Are we missing pharyngeal and rectal infections in women by not testing those who report oral and anal sex?

Nucleic acid amplification testing (NAAT) to screen the rectum and pharynx for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) has shown superior sensitivity to culture methods1 and high rates of infection have been seen in men who have sex with men.2 Although women also report oral and anal sex, clinics do not routinely offer them screening at these sites. We offered pharyngeal/rectal NAAT, in addition to endocervical testing, to women as directed by sexual history. Samples were analysed using the BD ProbeTecTM CT/GC Qx Amplified DNA assay in …