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HomeSexual health › Chlamydia testing

Chlamydia testing
in London

Urine sample or swab, result the same day, and treatment prescribed at the same appointment if you need it.

4–6 hours
result the same day
From 14 days
after the exposure
£89
plus the £89 consultation
Urine or swab
throat and rectal swabs available

Most people who have it have no idea

Chlamydia is the commonest bacterial sexually transmitted infection in the UK, and the reason it spreads so easily is that it usually causes nothing at all. No pain, no discharge, nothing to notice. People find out because a partner tells them, or because they tested for something else.

That is worth saying plainly, because a lot of people talk themselves out of testing on the grounds that they feel fine. Feeling fine is the normal presentation.

The good news is that it is straightforward to find and straightforward to treat. A urine sample or a swab, a result in four to six hours, and antibiotics prescribed at the same appointment if the result is positive.

We can test from 14 days after the exposure you are concerned about. If you have symptoms now, or a partner has tested positive, do not wait. Come in and we will advise on timing.

The test

Which sample you need depends on the sex you had

£89 for the test, in addition to the £89 consultation.

Urine or genital swab

The standard test, and what most people need.

1.A urine sample, or a self-taken vaginal swab
2.Best if you have not passed urine for an hour beforehand
3.Takes a couple of minutes, in private
4.Result back in four to six hours

Throat and rectal swabs

Available here, and often the ones that matter.

1.A urine test only looks at one site
2.Oral or anal sex can leave infection a urine test will miss
3.Tell the GP what kind of sex you had. That is the only reason we ask
4.Swabs are quick and can be self-taken

Symptoms

If there are symptoms at all

Pain passing urine

Burning or stinging. Easy to mistake for a urine infection, and often treated as one.

Unusual discharge

A change in colour, consistency or amount, from the penis or vagina.

Bleeding between periods

Or after sex. Worth testing for rather than watching.

Pelvic or testicular pain

Lower abdominal pain, or pain and swelling in one testicle.

Rectal discomfort

Pain, discharge or bleeding after anal sex. Needs a rectal swab, not a urine test.

Nothing whatsoever

The commonest picture by a wide margin, and the reason testing rather than waiting is the right call.

Left untreated, chlamydia can affect fertility. That is the reason to test, and it is also the reason not to panic: treated promptly, it usually causes no lasting harm.

Questions

Things people ask us

Do I have to tell my partners?

It is strongly advised. They may well have it without knowing, and an untreated partner can pass it straight back to you after your own treatment has worked. We will talk through who needs telling and how far back to go. If you would rather not do it directly, partner notification can be done anonymously, and we can explain how that works.

Will this go on my NHS record?

Not unless you want it to. Nothing is shared with your NHS GP surgery without your say-so. Some people do ask us to write to their GP, particularly if there is a related ongoing problem, but that is a choice you make rather than something that happens automatically.

Will chlamydia affect my fertility?

Untreated infection over a long period can affect fertility, and that is the honest reason testing matters rather than a scare tactic. Treated promptly it usually causes no lasting harm at all. If you have had chlamydia in the past and are worried about it now, that is worth a consultation in its own right.

Do I need a repeat test after treatment?

Sometimes, depending on the circumstances and on whether there is any chance of reinfection. The GP will tell you at the appointment whether one is needed and when to come back. You will also be told how long to avoid sex for, which matters as much as the treatment itself.

Tested and treated in one day

Result in four to six hours, and a prescription at the same appointment if you need one.