positive for chlamydia or gonorrhea through RealOptions, we can provide treatment. For positive results for other infections, our nursing team can refer you to your local public health department for appropriate care and treatment.
It’s important to seek treatment for sexually transmitted diseases as early as possible in order to restore your health as well as to stop the spread of the disease. If you have ever had vaginal, anal, or oral sex, RealOptions advises that you get tested. Not only do we provide STD/STI testing and treatment, we also educate you on how sexually transmitted diseases are transmitted. Our services ensure you understand the importance of awareness and early detection.
Understanding STD Risks and Transmission
Sexually transmitted infections (STIs) and sexually transmitted diseases (STDs) can affect sexual health in different ways, and some may not cause noticeable symptoms. There are many kinds of sexually transmitted diseases and infections, so understanding how they spread and the risks they may carry can help you make informed decisions about testing and care.
- Almost all STIs that can spread through vaginal sex without a condom can also spread through oral and anal sex without a condom.
- All STIs are treatable, and some can be cured completely. Others can be managed with medication and ongoing care.
- Many people with an STI don’t know they have one because infections often cause no symptoms or only mild symptoms.
- You can get an STI from someone who does not know they are infected.
- You can’t tell if someone has an STI just by looking at them.
- Some STIs can be passed to a baby during pregnancy or birth.
- They can also spread through intimate sexual contact, including skin-to-skin contact.
- If you or your partner is pregnant or may have been exposed to an STI, talk with a healthcare provider about recommended STI testing and prenatal care.
STIs are also a risk factor for pelvic inflammatory disease (PID), a serious condition, in women. You can prevent PID if you know how to protect yourself.
RealOptions Obria Medical Clinics provides medical testing, diagnosis, and treatment of STDs and STIs for those who are sexually active and desire testing near Central San Jose.
Book Your Confidential STD Test
How Common Are STDs in Santa Clara County?
STIs remain a significant public health concern nationally, across California, and in Santa Clara County. The surveillance data shows why testing continues to matter:
- Nationally, the CDC recorded more than 2.2 million combined cases of chlamydia, gonorrhea, and syphilis in 2024. Even after three straight years of decline, that total is still 13% higher than it was a decade ago. (CDC, 2024 STI Surveillance Report)
- In California, women ages 20 to 29 have the highest chlamydia rates of any group statewide, a population at real risk for complications like pelvic inflammatory disease and infertility if an infection goes untreated. (California Dept. of Public Health, 2024 STD Surveillance Executive Summary)
- In Santa Clara County, gonorrhea rates rose in 2024 even as chlamydia and syphilis rates continued to decline, and adults ages 20 to 24 have held the county’s highest chlamydia rates every year for more than a decade. (Santa Clara County Public Health Department, STI and HIV Annual Report 2024)
- Most STDs cause no early symptoms, so someone can carry and unknowingly spread an infection for months. That’s why the CDC recommends routine screening rather than waiting until symptoms appear. (CDC, Getting Tested for STIs)
For people in Central San Jose, these trends reinforce the importance of getting tested based on your age, sexual history, pregnancy status, and potential exposure, even when you have no symptoms.
Get Confidential, Walk-In STI Testing in Central San Jose
Patients looking for STD testing and screening in San Jose can visit RealOptions Central San Jose for confidential walk-in care, with every conversation and result handled privately.
Call: (408) 978-9310
Visit: 1671 The Alameda, Suite #101, San Jose, CA 95126
Hours: Monday-Friday, 9 AM-5 PM
24/7 helpline: 1-800-712-4357
We also serve patients from nearby Willow Glen, Rose Garden, Japantown, and Downtown San Jose who are looking for confidential STD testing and treatment options.
You don’t need insurance to visit our clinic. We offer affordable, accessible care and self-pay options, and our team can walk you through pricing before your visit so you know what to expect.
Contact RealOptions Central San Jose
Who Should Get Tested: CDC STI Testing Recommendations
STI testing is not one-size-fits-all. What you should be tested for and how often can depend on your age, sexual history, current sexual practices, pregnancy, symptoms, and other risk factors. The CDC recommends STI testing based on factors such as age, sexual activity, pregnancy, and individual risk factors:
| Who | CDC Recommendation |
|---|---|
| Sexually active women under 25 | Get tested for chlamydia and gonorrhea every year. |
| Some women 25 and older | Annual chlamydia and gonorrhea testing may be recommended, including for women with a new partner, multiple partners, or a partner who has an STI. |
| Pregnant women | Get tested for syphilis, HIV, hepatitis B, and hepatitis C starting early in pregnancy. Some may also need chlamydia and gonorrhea testing or repeat testing later in pregnancy. |
| Everyone ages 13 to 64 | Get tested for HIV at least once. |
| Anyone who shares injection drug equipment | Get tested for HIV at least once a year. |
| People who have had oral or anal sex | Talk with a healthcare provider about throat and rectal testing options. |
Many STD/STIs have no obvious symptoms or if any, are very mild ones; therefore, it’s very important to learn about STD/STIs. Yet no matter how minor the symptoms are, STD/STIs can still be harmful to you and to your sexual partner(s).
Get Comprehensive STD Testing at Our Central San Jose Clinic
If you’re looking for STD testing in Central San Jose, RealOptions offers confidential testing for several common sexually transmitted diseases and infections. Each condition we test for links to more detailed information from the CDC:
Depending on the STI being tested for, testing may involve different types of samples, such as urine, blood, or swabs. Your healthcare provider can help determine which tests are appropriate based on your individual needs.
We routinely test for gonorrhea and chlamydia using a urine sample for uninsured patients, and through blood testing for insured patients. If the test is positive for an infection, then we will provide you with treatment and explain how your partner can be treated. To prepare for chlamydia and gonorrhea testing, do not urinate or engage in sexual intercourse for one hour before testing. We use Quest Diagnostics for the lab work and will provide you with the required lab request form on your first visit.
Low-Cost, Confidential STD Testing Options
We aim to make routine STD testing simple, accessible, and transparent.
A $20 office visit fee applies whether or not you have insurance. Insured patients pay only the $20 office visit fee. The CDD fee and STI testing fees apply to uninsured or self-pay patients only.
Please refer to the table below for a clear breakdown of what insured and self-pay patients can expect to pay:
| Fee / Test | Insured Patients | Uninsured / Self-Pay Patients |
|---|---|---|
| Office visit fee | $20 | $20 |
| CDD fee | Not applicable | $4 |
| Chlamydia / Gonorrhea | Covered through insurance | $18 |
| HIV | Covered through insurance | $10 |
| Hepatitis B | Covered through insurance | $7 |
| Hepatitis C | Covered through insurance | $8 |
| Syphilis | Covered through insurance | $6 |
| Full Panel | Covered through insurance | $49 |
RealOptions is a Medi-Cal provider and offers services with or without insurance. Coverage and out-of-pocket costs can vary depending on your eligibility and the services you need. For questions about STD testing and screening in San Jose, Medi-Cal, self-pay options, or testing costs, contact RealOptions and our team can help you understand your options before your visit.
What to Expect During Your Visit to RealOptions Central San Jose
Most visits take up to 30 minutes from arrival to checkout, so you can plan the rest of your day accordingly. Here is what to expect:
- Check in at our Central San Jose front desk. No appointment or referral is required, and your visit is confidential.
- Meet with a clinician for a brief, judgment-free conversation about your symptoms, history, and which tests make sense for you.
- Provide a sample (depending on the tests ordered).
- Receive your results, typically within a few days, along with a clear explanation of what they mean.
- If a result is positive, you will have support beyond treatment. Our clinical team will guide you through care options, referrals, partner communication, and the next steps for your overall well-being.
If Your Results Are Positive
A positive STD result means there are clear next steps for treatment or care. According to the CDC, bacterial STDs such as chlamydia, gonorrhea, and syphilis can be cured with appropriate treatment. Viral infections such as HIV and herpes do not currently have a cure, but treatment can help manage these infections. Most HPV infections go away on their own, while health problems caused by HPV may require monitoring or treatment.
We also provide treatment for you and your partner(s), so you are not left to navigate next steps on your own. Your results stay confidential, and our team can help you think through how and whether to notify a partner, without pressure or judgment. If a condition falls outside what our Central San Jose clinic treats directly, we will refer you to an appropriate specialist.
STD Signs and Symptoms to Look Out For
STDs can cause different symptoms depending on the infection, and some people may have no symptoms at all. According to Mayo Clinic’s overview of STD symptoms, common signs in women may include:
- Unusual vaginal discharge
- Burning or pain during urination
- Pelvic pain or pain during sex
- Sores or bumps
- Bleeding between periods or abnormal bleeding
These symptoms can also have causes unrelated to an STD, so having one or more of them does not confirm an infection. Testing is the only way to know whether you have an STI. If you have symptoms or are concerned about a possible exposure, a clinician at our Central San Jose clinic can discuss your concerns and help determine whether STI testing is appropriate.
Our Support Beyond Your Physical Health
Your sexual health is connected to your broader reproductive health and well-being. At RealOptions, we can support you beyond STD testing with additional services based on your needs.
Stay Proactive About Your Reproductive Health
Through our Well-Woman Care services, you can access preventive reproductive healthcare, including breast exams, cervical cancer screening when appropriate, and conversations about sexual and reproductive health.
Get Answers When Symptoms May Have Another Cause
Vaginal discharge, itching, burning, odor, or discomfort are not always caused by an STD. Our Gynecologic Care services include evaluation and vaginal testing for conditions such as yeast infections, bacterial vaginosis, and trichomoniasis when clinically appropriate.
Get Support for the Relationship Side of Sexual Health
If concerns about sexual health are also affecting your relationships, communication, or personal decision-making, our Optimal Health Coaching offers practical support around healthy communication, conflict, dating, relationships, and making intentional choices.
Serving Central San Jose and the Greater Santa Clara County Area
Our Central San Jose location on The Alameda is convenient for patients throughout downtown San Jose, Japantown, the Hensley Historic District, the Rose Garden, and Willow Glen, along with surrounding Santa Clara County communities. Whether you are a longtime San Jose resident or new to the area, our clinic offers convenient walk-in STD testing during regular business hours.
For more information about testing and treatment, visit:
Contact RealOptions Central San Jose
Confidential, walk-in STD and STI testing and treatment for women and men throughout Central San Jose and Santa Clara County.
Call: (408) 978-9310
Hours: Monday-Friday, 9 AM-5 PM
Visit: 1671 The Alameda, Suite #101, San Jose, CA 95126
Medically reviewed by: [Tasha Keirns, RN, BSN]
Last medically reviewed: [September 30, 2026]
Disclaimer: This page is for general educational purposes and does not replace a one-on-one consultation with a qualified healthcare provider.
Frequently Asked Questions
RealOptions offers confidential walk-in STD testing at 1671 The Alameda, Suite #101, San Jose, CA 95126. Walk-ins are welcome Monday through Friday, 9 AM to 5 PM, and no appointment is required. We also serve patients from nearby Willow Glen, Rose Garden, and Japantown who want a private, affordable option close to home.
No. RealOptions Central San Jose accepts walk-ins during regular business hours, so an appointment is not required for STD testing. You can also schedule an appointment in advance for convenience.
A $20 office visit fee applies either way. Self-pay testing runs $6 to $18 depending on the test, with a full panel at $49. To keep it simple, the maximum total cost for self-pay patients will be $73. If you use insurance, you will only pay the $20 office visit fee.
RealOptions typically receives blood and urine STD test results within a few business days through its laboratory partner. Results are handled confidentially and communicated privately by the clinical team.
Yes. Some STIs can be transmitted through oral sex and may infect the mouth, throat, genitals, or rectum. The CDC recommends that people who have had oral or anal sex talk with their healthcare provider about whether throat or rectal testing may be appropriate based on their sexual practices and possible exposure.
