Most men who attend for a sexual health screen will have an HIV test 39. An audit of sexual health clinics in England found that almost all MSM reported one or more HIV tests in a 12‐month period 40, which does suggest that clinic attenders are meeting the minimum annual testing recommendations 18. Yet in our varied community samples, this recommendation was consistently not being met and it is likely that not all men are attending clinics for regular sexual health screening. Our data suggest subtle differences in the risk profiles of regular vs “risk event” testers, who are at potentially greatest risk for HIV infection. Accessing services remains a key opportunity for intervention and frequent testing for HIV and STIs should be promoted to those men only testing after a risk event. Annual testing should be conducted at a population level with MSM to reduce undiagnosed HIV infection and regular sexual health screening should be offered to all men at risk of STI/HIV transmission.