Gonorrhea Treatment: Risks of Unnecessary Medication - Urology

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Gonorrhea treatment medications?


Every morning, I notice clear discharge from the urethral opening, along with frequent urination, but there is no pain while urinating.
I initially thought it was caused by Chlamydia and underwent treatment for it, but it did not resolve the issue.
I suspect it might be gonorrhea, but the doctor was unable to confirm it through testing.
I would like to ask the doctor, if it is not gonorrhea, would treating it as such have significant adverse effects on my body?

Maike, 50~59 year old female. Ask Date: 2018/08/17

Dr. Chen Jiansheng reply Urology


Prescribe appropriately to avoid antibiotic resistance.

Reply Date: 2018/08/17

More Info


Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that can lead to serious health complications if left untreated. The symptoms you describe, such as clear discharge from the urethra and frequent urination without pain, can indeed be indicative of a sexually transmitted infection, but they are not exclusive to gonorrhea. Other infections, including chlamydia, can present with similar symptoms.
When it comes to treating suspected gonorrhea, it is important to first confirm the diagnosis through appropriate testing. If you have already been treated for chlamydia and your symptoms persist, it is crucial to follow up with your healthcare provider for further evaluation. Testing for gonorrhea typically involves a urine test or a swab from the affected area. If gonorrhea is confirmed, the standard treatment is usually a combination of antibiotics, such as ceftriaxone and azithromycin, to effectively eradicate the infection.

If you were to receive treatment for gonorrhea without a confirmed diagnosis, the risks of unnecessary medication can include potential side effects from the antibiotics, disruption of your normal flora, and the development of antibiotic resistance. Common side effects of antibiotics can include gastrointestinal disturbances such as nausea, diarrhea, and abdominal pain. Additionally, overuse of antibiotics can lead to the emergence of resistant strains of bacteria, making future infections harder to treat.

It is also important to consider that treating for gonorrhea without a confirmed diagnosis may not address the underlying cause of your symptoms. If your symptoms are due to another condition, such as a different STI or a non-infectious cause, treating for gonorrhea would not resolve the issue and could delay appropriate treatment.

In summary, while treating for gonorrhea can be necessary if diagnosed, doing so without confirmation can pose risks to your health. It is essential to communicate openly with your healthcare provider about your symptoms and concerns. They may recommend further testing or alternative treatments based on your specific situation. If you have concerns about potential side effects or the appropriateness of treatment, do not hesitate to discuss these with your doctor. They can provide guidance tailored to your health needs and help ensure that you receive the most effective and safe care.

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Sure.

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