The 4 Best At-Home Chlamydia Tests of 2022
- Also Known As:
- At Home Chlamydia Nucleic Acid Amplification Test
- At Home Chlamydia NAAT Test
Test Quick Guide
Chlamydia is a common sexually transmitted disease (STD) caused by the bacteria chlamydia trachomatis. This infection is typically spread through sexual contact, including oral, anal, and vaginal sex. While initial symptoms of chlamydia may go unnoticed, chlamydia can cause serious health problems if left untreated.
If you think you might have been exposed to chlamydia or are experiencing symptoms like abnormal discharge, painful urination, or bleeding (rectum), don’t wait to get tested. You can screen for this common STD at home with kits that identify evidence of this bacterial infection.
“At-home STD testing offers a number of advantages, including convenient and affordable access, a quick and comfortable turnaround time, and the ability to test for many common STDs without having to go to a clinical setting,” says James Oliver, M.D. and specialist in obstetrics and gynecology. “Also, you can do it whenever you want without having to leave your home.”
You’ll collect a sample of bodily fluid based on symptoms. For example, samples can include swabbing the vagina, throw, or rectum, or collecting a urine sample. At-home tests are convenient, but keep in mind, this does not replace testing provided by a healthcare professional.
Dr. Oliver adds, “Some factors you should consider for at-home testing include the accuracy of lab results, quality of test materials and time frame of the test.”
The Best At-Home Chlamydia Tests Compared
|Test||Price||Type||Tests for:||Results in:||Insurance accepted?||Who should use it:|
|LetsGetChecked – best overall||$99 to $249 (save 25% with code TESTING25)||Self-collection urine and finger prick||
||2 to 5 days||No||Sexually active adults seeking discreet, affordable at-home STD testing.|
|Everlywell – best membership option||$24.99||Urine||Chlamydia and gonorrhea||5 to 7 days||No||Anyone who is sexually active and suspects being exposed to chlamydia or gonorrhea.|
|Health Testing Centers – best without insurance||$79||Urine||Chlamydia||3 to 4 day||No||If you are sexually active and think you’ve been exposed to chlamydia or are experiencing symptoms.|
|myLAB Box – best 2-panel test||$179||Anal and oral swab, urine||Chlamydia and gonorrhea||2 to 5 days||No||If you want a 3-site test to screen for chlamydia.|
About At-Home Chlamydia Tests
Purpose of at-home chlamydia tests
The purpose of an at-home chlamydia test is to find evidence of a chlamydia infection. While there are few guidelines regarding the use of at-home chlamydia testing, experts suggest that at-home testing is an important way to improve access to chlamydia screening to prevent the spread of this common STD. In fact, young adults are three times more likely to use at-home kits to test for STDs like chlamydia than conventional testing in a lab or doctor’s office.
At-home tests are especially helpful in situations where you might not be sure of exposure and want to gain peace of mind, or getting conventional chlamydia testing is a challenge because of lab hours or location.
While testing for chlamydia at home is quick and easy for screening, at-home test kits should not be used if you have active symptoms of chlamydia or if you have a sexual partner who has been diagnosed with this condition. In these cases, it’s best to get a chlamydia test from a physician.
What does an at-home chlamydia test measure?
Most at-home chlamydia testing detects evidence of the genetic material, known as DNA or RNA, of the bacteria chlamydia trachomatis. These test kits allow you to collect your own samples of body fluid and return them to a laboratory for a type of analysis called nucleic acid amplification testing (NAAT).
The NAAT detects genetic material of the bacteria and can be conducted on a variety of samples, including urine, a throat swab, or a swab of fluid taken from the urethra, vagina, or rectum. Examples of at-home STD tests, the necessary test samples, and what each test measures are listed in the tables below.
How does an at-home chlamydia test work?
Companies that offer at-home STD testing for common sexually transmitted infections like chlamydia make the process simple, discreet, and convenient. All you have to do is order your test online or by calling the company.
You will receive the home collection kit by mail in a plain envelope for privacy. You’ll activate the test and collect a sample (in the morning), and use a prepaid shipping label to return the sample to the lab. After the lab analyzes your sample, you will receive confidential results, usually via a secure online account you set up when you order the kit. If tests are positive, some companies offer support like follow-up consultation with a medical professional.
Before taking a chlamydia test, you should avoid urinating a couple hours in advance, avoid douching or vaginal creams, and stop taking medications like antibiotics (with a doctor’s permission).
Which at-home chlamydia test should you choose?
You can get an at-home test for just chlamydia or select panel kits that screen for multiple STDs. A standard STD panel might include testing for chlamydia, gonorrhea, HIV, syphilis, and trichomoniasis. Kits that test for chlamydia and gonorrhea are common. And a complete panel of STD tests may include a standard panel, plus testing for herpes, and three types of bacteria associated with bacterial vaginosis (gardnerella, mycoplasma, and ureaplasma).
Aside from which STDs a panel identifies, other considerations for choosing a chlamydia at-home kit include how fast you’ll get results, whether the company offers support or treatment if you test positive, and cost.
Benefits and Downsides of At-Home Chlamydia Tests
There are pros and cons of testing for chlamydia at home. Individuals deciding whether or not to use an at-home test to detect this common infection may find it helpful to consider both sides of this approach.
Benefits of at-home chlamydia testing include:
- Convenience: Using an at-home test kit to screen for chlamydia is convenient, providing you with all of the supplies needed to self-collect samples at home. This approach is especially useful in settings in which physician-ordered STD testing is unavailable.
- Privacy: At-home chlamydia tests allow you to collect samples of urine or other body fluids in the comfort of your home. The testing process can feel more discreet this way.
- Straightforward pricing: While doctor visits, sample collection fees, and other costs associated with physician-ordered testing can add up quickly, at-home testing offers clear and simple pricing.
- Comprehensive testing options: When purchasing an at-home chlamydia test, you are often given the choice of combining chlamydia testing with other STD tests.
Potential downsides of at-home chlamydia testing include:
- Follow-up appointments needed: Although most at-home chlamydia tests are considered accurate, some at-home test results need to be confirmed by a medical professional. Follow-up may involve additional laboratory testing.
- Potential for errors: While kits offer detailed instructions, there may be increased risks of errors and contamination when collecting the sample.
- Results without a doctor: Although some at-home tests can connect you with a medical professional over the phone, with an at-home chlamydia test you won’t have your doctor immediately available to answer questions or begin treatment. However, some companies offer support from medical professionals if you test positive.
- May not be covered by insurance: You typically have to pay for at-home tests out-of-pocket, although some at-home STD tests may be covered by health insurance. California was the first state to require health insurance companies to cover at-home STD testing
The Best At-Home Chlamydia Tests
There are many different types of at-home STD tests available, and it’s important to consider what type of STD testing you’re looking for when selecting an at-home STD test. The following sections provide information about top picks for at-home STD testing:
At-home chlamydia tests were reviewed based on value, convenience, and availability of tests. These overall factors are based on data including price, insurance acceptance, comprehensiveness of tests, and how quickly you can get results and speak to a doctor. STD test selections have been screened by Testing.com’s Medical Review Board.
|Price:||$99 (Simple 2), $149 (Standard 5), $249 (Complete 8) (Save 25% with code TESTING25)|
|Sample:||Urine (Simple 2), urine and finger prick (Standard 5 or Complete 8)|
|Results timeline:||Within 2 to 5 days|
|Accuracy:||Samples are sent to CLIA-certified and ISO accredited labs, the same hospitals and doctors use|
|Accepts insurance:||No, but accepts FSA and HSA cards|
|Physician follow up:||One-on-one support from a member of the clinical team, at your convenience|
|Prescriptions offered:||Treatment options are available if you test positive|
LetsGetChecked (LGC) offers three STD test kit options, all of which include chlamydia screening. LGC stands out as the best overall for a number of reasons. You can use an FSA or HSA card to pay for the at-home tests, which range in price from $99 to $249 depending on the panel you select. The company offers a subscribe-and-save option with a 30% discount if you sign up to get the test mailed to you every three months.
All of LGC’s tests are mailed to you in discreet packaging and include a plain, postage-paid envelope for returning testing samples. LGC uses the same labs as hospitals and doctors’ offices that are CLIA-certified and ISO accredited for accuracy. If you have any questions about how to take the sample or use the kit, the clinical staff is very responsive and easy to reach. One customer said that the service and efficiency was better than what he experienced at his doctor’s office. Once you access your results on a secure portal, you can arrange a one-on-one session with a medical professional to ask any questions or discuss treatment, if necessary.
Once your results are in, LGC sends an email and text, and you can view the information on a secure online account. The company provides a fact sheet along with the lab report, so they make reading the results easy.
Those who have used LGC and reviewed the at-home tests overwhelmingly say the confidentiality, convenience, and trustworthiness of the kits made it simple and private to screen for chlamydia and other common STDs. A number of people commented that they never felt comfortable talking about sexual health with their doctors, but LGC’s clinical staff is approachable and the plain packaging (and free shipping) make the process seamless.
Another big advantage is the fact that LGC can send treatment if you test positive. This saves the extra step of getting a doctor referral, visiting the office, and picking up medications at the pharmacy.
|What’s great about LetsGetChecked’s at-home chlamydia test?||What’s not so great?|
Why is LetsGetChecked at-home chlamydia test the best overall?
LGC’s test stands out among competitors because the company has treatment options if you test positive, and you do not have to get a referral to see a doctor to ask questions or get a one-on-one consultation like with other companies. You can get a 30% discount on kits if you subscribe to receive one every three months. The plain packaging and free shipping are also benefits.
Who should use LetsGetChecked at-home chlamydia test?
If you feel uncomfortable discussing sexual health with your doctor and have put off STD testing because you don’t want to ask for a test in person, LetsGetChecked is a good option for you. The company makes testing completely private with plain packaging, a secure portal for results, and access to on-staff clinicians who can answer questions.
Best Membership Option
|Price:||$24.99 ($49 without membership)|
|Results timeline:||Within 5 to 7 business days|
|Accuracy:||The labs Everlywell uses are CLIA-certified, which means they meet federal regulations for diagnostic testing that ensure quality, safety, and accuracy. Also, tests are reviewed and approved by an independent, board-certified doctor in your state so you know the test you’re taking at home is the quality you’d get if you went to a lab or physician’s office in person.|
|Accepts insurance:||Everlywell does not accept insurance, but the company takes FSA and HSA cards.|
|Physician follow up:||If you test positive, a doctor in your state will contact you to discuss your results and treatment.|
|Prescriptions offered:||Everlywell does not send you prescriptions, but a doctor who follows up with you if you test positive can prescribe medication.|
Everlywell offers an at-home test kit for chlamydia and gonorrhea that includes everything you need to collect a urine sample and send (for free) it to their lab for analysis. When you get the unmarked box, it contains a urine collection cup, pipette for putting the sample into the provided test tube, a biohazard bag to seal your sample, and a prepaid shipping label. You can reuse the box.
Everylywell is affordable, costing less than other at-home chlamydia tests we reviewed, and you can get a discount if you subscribe to receive tests. While Everlywell does not accept insurance, you can use an FSA or HSA card.
As for accuracy, Everlywell uses labs that are CLIA-certified and use nucleic acid amplification testing that is considered more accurate than relying on microscopes. Also, the company sends results to an independent, board-certified doctor in your state to review.
Confidentiality is a major benefit of at-home testing, and Everlywell accomplishes this in a few ways. First, when you get your kit it comes with an ID number you register on the company’s secure online portal. After you return your test sample and it is processed in the lab, you will receive an email notifying you that results are ready. Then, you can access the information on the platform.
A downside is that Everlywell does not offer medications. But if you test positive, the doctor who reaches out to you will provide treatment information and prescriptions, if necessary.
|What’s great about Everlywell’s at-home chlamydia test?||What’s not so great?|
Why is Everlywell’s at-home chlamydia test the best membership option?
Everlywell is the most cost-effective at-home test kit for chlamydia we reviewed, and it provides the same CLIA-certified lab testing and access to a medical professional as other companies.
Who should use Everlywell’s at-home chlamydia test?
If you want the privacy of testing at home but you still want to be sure a doctor reviews your results, Everlywell checks those boxes and also makes it easy to test on a regular basis with a low-cost subscription.
Best Without Insurance
|Results timeline:||Within 3 to 4 business days|
|Accuracy:||Health Testing Centers uses CLIA-certified labs that perform molecular testing.|
|Accepts insurance:||No insurance accepted|
|Physician follow up:||If you test positive, the company will call you to provide a free physician consultation by a third-party doctor.|
|Prescriptions offered:||If you test positive and the free doctor consultation involves a prescription, the medication is not included in the complimentary visit.|
Health Testing Centers offers in-lab or at-home testing for chlamydia. If you select the self-collection kit, the company will send it to you via USPS.
The company does not accept insurance. You must pay the flat fee of $79 using PayPal or a credit card. However, a benefit is that the fee includes a complimentary physician consultation if your test results are positive. And, if you have an FSA or HSA card with a Visa or Mastercard logo, you can use this form of payment.
As for confidentiality, once your test results are processed in the CLIA-certified lab, which performs molecular testing that is considered far more accurate than microscopic evaluation of samples, you will receive an email notification directing you to check the secure online portal. If your test is positive, the company will call you to set up a free doctor’s consultation. They will only call you three times, so be sure to promptly return any messages.
The straightforward test kit offers instructions that are easy to understand and everything you need to send a sample back to their lab. There is an in-lab option if you prefer to go in person to provide a sample.
|What’s great about Health Testing Centers’ at-home chlamydia test?||What’s not so great?|
Why is Health Testing Centers at-home chlamydia test the best if you do not have insurance?
The chlamydia at-home test is cost-effective, and if you test positive, the fee includes a complimentary physician consultation.
Who should use Health Testing Centers’ at-home chlamydia test?
Anyone who wants an affordable at-home chlamydia test and results within several days.
Best 2 Panel Test
|Sample:||Oral swab, anal swab, urine|
|Results timeline:||Within 2 to 5 days|
|Accuracy:||Labs are CLIA-certified and certified by the College of American Pathologists (CAP)|
|Accepts insurance:||No, but you can use an FSA or HSA card|
|Physician follow up:||Free follow-up consultations|
|Prescriptions offered:||No, but the company will send a prescription to your local pharmacy if you test positive|
myLAB Box offers an at-home test kit for chlamydia and gonorrhea that tests in three sites: the genitals, anus, and throat. This way, you can assure comprehensive testing as opposed to sending in only a urine sample when an infection might have been spread to you in a different way.
While myLAB Box does not accept insurance, you can use an FSA or HSA card to pay the flat fee. Also, the kit cost includes a free telemedicine consultation with a physician if you test positive. Or, you can refer to the company’s website for referrals to doctors near you.
myLAB Box is confidential and sends the kit to your home with prepaid shipping so you can return your sample to their lab. Its lab is CLIA-certified and also certified by the College of American Pathologists, unlike other companies we reviewed. myLAB Box also is CDC listed.
Even though it’s a three-site test, it only takes a few minutes to collect samples to prepare for the lab. And, you’ll find out the results within two to five days, which is typical with at-home STD test kits.
Overall, myLAB Box delivers an all-encompassing chlamydia and gonorrhea test because it screens in three sites, and the privacy factor of testing at-home is appealing to many people who might hesitate to go to a doctor’s office.
|What’s great about myLAB Box’s at-home chlamydia test?||What’s not so great?|
Why is myLAB Box the best two-panel test?
Because myLAB Box collects samples in three sites, it is comprehensive and can detect whether the STD spread in your throat, genitals, or anus.
Who should use myLAB Box’s at-home chlamydia test?
Anyone who wants comprehensive and confidential testing for chlamydia and gonorrhea will benefit from myLAB Box’s three-site test.
Interpreting at-home chlamydia test results
Results of at-home chlamydia testing are given as positive or negative.
Positive test results mean that the test detected evidence of a chlamydia infection. Positive test results indicate the need for treatment, and you’ll want your partners to get tested, as well.. You should always contact a healthcare professional if you receive a positive result on an at-home chlamydia test.
Negative test results mean that no evidence of an infection with Chlamydia trachomatis was detected in the sample used for testing. Even if an at-home test result is negative, you should talk with a doctor if they have symptoms of chlamydia.
Are test results accurate?
Nucleic acid amplification testing (NAAT) is considered by experts to be the “gold standard” for chlamydia testing. Research suggests that self-collected samples generally provide accurate results that are comparable to results from samples collected by medical professionals.
The accuracy of chlamydia testing varies based on the type of sample used and the care taken in collecting the sample. For example, urine samples used to test women and other people with vaginas may miss up to 10% more infections than swab samples taken from the vagina or cervix.
Although not specific to at-home tests, results of chlamydia testing can be affected by:
- Taking certain antibiotics within a few days prior to testing
- Urinating within one hour of collecting a urine sample
- Vaginal douching within 24 hours of sample collection
- Mistakes in sample collection
Doctors are an important resource for patients with questions or concerns about the accuracy of at-home chlamydia testing. You may also find it helpful to contact the companies providing at-home testing to ask if their test kits and laboratory methods have been studied for accuracy. If a sample is required to be sent to a laboratory, check to see if the lab is CLIA-certified and/or CAP-accredited, as these measures indicate a laboratory has met standards for quality assurance.
Do I need follow-up tests?
The need for follow-up testing depends on the chlamydia test results as well as your specific circumstances.
After a negative test result, you often do not need additional follow-up testing. A doctor can assist with creating a schedule for future chlamydia and other STD screening tests. If you are symptomatic and have a negative at-home test result, your doctor may advise repeat chlamydia testing or testing for another STD that might be the cause of symptoms.
If you receive a positive test result, you should pursue follow-up testing for chlamydia. To confirm the results of a positive at-home test, a doctor may recommend repeat testing with a sample collected by a healthcare professional.
In addition, if you have been diagnosed with chlamydia, you should get doctor-ordered testing a few weeks to a few months after the positive test. This follow-up testing is done to check the effectiveness of treatment and to make sure you have not been reinfected with chlamydia from an untreated partner during unprotected sex.
For some people, including pregnant people and those with persistent symptoms, additional follow-up testing may be recommended after treatment for chlamydia to ensure that treatment was successful in eliminating the bacteria that caused the infection. This type of chlamydia testing should be performed by a doctor who can support you in developing a follow-up care plan.
Questions for your doctor after at-home chlamydia testing
After at-home chlamydia testing, you may find it helpful to ask your doctor questions about your test result and need for future STD testing. Questions for a doctor may include:
- What is the significance of my test result?
- Are additional tests recommended to confirm my test result?
- When should I be tested again for chlamydia?
- What other STD tests are recommended for me?
- If I tested positive, should I share this information with sexual partners?
- A.D.A.M. Medical Encyclopedia. Chlamydia. Updated June 8, 2020. Accessed June 10, 2022. 2021. https://medlineplus.gov/ency/article/001345.htm
- Centers for Disease Control and Prevention. Chlamydia: CDC fact sheet. Updated January 23, 2014. Accessed June 10, 2022. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm
- Centers for Disease Control and Prevention. Guidance and resources during disruption of STD clinical services. Updated September 8, 2020. Accessed June 10, 2022. https://www.cdc.gov/std/prevention/disruptionGuidance.htm
- Centers for Disease Control and Prevention. STD awareness week: Health providers. Updated March 15, 2021. Accessed June 10, 2022. https://www.cdc.gov/std/saw/talktesttreat/providers.htm
- Centers for Disease Control and Prevention. Chlamydia: CDC fact sheet (detailed). Updated July 22, 2021. Accessed June 10, 2022. 2021. https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm
- Centers for Disease Control and Prevention. Chlamydial infection. Updated July 22, 2021. Accessed June 10, 2022. 2021. https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm
- Graseck AS, Secura GM, Allsworth JE, Madden T, Peipert JF. Home screening compared with clinic-based screening for sexually transmitted infections. Obstet Gynecol. 2010;115(4):745-752. doi:10.1097/AOG.0b013e3181d4450d
- Graseck AS, Shih SL, Peipert JF. Home versus clinic-based specimen collection for Chlamydia trachomatis and Neisseria gonorrhoeae. Expert Rev Anti Infect Ther. 2011;9(2):183-194. doi:10.1586/eri.10.164
- Hsu K. Clinical manifestations and diagnosis of Chlamydia trachomatis infections. In: Marrazzo J, ed. UpToDate. Updated September 20, 2021. Accessed June 10, 2022. 2021. https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-chlamydia-trachomatis-infections
- Hsu K. Epidemiology of Chlamydia trachomatis infections. In: Marrazzo J, ed. UpToDate. Updated September 20, 2021. Accessed June 10, 2022. 2021. https://www.uptodate.com/contents/epidemiology-of-chlamydia-trachomatis-infections
- Hsu K. Patient education: Chlamydia (beyond the basics). In: Marrazzo J, ed. UpToDate. Updated September 20, 2021. Accessed June 10, 2022. 2021. https://www.uptodate.com/contents/chlamydia-beyond-the-basics
- Hsu K. Treatment of Chlamydia trachomatis infection. In: Marrazzo J, ed. UpToDate. Updated September 21, 2021. Accessed June 10, 2022. 2021. https://www.uptodate.com/contents/treatment-of-chlamydia-trachomatis-infection
- MedlinePlus: National Library of Medicine. Chlamydia test. Updated July 30, 2020. Accessed June 10, 2022. 2021. https://medlineplus.gov/lab-tests/chlamydia-test/
- Meyer T. Diagnostic procedures to detect Chlamydia trachomatis infections. Microorganisms. 2016;4(3):25. Published 2016 Aug 5. doi:10.3390/microorganisms4030025
- Odom BD, Santucci RA. Chlamydia trachomatis culture. In: Staros EB, ed. Medscape. Updated November 21, 2019. Accessed June 10, 2022. 2021. https://emedicine.medscape.com/article/2119210-overview
- US Department of Health and Human Services. Chlamydia. Updated April 1, 2019. Accessed June 10, 2022. 2021. https://www.womenshealth.gov/a-z-topics/chlamydia