Sexual health

Examinations, testing

Confido provides all basic intimate health examinations and tests: prostate and cervical health examinations and testing, ultrasonography, STI testing, postnatal abdominal assessment, and gene testing.

If you think you may require examinations or tests, make an appointment for consultation with one of our general practitioners (GPs), our gynaecologist, urologist or women’s health physiotherapist, who will determine the necessary examinations and tests, explain the results, and answer any questions.

Important to know

  • Consultation prices do not include the price of examinations and tests.

Package for sexually transmitted infections

Sexually transmitted infections (STIs) are diseases which can be transmitted via sexual contact. Many STIs have no symptoms. People often carry and transmit pathogens (bacteria, viral particles, fungi, parasites) without knowing. In general, STIs can be divided into infections which cause genital lesions (syphilis, genital herpes), infections which cause genital inflammation (chlamydiosis, trichomoniasis, gonorrhoea, etc.), and infections which cause systemic symptoms (HIV infection) or disorders of the internal organs (hepatitis B).

It is a good idea to get yourself tested if you have no symptoms but have had unprotected intercourse or have nagging suspicions if only to restore your peace of mind. Any symptoms attributable to an STI should be cause for immediate testing. Standard test packages are not enough if you suspect an STI. We definitely recommend a consultation with a doctor. Consultation combined with testing provides certainty and effective treatment, if necessary. 

We suggest not urinating 2-3 hours before coming in for testing, women can be tested only before or after menses.

The package includes consultation with a doctor and tests for the following infections:

  • chlamydia
  • trichomoniasis
  • gonorrhea (clap)
  • syphilis
  • HIV

If the doctor has any suspicions, they may recommend additional tests for these diseases:

  • genital herpes
  • hepatitis B
  • human papillomavirus (HPV) infection
  • ureaplasmosis
  • mycoplasmosis (Mycoplasma genitalium)
Price of the test package 120 €

We recommend that you test for STI

  • If you have several sexual partners.
  • If your sexual partner has been diagnosed with an STI.
  • If you have had unprotected intercourse with a new or casual partner.
  • If you are starting a new sexual relationship.
  • If you are planning to have a child or are in the early stages of pregnancy. Sexually transmitted infections can be transmitted from mother to child during pregnancy or childbirth. This may result in miscarriage or disease for the newborn along with resulting complications.
  • If you suspect you may have an STI – You have blisters or ulcers, pain during voiding, rectal discharge, etc. Women may have increased, discoloured, or smelly vaginal discharge, or bleeding during intercourse. Men may experience painful voiding or blisters/ulcers in the genital area.

Who do we recommend this examination to?

  • Men who care for their health and want to be screened for risk factors of common prostate diseases.
  • Men who have a history of prostate cancer in their paternal family.
  • Men who have problems urinating, urinary incontinence, erectile dysfunction or experience vague pains in the abdomen.
  • Men with fertility issues.

Prostate examination

Prostate-related disorders are very common. Therefore men of all ages, especially middle aged men, should undergo regular prostate examinations to detect any risk factors as early as possible. A prostate examination includes consultation with a urologist, during which prostate ultrasound is performed, any necessary urine and blood tests are done, and prostate tumor markers are determined (PSA test). Test and examination results are explained by our experienced urologists Dr Toomas Tamm or internationally acknowledged Dr Aare Mehik. The doctor will also recommend actions to prevent worsening of any issues.

In addition to the price of a consultation, any examinations or tests will be charged additionally.

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Aggressive prostate cancer risk analysis

The 4Kscore test provides the patient with information about their risk of having aggressive prostate cancer, without going straight to the invasive prostate biopsy. The test also assesses the risk of developing metastatic prostate cancer in the 15 years following the test.

The test enables to avoid prostate biopsies for men who have a low risk of having aggressive prostate cancer. Men with high risk should still undergo biopsy.

The test has been developed by the leading research centres in Europe and USA and has been used to assess the prostate health of more than 100 000 men.

The price for the 4Kscore test is 350€ + urologists consultation fee.

The test is applicable to men, who:

  • are 40 to 80 years old
  • have an elevated PSA level
  • who wish to know their risk of having aggressive prostate cancer before having a prostate biopsy
  • don’t have a previous prostate cancer diagnosis
  • have a family history of prostate cancer
  • have not used drugs containing finasteride or dutasteride in the past 6 months
  • have not had a prostate biopsy in the past 6 months
  • have not had a digital rectal exam (DRE) in the past 96 hours

How is the analysis performed?

  • make an appointment with the urologist
  • the nurse will take a blood sample
  • your blood will be analyzed in the USA, results will be available in 3-4 weeks

We suggest the examination eight weeks after childbirth if:

  • you have a bulge in the centre of the abdomen
  • lying on your back and lifting your head or feet creates a little bump or trench in your midsection
  • you experience pain in the pelvic area, lower back, sacrum, buttocks, or around abdominal wall near the belly button
  • you experience back pains
  • you have an umbilical hernia (outside belly button)
  • you have leakage of urine, gas, or fecus during laughing, coughing, jumping, sneezing, lifting weights, walking, running etc

Postnatal abdominal assessment

Normally, women’s uterus and abdominal muscles should recover within six weeks after childbirth, however, sometimes problems don’t disappear on their own. Carefully planned recovery exercises often might be needed to restore the physical form, and to eliminate pelvic pains and urine leakages. Intense trainings and wrong exercises can cause irreversible damage to your body and increase the problem of diastasis.

The abdominal examination assesses the abdominal and pelvic muscles, diastasis, and gives personalised suggestions to restore the core to the way it was pre-pregnancy. Often muscular senses and right techniques need to be learned, and only then can one start practicing the given exercises and return to training.

Price 55 €
Duration 60 minutes

Ultrasonography of the kidneys, prostate, and bladder

We perform any ultrasonography of the kidneys, prostate, or bladder, as deemed necessary. Ultrasonography provides visualisation and measurement of the shape, size, and structure of these organs.

Transrectal ultrasonography of the prostate is important for middle aged and older men to specify the volume, shape, and structure of the prostate and diagnose any tumorous lesions.

Ultrasonography is performed by the Confido’s urologists Dr Toomas Tamm and Dr Aare Mehik in the course of examination. The price of the exam is 35-50 euros per area imaged.

Pelvic ultrasonography

  • During pelvic ultrasonography, a special transducer is moved around on gel-covered skin.
  • You should remain as still as possible, and hold your breath for the imaging of some areas.
  • For effective ultrasound imaging of the bladder, prostate, and kidneys, your bladder should be full at the time of your examination. Drink plenty of (non-carbonated) water before the examination, to keep your bladder full.

Transrectal ultrasonography of the prostate

  • For transrectal ultrasonography of the prostate, a special transducer is inserted into the rectum. Lubricating gel is applied and this procedure is usually painless.
  • It is important to lie still and try to relax during the examination.
  • It is important to void your bowels in the morning before examination, but you can eat and drink as usual.

Good to know

  • We recommend that you do not have sex or use vaginally administered medication during 24 hours before the PAP test.
  • PAP test can not be performed during menstruation.
  • PAP test should be performed at least every 3-5 years.
  • The first PAP test should be performed at the age of 21.

PAP test

PAP test is an assay for the early detection of cervical cancer and pre-cancerous changes. PAP test is performed with samples taken from the cervix using a special brush or spatula during a gynaecological examination. Sampling may be a bit uncomfortable, but it is very quick.

For PAP testing, make an appointment with one of our GPs who perform gynaecological examinations, or our gynaecologist.

Price of the test 18 €

Prostate specific antigen (PSA) test

One of the methods for early detection of increased prostate cancer risk is blood testing for prostate specific antigen (PSA). PSA is a protein produced in prostate tissue, the blood concentration of which is normally very low, but increases in the case of benign enlargement of the prostate, and especially in the case of prostate tumors.

PSA testing is used for early detection of prostate cancer risk, and for determining treatment efficacy. Make an appointment with one of our GPs or urologist for PSA testing.

Cost of the test 15 €

Who do we recommend it for and how is it performed?

  • Men should undergo annual PSA testing from the age of 50.
  • If anyone in your immediate family has had prostate or breast cancer, you should start tests as early as 45.
  • PSA testing is performed on a blood sample.
  • Test results arrive within a few days.


Determining hereditary predisposition for breast and ovarian cancer

Breast cancer is the most frequently occurring malignant tumour in women. Early detection is the most important factor in being able to treat the disease effectively and to be able to clarify the risk factors involved. The main risk factors involved with breast cancer are gender, age and hereditary predisposition. 5-10% of breast cancers and 10% of ovarian cancer cases are hereditary.

A venous blood sample must be taken for a gene test. You may consult with one of our doctors or specialists for advice. The fee for the blood test is added to the consultation price.

  • The genetic test to analyse for the 5 key gene mutations costs 302 Euros. The results will be available within 3-5 weeks.
  • The genetic test that analyses 33 genes costs 1045 Euros. The results will be available within 7-9 weeks.

We recommend the test if:

  • There is a family history of breast and ovarian cancer
  • There is a family history of one person having both breast and ovarian cancer at the same time
  • The disease has been diagnosed before 50 years old, or one close family member was diagnosed with breast cancer before 50 years old
  • Close relatives have been diagnosed with a predisposition for the breast and ovarian cancer gene mutation
  • A close relative has been diagnosed with breast cancer in both breasts
  • A close male relative has presented with breast cancer

DNA testing for determining paternity and biological ancestry

A paternity test allows to identify the biological parent. The test compares the DNA of the possible father with the child’s DNA. DNA testing of the mother is not mandatory, but increases the reliability of the results.

When confirming paternity for a child’s biological father, the test is 99.9% conclusive. To exclude a possible father, the test is 100% conclusive. The test can also determine connections between grandparents and grandchildren and between siblings.

The test is performed by taking a DNA sample from the mouth, by scrapping the inside of the cheek with a special cotton swab. Consult with our doctors or specialists for this test. Results will be available within 10 days and they will be sent to the email address that you have provided the clinic with.

The price for testing two people is 140 euros (for example, father and child). Every subsequent person to be tested will cost 50 euros (for example, siblings). The fee of the consultation will be added to the price of the test.