[Question #6347] Peeing 40 minutes before Chlamydia and Gonorrhea urine test - False Negative?

15 months ago
Hey doctor,

Based on your previous recommendation, I went to get tested for Gonorrhea and Chlamydia.

I did a urine test and the instructions told me NOT  pee 60 minutes prior to going in to do the urine test. I forgot and peed a little bit before I left to go to the lab, roughly 40 minutes prior to when I gave the urine sample. I received all negative for gonorrhea, chlamydia and thrichmoiosis.

Just to give you context - few weeks ago my SO started getting itchy and irritated in her vagina and she went into the gyno and was diagnosed with yeast infection. She took two oral pills and started getting better and went away completely for a few days... then the irritation and discharge came back right after (now visibly this cottage-cheese-like discharge) and went back to the gyno. Again they gave her the same two oral pills which she took and the symptoms seemed to clear up completely. Now a week later she started getting the irritation again. Per my previous story, I've seen roughly 5 mid-high end white escorts in the past few months but have not seen any condom breakage and have covered everything.

My concern is that the gonorrhea and chlamydia test I went in to get is inaccurate because I peed too soon prior to the sample - is this possible? Should I go in for another one?

Edward W. Hook M.D.
Edward W. Hook M.D.
15 months ago
 Welcome back to the forum. On this occasion I happened to pick up your most recent questions. In preparing to provide you with a response however I reviewed your earlier interactions with Dr. Handsfield and agree with all he said. You are at very low risk for acquiring any STI. 

 You can have complete confidence in your test result. The  recommendation that persons not urinate for 60 minutes prior to providing a specimen is based on the criteria used to evaluate these tests for FDA clearance. Since then, numerous studies have shown that shorter durations of time without urination still provide reliable test results. My advice is to have complete confidence  in your test results and move on without concern. I see no need for repeat testing.

 Your partner's symptoms are classical for yeast infections. Recurrences do occur from time to time. In some instances the male sex partner can contribute to this, particularly if he is uncircumcised.   Her doctor may choose to provide her with an alternative medication for treating her used infections. Yeast infections however are not STIs and her recurring yeast infections are unrelated to your contacts outside of your relationship. 

 I hope that this information and reassurance is helpful to you. If there are further questions, as you know you are permitted up to two follow-ups. EWH