Chlamydia and Gonorrhea Test (Urogenital, TMA)

Chlamydia and gonorrhea are two of the most commonly reported sexually transmitted infections, and they are frequently tested together because they are transmitted the same way and often occur together. Both are extremely common, both are manageable with care from a clinician, and testing for them is a routine, unremarkable part of looking after your health.

This assay uses transcription-mediated amplification, or TMA. Instead of looking for the body's immune response, TMA looks directly for the organisms' nucleic acid in the sample, amplifying it so the laboratory can identify very small amounts. Urogenital refers to the sample source: depending on your anatomy and your clinician's instructions, that is typically a urine sample or a swab.

Ordering happens online at a flat cash price shown on this page, with the physician's order included. There is no insurance billed, no referral to obtain, and no separate doctor's visit before collection. Sample collection takes place at a Quest patient service center, usually without an appointment.

People commonly order chlamydia and gonorrhea testing as part of routine sexual health care — at regular intervals, when starting a relationship, after a partner suggests testing together, or when something simply feels worth checking. Because both infections are frequently silent, many people test on a schedule rather than in response to symptoms, which is exactly how routine screening is meant to work.

Others order it because of symptoms they have noticed, such as unusual discharge, burning with urination, or pelvic discomfort. Those symptoms have many possible explanations, so a clinician reviews any result together with what you are experiencing. Either way, the point of testing is information, and getting it is a straightforward, private step.

Chlamydia and gonorrhea share transmission routes and often appear in the same setting, so laboratories run them as a pair from a single sample. That keeps collection simple and gives a clinician a fuller picture from one visit.

A combined result also helps a clinician think about follow-up sensibly. Whatever the outcome, both infections have well-established care pathways, and partners are usually part of that conversation.

TMA looks for the genetic material of the organisms themselves rather than for antibodies your immune system has produced. That direct approach is why nucleic acid amplification methods are the standard for these two infections and why a small amount of organism in a sample can still be identified.

Because it looks for current presence rather than immune memory, this kind of test speaks to the sample collected that day. It says nothing about past infections that have resolved, and a clinician interprets it with your recent history in mind.

Urogenital collection usually means a urine sample or a swab, following the instructions provided for the test. For urine collection, laboratories generally ask that you not urinate for a period beforehand, since a first-catch sample carries more material — the instructions you receive will spell this out.

The visit itself is quick and handled with the same discretion as any other laboratory work. If you have questions about which sample type applies to you, a clinician can clarify before you go.

Because you pay a cash price directly, no claim goes to an insurer and nothing shows up on an insurance statement. The price beside the order button includes the physician's order, so there is no appointment fee layered on top. Your result is delivered securely to you, and it is yours to share with a clinician or a partner if and when you choose. If a result needs follow-up, a clinician can talk it through and arrange next steps without judgment.

Results will be emailed securely to you as a PDF.