FDA Approves First At-Home Test for Chlamydia, Gonorrhea, and Trichomoniasis to Enhance Women's Health Monitoring
On March 28, 2025, a significant advance in women's health was announced as the U.S. Food and Drug Administration (FDA) granted marketing authorization for an innovative at-home test developed by Visby Medical. This test enables women to monitor their sexual health by detecting three common sexually transmitted infections (STIs): chlamydia, gonorrhea, and trichomoniasis. Notably, this is the first test of its kind that can be performed entirely at home without a prescription, making it more accessible to women looking for private and quick health solutions.
The Visby Medical Women's Sexual Health Test is tailored for individuals regardless of whether they exhibit symptoms. With results available in approximately 30 minutes, it allows women to take charge of their health from the comfort of their own homes. Dr. Courtney Lias, the director of the Office of In Vitro Diagnostic Devices at the FDA, emphasized the importance of these home tests, stating that they can help mitigate the fear and anxiety typically associated with STI testing, potentially leading to earlier diagnoses and improved treatment outcomes.
Statistics from the Centers for Disease Control and Prevention (CDC) highlight the pressing need for such innovations: In 2023 alone, over 2.2 million cases of chlamydia and gonorrhea were reported in the United States. Meanwhile, trichomoniasis stands out as the most prevalent nonviral STI globally, impacting an estimated 2.6 million individuals in the U.S. According to CDC guidelines, timely treatment can prevent severe health complications such as infertility that may arise from untreated infections.
The test kit includes a self-collected vaginal swab and a powered testing device that pairs with the Visby Medical App to deliver results. Clinical evaluations showed that the test was both accurate and reliable; it identified 98.8% of negative and 97.2% of positive chlamydia samples, 99.1% of negative and 100% of positive gonorrhea samples, and 98.5% of negative and 97.8% of positive trichomoniasis samples.
In light of positive results, it is crucial that individuals seek medical advice for further testing and treatment. This is particularly important for those who are symptomatic, have been exposed recently, or possess any other health concerns, regardless of their test results. As with all medical tests, the potential risks must be acknowledged; false positives can lead to unnecessary treatment while false negatives may delay effective care and increase the risk of spreading infections.
The FDA utilized the De Novo premarket review pathway for this test, designed for novel low- to moderate-risk devices. This new classification not only streamlines the approval process for similar products in the future but also lays the groundwork for ongoing innovation in at-home health testing. The recent authorization complements other key FDA actions, including previous approvals for at-home STI tests.
In conclusion, the authorization of the Visby Medical Women's Sexual Health Test represents a crucial step forward in empowering women to monitor their sexual health proactively and confidentially. This development is positioned to significantly impact the landscape of STI testing, ensuring that convenience and accessibility become paramount in women's healthcare. As public health continues to evolve, this test paves the way for broader options in home testing for sexually transmitted infections, fostering a healthier future for women everywhere.