Direct answer: Standard "routine" STD panels commonly exclude herpes (unless symptomatic or specifically requested), HPV (tested separately, usually via cervical screening), and sometimes trichomoniasis and mycoplasma genitalium, depending on the specific panel and provider. "Full panel" is not a standardized term, so what's included varies by clinic.
Common gaps in a "routine" panel
| Infection | Typically included by default? |
|---|---|
| Chlamydia / Gonorrhea | Yes |
| Syphilis | Yes |
| HIV | Yes |
| Herpes (HSV) | Often no — must request |
| HPV | Tested separately (cervical screening) |
| Trichomoniasis | Sometimes — varies by provider |
| Mycoplasma genitalium | Often no — must request |
Why herpes gets left out by default
Herpes IgG antibody tests have a relatively high false-positive rate in low-prevalence, asymptomatic populations, which is part of why routine screening isn't universally recommended for people without symptoms. If you have visible sores or a specific concern, asking directly for a type-specific IgG test is the way to include it.
How to close the gap
Ask your provider directly: "Does this panel include herpes, mycoplasma genitalium, and trichomoniasis, or do I need to request those separately?" Use the window calculator to see the CDC-recommended panel based on your specific risk profile before your appointment, so you know what to ask for.
Frequently Asked Questions
Is herpes tested in a standard STD panel?
Usually not, unless specifically requested. Routine panels commonly exclude herpes testing unless you have visible symptoms or specifically ask for it.
Is HPV part of a standard STD panel?
HPV testing is generally done separately, most commonly through cervical screening (Pap/HPV co-testing) rather than a general STD panel.
Why would a "full panel" still leave things out?
Because "full panel" isn't a standardized term — it means different things at different providers, so confirming exactly what's included is important.
Note: This article is for general information only and is not medical advice. See our full disclaimer.