6 responses to “Indications and value of self-administered vaginal swabs for STIs and vaginitis”

  1. Just curious, what about urine for CG/chlaymdia? I’ve been doing vag swabs for yeast, BV, trich, and urine for the STIs. Is that a reasonable approach?

  2. Can vaginal self swabs for CT/GC be done in pregnancy?

  3. Fantastic article, thanks!

  4. Great article and posters – I was very lucky to work briefly with Dr. Leon as a resident a couple years ago and he is fantastic!

  5. Can you please clarify the comment regarding new STI infection in a woman with a Copper IUD in situ and increasing the risk of PID. I thought that as long as the infection was not acquired in the first 3 weeks after insertion, that there was no increased risk of PID with an IUD in place. Thanks.

  6. Thanks for your comments.
    Theresa: the urine test is women is less accurate that the vaginal swab. Chlamydia is not always present in the urethra, so the pick up rate is about 88-89%, versus 98-99%. I suggest that if they are doing self swabbing for vaginitis, they do it for CT/NG as well with the appropriate swab. If you need the references, please contact me.
    Jennifer: I don’t know of any research on the accuracy of the self swabs in pregnancy, but it wouldn’t be a contraindication. Not sure.
    Sheila: Up To Date states that ‘a trial of over 2500 IUD users, LNg 52/5 IUD users had a significantly lower rates of PID than copper IUD users over a three-year period, which suggests the LNg IUDs may have a protective effect against PID. The article they referred to is: Toivonen J, Luukkainen T, Allonen H. Protective effect of intrauterine release of levonorgestrel on pelvic infection: three years’ comparative experience of levonorgestrel- and copper-releasing intrauterine devices. Obstet Gynecol 1991; 77:261.

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