Recurrent Gonorrhea: Effective Treatment Options and Advice - Urology

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Second gonorrhea infection


Hello doctor, I previously had gonorrhea and it resolved on its own.
Recently, after going to a nightclub and having relations with a girl, I am experiencing symptoms again.
I still have Ysp86 medication with me.
Is it still effective to take it now since this is the second time?

Xiao Jie, 20~29 year old female. Ask Date: 2017/02/23

Dr. Du Shixi reply Urology


Hello: It is recommended to visit a hospital for an examination, as patients with gonorrhea have a higher likelihood of co-infection with other sexually transmitted infections.
A thorough check-up may be necessary for safety, especially since this is the second occurrence.
Thank you for your inquiry.

Reply Date: 2017/02/23

More Info


Recurrent gonorrhea is a significant concern, especially given the rising rates of antibiotic resistance in Neisseria gonorrhoeae, the bacteria responsible for the infection. If you have previously experienced gonorrhea and are now experiencing symptoms again, it is crucial to seek medical attention promptly.
The symptoms of gonorrhea can include painful urination, increased vaginal or penile discharge, and in some cases, abdominal pain. However, many individuals may be asymptomatic, which means they do not exhibit noticeable symptoms. This can lead to complications if left untreated, including pelvic inflammatory disease (PID) in women and potential infertility in both men and women.

Regarding your question about Ysp86, it is essential to clarify what this medication is. If Ysp86 is an antibiotic, you should not self-medicate without consulting a healthcare professional. The treatment for gonorrhea typically involves a combination of antibiotics to effectively eradicate the infection. The Centers for Disease Control and Prevention (CDC) currently recommends a dual therapy approach, which usually includes an injection of ceftriaxone and oral azithromycin. This combination is effective against most strains of gonorrhea, including those that may be resistant to other antibiotics.

Self-treatment with leftover antibiotics can lead to inadequate treatment, which may not fully clear the infection and can contribute to further resistance. It is also important to note that if you have been diagnosed with gonorrhea, your sexual partners should also be tested and treated to prevent reinfection and further spread of the disease.

In addition to seeking treatment, consider the following advice:
1. Get Tested: If you suspect you have gonorrhea again, get tested as soon as possible. A healthcare provider can perform the necessary tests to confirm the diagnosis.

2. Complete Treatment: If prescribed antibiotics, ensure you complete the entire course as directed, even if symptoms improve before finishing the medication.

3. Avoid Sexual Activity: Refrain from sexual activity until you and your partner(s) have completed treatment and are symptom-free to prevent spreading the infection.

4. Regular Screening: If you are at higher risk for sexually transmitted infections (STIs), regular screening is advisable. This is particularly important for sexually active individuals with multiple partners.

5. Educate Yourself: Understanding how gonorrhea is transmitted and the importance of safe sex practices can help reduce the risk of future infections. Using condoms consistently and correctly can significantly lower the risk of STIs.

6. Follow-Up: After treatment, follow up with your healthcare provider to ensure the infection has been cleared and to discuss any further preventive measures.

In summary, while it may be tempting to use leftover medication, it is not a safe or effective strategy for treating recurrent gonorrhea. The best course of action is to consult a healthcare professional for appropriate testing and treatment. This will ensure that you receive the most effective care and help prevent complications associated with untreated infections.

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