FAST Chlamydia and Gonorrhoea Test (Rectal Swab)

A rectal swab test for chlamydia and gonorrhoea, for anyone who has had receptive anal sex and wants infections at that site checked specifically.

Sample
Swab
Collection
Rectal swab sample at clinic or nurse visit
Results in
1 day
Biomarkers
2
Tests for
  • Chlamydia
  • Gonorrhoea

Test specifications

Provider
Better2Know
Sample type
swab
Collection method
rectal swab sample at clinic or nurse visit
Turnaround time
1 day
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 can both be present in the rectum without necessarily affecting other sites, so a urine or throat test will not pick up an infection there. This test uses a single rectal swab to check specifically for the two infections in anyone who has had receptive anal sex.

Against the 15 tests in its comparison group, two biomarkers is the typical number, which is why it scores well for clinical depth. At £185, it costs £40 more than Better2Know's own Chlamydia and Gonorrhoea (Rectal Swab) test, listed at £145 without the 'Fast' branding; the data we hold does not explain the price difference between the two. Unlike the throat, urine and vaginal versions in this range, there is no at-home kit listed for the rectal swab specifically.

Clarity scores highly because the sample type, collection method and turnaround are all clearly described. The results and follow-up score is held back because results are not reviewed by a doctor as standard, so any positive result should be discussed with a clinician.

Who is it for?

This suits anyone who has had receptive anal sex and wants chlamydia and gonorrhoea checked specifically at that site, since a urine test alone would not detect a rectal infection.

Better2Know also lists a Chlamydia and Gonorrhoea (Rectal Swab) test at £145, which appears to cover the same two markers without the faster turnaround; if speed is not a priority, that may be worth comparing. There is no at-home kit for the rectal swab in the data we hold, unlike the throat, urine and vaginal versions in this range.

How it works

A single rectal swab sample is taken by a healthcare professional at a clinic or during a home nurse visit. The swab is sent to the laboratory for analysis, with results typically available within a day, reported through your online Patient Area with SMS or email notification. Better2Know arranges a doctor consultation if a result comes back positive, though results are not reviewed by a doctor as standard otherwise.

Pros & cons

Pros

  • Checks specifically for rectal chlamydia and gonorrhoea, which a urine test would miss.
  • Results are typically available within a day.
  • Reported through a secure online Patient Area with SMS or email notification.

Cons

  • At £185, £40 more than Better2Know's own standard-speed rectal swab test at £145.
  • No at-home kit is listed for this specific swab site.
  • Doctor review of the results is not included as standard.

Our editorial score

Compare Health Test Score Fast rectal swab, £40 more than the standard version
Editorial confidence: 9.5/10

This £185 rectal swab test checks for chlamydia and gonorrhoea in the rectum, for anyone who has had receptive anal sex, with results typically back within a day. It costs £40 more than Better2Know's standard (non-fast) rectal swab test, which covers the same two markers for £145. There is no at-home kit for this specific swab site in the data we hold, and results are not reviewed by a doctor as standard.

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 6.0/10

    A swab sample taken at a clinic; a home nurse visit is offered; results in around 1 days, well ahead of the sexual health norm of 2.

  • 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 4.6/10

    £185.00 against a comparison-group median of £145.00 (+28%).

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.

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