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Vaginal Discharge And STD

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N. Gonorrhea<br />

Gonorrhea<br />

• Diagnosis g<br />

– Nucleic acid amplification test – best test available<br />

• Endocervical swab<br />

• Liquid based pap smear<br />

• Urine<br />

– Lower sensitivity due to substances in urine that can interfere<br />

with test (85% vs 96%)<br />

– Not approved by FDA<br />

• Self-collected <strong>Vaginal</strong> swab – kits available via mail on line<br />

– Culture from endocervical sample<br />

• Only 65-80% sensitive in asymptomatic women<br />

– DNA probe from endocervical swab

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