Chlamydia and Gonorrhea Testing: More Than Just Genitals
A patient-facing fact sheet describing:
- Who should get tested
- Why get tested
- What to expect
- Tips for talking with your health care provider
Topic: Chlamydia
Recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea and Chlamydial Infection
Quick reference guide for the MMWR Recommendations & Reports, Recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea, and Chlamydial Infection
A quick reference resource, it only lists the recommendations and data security guidelines included in the MMWR. The document is available in its entirety at www.cdc.gov/nchhstp/partners.
STI Clinical Training
We support healthcare providers in the Western United States (AZ, CA, HI, NM, and NV) to improve clinical outcomes for those affected by sexually transmitted infections and HIV.
Upcoming Trainings
STI Clinical Update Webinar – Congenital Syphilis Scenarios: A case-based overview
April 28, 2025, 12:00PM-1:15PM (PDT)
CME not offered for viewing the webinar recording.
This presentation reviews four separate cases of congenital syphilis (CS). Each case illustrates one of the four CS Scenarios, as defined by the Centers for Disease Control and Prevention (CDC). Through these cases, learners will gain an understanding of the diagnosis and management of the CDC CS Scenarios. The cases are shown from two viewpoints: a clinical pediatric infectious disease perspective and a public health medical officer standpoint.
Regional Training Center, National Network of STD Clinical Prevention (NNPTC)
Funded by the Centers for Disease Control and Prevention (CDC), CAPTC supports healthcare providers in the western United States (AZ, CA, HI, NM, and NV) to improve clinical outcomes for those affected by sexually transmitted infections and HIV.
We provide in-person and virtual training events, technical assistance, clinical tools, and STI clinical consultation (via the STD Clinical Consultation Network) to support providers in addressing the rise of STIs in their communities. We focus on complex issues in patient care including evolving PrEP modalities, congenital syphilis management and prevention, and complications of gonorrhea and chlamydia. Our faculty consists of physicians and nurses who are subject matter experts in the field of sexual health with extensive academic, clinical, and public health experience in STI control and response.
The CAPTC Clinical Program has been funded for over 30 years by the CDC and is part of the National Network of STD Clinical Prevention Training Centers (NNPTC). CAPTC also has a long-standing partnership with the California Department of Public Health (CDPH) STD Control Branch to deliver training on STI diagnosis and treatment to California counties experiencing high rates of STIs. CDPH and CAPTC regularly collaborate on issuing statewide guidance related to STI screening and treatment, as well as creating co-branded job aids and educational materials for providers throughout the state.
CAPTC is also proud to collaborate with San Francisco City Clinic (SFCC), San Francisco’s preeminent municipal STI clinic, to offer observerships in sexual health care. Clinicians interested in arranging a shadowing experience at SFCC of up to 4 half-days (which could potentially be structured to 2 full days, depending on the learner’s needs) can contact us at captc@ucsf.edu to learn more.
Featured Resource
Clinical Guidance: Infant and Child Follow-up After Exposure to Syphilis in Utero
Designed to support clinicians and public health practitioners, this resource provides detailed algorithms for the evaluation, treatment, and follow-up of neonates, infants, and children exposed to syphilis during pregnancy. Developed in alignment with the 2021 CDC STI Treatment Guidelines, the resource outlines step-by-step instructions for monitoring RPR/VDRL titers, interpreting titer trends, and ensuring thorough follow-up care for infants and children affected by syphilis.
Read MoreContact us and let us know how we can support you
Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment
Key recommendations for chlamydia and gonorrhea screening and treatment for individuals assigned female at birth.
STD Expert Hour Webinar – Delivering Sexual Health Services in the Time of COVID-19
August 13, 2020
The coronavirus (COVID-19) is impacting the delivery of sexual health services in California and throughout the United States. Dr. Ina Park and Dr. Rosalyn Plotzker provide an overview of recent CDC recommendations for STD diagnosis and treatment when in-person exams and visits are limited. They also discuss best practices for the use of telehealth and home-testing for STD care and PrEP management.
Drs. Park and Plotzker cover the following learning objectives for this webinar:
- Share implementation strategies for self-collected testing to minimize clinician exposure to COVID-19 when seeing clients for STD-related symptoms
- Identify changes to recommended syndromic treatment of urethritis, including treatment for gonorrhea and chlamydia
- Describe management recommendations for patients with genital ulcer disease
- Discuss HIV PrEP telehealth management approaches to ensure continuation of PrEP use for clients who are unable to get care in a clinic setting during and after the COVID-19 public health emergency
Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment
June 20, 2019
Rates of sexually-transmitted diseases (STDs) such as chlamydia trachomatis (CT) and gonorrhea (GC) have reached an all-time high. In the U.S., California leads the nation in reported cases of these STDs. Because persons with CT and GC are often asymptomatic, screening is essential for the early detection and treatment that can prevent reproductive complications including pelvic inflammatory disease (PID), tubal infertility, ectopic pregnancy, and chronic pelvic pain in females and epididymitis in males.
This webinar covers current clinical guidelines for routine and targeted screening, treatment, follow-up, and prevention of CT and GC.
Learning objectives:
- Understand current guidelines for screening for CT and GC among sexually active women and men
- List the indications for anorectal and oropharyngeal CT/GC screening
- Explain when test-of-cure is indicated
- Identify the proper ICD-10 codes for lab requests and billing information
Presenters:
Resources:
Extragenital Screening
Don’t forget to swab! Among men who have sex with men, 84% of gonorrhea and chlamydia infections would be missed with urine-only screening1. Make sure your clients are screened for gonorrhea and chlamydia of the throat and rectum.
| What: | Extragenital Screening for Gonorrhea and Chlamydia |
| Where: | Rectum and throat |
| Who: | Men who have sex with men (MSM), transgender women, people living with HIV, and people on PrEP who report having receptive anal and/or oral sex |
| When: | At least annually, or every 3 to 6 months as needed based on exposure |
| Why: | When urine-only screening is performed, up to 90% of rectal gonorrhea and 77% of rectal chlamydia infections remain untreated1. HIV-negative men diagnosed with rectal infections are excellent candidates for PrEP, because they have a high risk of HIV infection |
| How: | Swab specimen (self or clinician-collected swab) |
The California Prevention Training Center supports clinics and providers in implementing rectal and pharyngeal STI screening.
For more information, contact us.
Resources for Providers
Extragenital Chlamydia and Gonorrhea Among Community Venue–Attending MSM, CDC MMWR
April 11, 2019
CA Department of Public Health, Dear Colleague Letter
February 20, 2019
National Coalition of STD Directors – Extragenital Testing
NYC Department of Health and Mental Hygiene – STI’s Among MSM Protocol Card
Resources for Clinics
Self Swab Instructional Posters:
CDC Recommendations for Laboratory-Based Detection of Gonorrhea and Chlamydia, March 14, 2014
Verification of Patient Self-Collected Extragenital Nucleic Acid Amplification Tests
- Marcus JL, Bernstein KT, Kohn RP, Liska S, Philip SS. Infections missed by urethral-only screening for chlamydia or gonorrhea detection among men who have sex with men. Sexually transmitted diseases. 2011 Oct 1;38(10):922-4.
Extragenital Screening Resources
Extragenital (rectum and throat) gonorrhea and chlamydia screening resources for providers, clinics, and patients.
