South Dakota STD Testing Directory
To help you locate an accredited laboratory/testing center, a list of resources has been compiled and can be found below.
Consult with your health care provider about any lab testing that you may be considering. It is also important to follow up with your health care provider to discuss your results within the context of your medical history.
STD Trends in South Dakota
STDs are a growing public health concern in South Dakota because rates have increased statewide. Of the commonly reported infectious diseases in South Dakota, STDs are the most prevalent, with chlamydia, gonorrhea, and syphilis being the most reported. All three STDs have increased over the last 10 years, but the largest surge has been recorded in syphilis infections.
While better screening programs and technology may partly explain some increases in STDs, the state’s upward trend is highly concerning. Some notable trends in South Dakota over the last decade and in recent years include:
| STD Trends in South Dakota | |||
|---|---|---|---|
| State rank | Cases | Rate per 100,000 population | |
| Chlamydia | 29th | 4,044 | 457.1 |
| Gonorrhea | 7th | 2,424 | 274.0 |
| Syphilis | 7th | 66 | 7.5 |
| Congenital syphilis | 21st | 4 | 34.9 |

Source: CDC 2020 STD Surveillance Report
STD Screening Recommendations and Risk Factors
If you have sex, you are at risk for getting an STD. According to the CDC, risk factors for STDs include:
- Unprotected sex (anal, vaginal, or oral)
- Sex with multiple partners
- Anonymous sex partners
- Sex under the influence of drugs or alcohol
- Injection of drugs or sharing needles
Should you get tested for STDs? And how often? Talk to your doctor to be sure, but you should generally follow these CDC recommendations:
| Who should get tested | How often to test |
|---|---|
| Anyone who is sexually active | At least once for HIV and more often if you have new partners |
| Sexually active women under 25 or women 25+ with new or multiple sex partners or a partner with an STD | Annually for gonorrhea and chlamydia |
| Pregnant women | During pregnancy for syphilis, HIV, hepatitis B and C, chlamydia, gonorrhea |
| Sexually active gay, bisexual, and other men who have sex with men |
|
| Anyone who has unsafe sex or shares injection drug equipment | Annually for HIV and Hepatitis B and C |
| People who have had oral or anal sex | Discuss throat and rectal testing with your health care provider |
STD Testing in South Dakota:
Free STD Testing Centers in South Dakota
Community-based STD testing organizations help expand access to sexual health services by offering affordable, confidential testing and treatment.
You may choose a community testing center if cost, insurance coverage, privacy, or access to a regular healthcare provider is a concern. While some centers charge a small fee, many offer free or low-cost STD testing and additional support services. Below are examples of community-based resources where reduced-cost testing may be available.
- Fall River County Family Reproductive Health Program
Address: 709 Jensen Highway, Suite D, Hot Springs, SD 57747Number: (605) 745-5135 - Hughes County Community Health
Address: 740 East Sioux Avenue, Suite 107, Pierre, SD 57501Number: (605) 773-5348 or (605) 773-4937 - Rapid City HIV/AIDS and STD Testing Field Office
Address: 909 East St. Patrick Street, Suite 10, Rapid City, SD 57701Number: (605) 394-5298 or (866)474-8221 - Sioux Falls HIV/AIDS and STD Testing Field Office
Address: 4101 West 38th Street, Suite 102, Sioux Falls, SD 57106Number: (866) 315-9214 - South Dakota Department of Health
Address: 600 East Capital Avenue, Pierre, SD 57501Number: (605)773-3361 or (800) 738-2301