Chlamydia and Gonorrhoea (Rectal Swab)

A rectal swab test for chlamydia and gonorrhoea, for anyone who has had anal sex and wants to check for infection in that specific site, with or without symptoms.

Sample
Swab
Collection
Rectal swab sample at clinic or nurse visit; also home kit £45
Results in
2 days
Biomarkers
2
Tests for
  • Chlamydia
  • Gonorrhoea

Test specifications

Provider
Better2Know
Sample type
swab
Collection method
rectal swab sample at clinic or nurse visit; also home kit £45
Turnaround time
2 days
Biomarkers tested
2
At-home test
No
Doctor reviewed
No
Gender focus
Both

What's tested

2 biomarkers as listed by Better2Know.

STI Urine

  • Chlamydia
  • Gonorrhoea

About this test

Chlamydia and gonorrhoea are common bacterial STIs that can infect the rectum after anal sex, often without causing any symptoms. This swab test looks for the genetic material of both bacteria in a sample taken from the anus, which is the only reliable way to detect an infection at that specific site rather than in urine or the throat.

At £145, this test is priced the same as Better2Know's throat swab, urine test and general chlamydia and gonorrhoea test, all sharing the identical two-marker panel; the difference is simply which part of the body is sampled. The listing also mentions a £45 home kit option for this test, and Better2Know separately sells £45 home kits for throat, urine and vaginal sampling. LloydsPharmacy Online Doctor's combined kit costs £27.99 and Forth's Basic STI Home Test Kit costs £42, both covering the same two markers.

The test scores at the top of the range for clinical depth relative to its comparison group, since two markers matches the group median exactly, and scores very well for collection convenience given the clinic, nurse-visit and home-kit routes available. value for money is mid-range, sitting level with the £145 median for this comparison group but well above the cheapest home kits mentioned above. The main weakness is results and follow-up, since Better2Know does not review your result with a doctor as standard. Better2Know is CQC registered and rated 4.2 on Trustpilot from 775 reviews.

Who is it for?

This test is for you if you have had anal sex, with or without a partner of any gender, and want to check specifically for a chlamydia or gonorrhoea infection in the rectum, since a urine or throat test will not detect infection at this site. Better2Know suggests waiting 14 days after exposure if you have no symptoms, so results are accurate, though you can test sooner if you do have symptoms.

If cost is the main factor and you are comfortable self-collecting, the £45 home kit option mentioned for this test or Forth's £42 Basic STI Home Test Kit cover the same two markers for considerably less. If you also need to check for oral or genital infection, you will need Better2Know's throat swab or urine test alongside this one.

How it works

You attend a clinic appointment or a home nurse visit, where you are guided through collecting a swab sample from the rectum yourself in private; a £45 home kit is also mentioned for this test. Your sample is sent to Better2Know's laboratory for analysis, with results typically available within two working days through Better2Know's secure online patient area. Results are not reviewed by a doctor as standard, though Better2Know says its doctors can help arrange treatment if you test positive.

Pros & cons

Pros

  • Only reliable way to check for chlamydia or gonorrhoea specifically in the rectum.
  • Self-collected swab, done in private during your appointment.
  • Results typically back within two working days.
  • The listing mentions a £45 home kit option for this test.

Cons

  • £145 at a clinic is far more than the £45 home kit option mentioned for this test.
  • Only covers the rectum, not oral or genital sites.
  • Results are not reviewed by a doctor as standard.

Our editorial score

Compare Health Test Score Anal STI swab, with a £45 home kit alternative
Editorial confidence: 9.5/10

This rectal swab checks for chlamydia and gonorrhoea specifically in the anus, taken at a clinic or during a home nurse visit, with results back within two working days. At £145 it matches the price of Better2Know's other clinic-based chlamydia and gonorrhoea tests, and the listing also mentions a £45 home kit option for this test. If oral or genital infection is your concern instead, you will need a different Better2Know swab or urine test.

Score breakdown

  • Clarity and documentation 9.0/10

    The listing publishes a detailed description, the full biomarker list, a stated turnaround, clear collection options, the sample type; it does not state what the report looks like.

  • Clinical depth 8.3/10

    2 biomarkers against a median of 2 across the 15 tests in its comparison group.

  • Collection convenience 9.0/10

    A swab sample you take at home, no needle; a home nurse visit is offered; results in around 2 days, in line with or faster than similar tests.

  • Results and follow-up 3.0/10

    Results are not doctor-reviewed and no consultation is included; the provider does not describe the report format.

  • Trust signals 6.5/10

    Trustpilot 4.2 from 775 reviews; CQC registered; trading 18+ years.

  • Value for money 6.5/10

    £145.00 against a comparison-group median of £145.00 (-0%).

Calculated 13 September 2026 from the facts we hold about this test and provider, using our published scoring formula. Scores are not hand-edited.

Compare with similar tests

This test belongs to our Chlamydia and gonorrhoea test comparison group. See how it stacks up against equivalent tests from other providers.

View all →