How Long Does It Take to Treat Chronic Gonorrhea? - Urology

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How long does it take to treat chronic gonorrhea?


I was diagnosed with gonorrhea two years ago but didn't see a doctor.
Recently, I consulted a traditional Chinese medicine practitioner who told me that I would need to take herbal medicine for at least two to three months to recover.
How long does it typically take to treat chronic gonorrhea with Western medicine?

Mr. Wang, 30~39 year old female. Ask Date: 2021/08/08

Dr. Chen Jiansheng reply Urology


Please consult a urologist or an infectious disease specialist for examination and treatment.

Reply Date: 2021/08/08

More Info


Chronic gonorrhea, or gonococcal infection, is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. If left untreated, it can lead to serious health complications, including pelvic inflammatory disease in women, which can result in infertility, and disseminated gonococcal infection, which can affect joints and skin. Therefore, it is crucial to seek appropriate medical treatment as soon as possible.

In terms of treatment duration, the standard approach in Western medicine for gonorrhea is typically much shorter than what you might hear from alternative medicine practitioners. The Centers for Disease Control and Prevention (CDC) recommends a dual therapy regimen for uncomplicated gonorrhea, which usually consists of a single dose of two antibiotics: ceftriaxone (injection) and azithromycin (oral). This treatment is effective in clearing the infection in most cases, and symptoms often improve within a few days.
However, if the infection has become chronic or if there are complications, the treatment may need to be adjusted. In such cases, a healthcare provider may recommend a longer course of antibiotics, possibly lasting from one week to several weeks, depending on the severity of the infection and the presence of any complications. It is important to follow up with your healthcare provider to ensure that the infection has been fully treated and to monitor for any potential complications.

It is also worth noting that while traditional Chinese medicine (TCM) may suggest a longer treatment duration with herbal remedies, it is essential to consult with a healthcare professional who specializes in infectious diseases or a primary care physician for a comprehensive evaluation and appropriate treatment plan. Relying solely on alternative treatments without proper medical guidance could lead to further complications or prolonged infection.

In summary, if you have chronic gonorrhea, it is advisable to seek treatment from a Western medical provider. The treatment duration can vary based on individual circumstances, but the standard antibiotic regimen is typically effective within a short period. Always ensure to complete the full course of prescribed antibiotics and attend follow-up appointments to confirm that the infection has been resolved. Additionally, practicing safe sex and informing any sexual partners about the infection is crucial to prevent further transmission.

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