Table 5

 Test(s) of choice for genital discharge in women

Site or specimenGonorrhoeaChlamydiaCandidaTrichomonasBacterial vaginosis
NR, not recommended, NAAT, nucleic acid amplification test.
*Samples only appropriate if indicated by sexual history or local symptoms/signs.
†Microscopy provides an immediate diagnosis, but culture is more sensitive.
UrethraMicroscopy plus cultureNRNRNRNR
CervixMicroscopy plus cultureNAATNRNRNR
VaginaMicroscopy Culture
    Self taken tampons or swabsNAAT (not validated)NAAT (not validated)
    Vulval-introitalNAAT (not validated)NAAT (not |validated)
    Wall smear
    Posterior fornixCulture or latex agglutination plus or minus microscopy†Microscopy
Rectum*CultureTissue cultureNRNRNR
Oropharynx*CultureTissue cultureNRNRNR
UrineNRNAAT (if cervical/vaginal specimen not available)NRNRNR