Gonorrhea Treatment

Gonorrhea is a commonly transmitted sexually transmitted disease (STD) that can infect both sexually active men and women. It can cause infections of the genitals, anus and throat. It is caused by the bacterium Neisseria gonorrhoeae. It most often affects the urethra, anus or throat.

Gonorrhea is transmitted through sexual intercourse or direct vaginal, oral, or anal contact. Pregnant women can also transmit the disease to their babies during vaginal childbirth, and the disease often affects the eyes of newborns.

The use of latex condoms including other protective measures will help decrease the risk of infection for anyone having sexual intercourse. Having monogamous relationships with partners who have previously tested negative or abstain from anal, oral, or vaginal intercourse also reduces the chance of infection.

Symptoms in Men Include:

• Pain and burning with urination
• Increased frequency or urgency of urination
• Discharge from the penis (white, yellow or green color)
• Tender or swollen testicles
• Sore throat (gonococcal pharyngitis)

Symptoms in Women Include:

• Abnormal/ Increased vaginal discharge or bleeding with strong odor
• Bleeding between periods/ heavier periods
• Burning sensation when urinating
• Pain (and/or bleeding) during sex
• Bleeding after sex

Based on the most recent evidence, CDC recommends:

Ceftriaxone 500 mg IM as a single dose for uncomplicated gonococcal infections of the cervix, anus, urethra and pharynx.

If Ceftriaxone is not available or you are allergic to this medication, Gentamicin 240 mg IM as a single dose plus Azithromycin 2 g orally as a single dose can be substituted.

It is important to wait seven days after completing treatment before having sexual intercourse again to avoid reinfection or transmission to a sexual partner.