Urethritis screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

There is no recommendation for urethritis screening.

Screening

According to the the U.S. Preventive Service Task Force (USPSTF), screening for sexually transmitted disease is recommended as outlines below.

• Chlamydia Trachomatis

Population	Recommendations
Women	Sexually active women under 25 years of age Sexually active women age 25 years and older if at increased risk Retest 3 months after treatment.
Men	Consider screening young men in high prevalence clinical settings or in populations with high burden of infection(e.g.Men who have sex with men)
Pregnant women	All pregnant women under 25 years of age Pregnant women, aged 25 and older if at increased risk Retest during the 3rd trimester for women under 25 years of age or at risk Pregnant women with chlamydial infection should have a test-of-cure 3-4 weeks after treatment and be retested within 3 months
Men Who have Sex With Men (MSM)	At least annually for sexually active MSM at sites of contact (urethra, rectum) regardless of condom use Every 3 to 6 months if at increased risk
HIV positive patients	For sexually active individuals, screen at first HIV evaluation, and at least annually More frequent screening may be indicated depending on individual risk behaviors and the local epidemiology