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STI PCR panels

Chlamydia, mycoplasmas, gonococcus, trichomonads — detected by a PCR swab. The window is shorter than for HIV and syphilis.

Section: InfectionsSpecialist: Gynecologist, urologist, dermatologist-venereologist
In shortThe basic STI PCR panel covers chlamydia, Mycoplasma genitalium, gonococcus and trichomonads — all from one swab. Test no earlier than 2–3 weeks after contact. Mycoplasma hominis and ureaplasma are opportunistic: their finding without inflammation usually needs no treatment.

About the infection

STIs are a group of sexually transmitted infections. The main bacterial pathogens (chlamydia, gonococcus, Mycoplasma genitalium, trichomonads) are detected by PCR — by pathogen DNA/RNA fragments in a swab. It is the most sensitive method.

It is important to separate obligate pathogens (chlamydia, gonococcus, trichomonads, Mycoplasma genitalium — always meaningful) from opportunistic flora (ureaplasma, Mycoplasma hominis), present in many healthy people and judged only together with inflammation.

Diagnostic methods

MethodWhat it showsWhen it is used
STI PCR panelDNA/RNA of chlamydia, gonococcus, M. genitalium, trichomonadsBasic workup for complaints and after a risky contact
Flora swab (microscopy)Inflammation (leukocytes) and flora compositionDischarge, itching, discomfort; a pair to PCR
Culture with sensitivityThe pathogen and its antibiotic resistanceWith treatment failure and gonorrhea
Blood: HIV, syphilis, hepatitis B/CSystemic infections of the same risk groupComplement swabs in a full workup

Window period: when the test becomes reliable

PCR for bacterial STIs is reliable 2–3 weeks after contact. HIV and syphilis have longer windows — 6 weeks and 3 months for conclusive answers, so a full post-contact workup is planned by the longest window.

How to prepare

A swab from the urethra (men) or cervical canal/vagina (women). Men — no urination 1.5–2 hours before. For 1–2 days avoid local products; not taken during menstruation. After antibiotics — no earlier than 3–4 weeks.

Reading the result

ResultWhat it means
No pathogens detectedNo bacterial STIs from the panel (if > 2–3 weeks since contact)
Chlamydia / gonococcus / trichomonads / M. genitalium “+”A meaningful finding — doctor’s treatment, partner testing
Ureaplasma / M. hominis “+” without inflammationCarriage: treatment usually not needed — the doctor judges
Any “+” with symptomsDo not postpone the visit: untreated STIs cause complications, including infertility

When a retest makes sense

Cure control by PCR — no earlier than 3–4 weeks after antibiotics end: earlier the test catches DNA remnants of dead pathogens. Partner testing and treatment go simultaneously.

Which specialist to see

A positive or doubtful result is reviewed by: Gynecologist, urologist, dermatologist-venereologist. Note the date of the first test and the possible contact — the retesting plan depends on it.

Several markers on your report?

The app reads your whole report — this marker together with its neighbors, not one by one.

Frequently asked questions

When after an unprotected contact should I take an STI panel?
The PCR panel — at 2–3 weeks. Blood for HIV and syphilis has a longer window: conclusive answers at 12 weeks. A doctor will map the test timeline.
Ureaplasma positive — treat it?
A ureaplasma finding alone, without inflammation and complaints, usually needs no treatment: it is opportunistic flora present in many healthy people. The doctor decides from the flora swab picture and complaints.
Can testing be anonymous?
Yes: STI testing is available anonymously in specialized clinics and private laboratories.

Sources

  1. MedlinePlus — Hepatitis Panel — MedlinePlus (medlineplus.gov). Accessed: September 17, 2026.
  2. MSD Manuals — Helminths — MSD Manuals (msdmanuals.com). Accessed: September 17, 2026.

See also