Test(s) of choice for genital discharge in heterosexual men and MSM
| Site or specimen | Gonorrhoea | Chlamydia | NSU | Candida | Trichomonas |
|---|---|---|---|---|---|
| NSU, non-specific urethritis; NR, not recommended NAAT: nucleic acid amplification test | |||||
| *Samples only appropriate if indicated by sexual history or local symptoms/signs. | |||||
| †Only if symptoms/signs persist after excluding or treating gonorrhoea, chlamydia and Mycoplasma genitalium infection. | |||||
| ‡NAAT can be considered if culture not available. | |||||
| ¶If urethral specimen not available. | |||||
| Urethra | Microscopy plus culture | NAAT | Microscopy | NR | Culture† |
| Rectum* | Culture | Tissue culture‡ | NR | NR | NR |
| Oropharynx* | Culture | Tissue culture‡ | NR | NR | NR |
| Urine | NAAT¶ | NAAT | NR | NR | Culture† |