Throat Gonorrhea: Testing and Recovery Insights - Urology

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Gonorrhea of the throat?


Hello Doctor, I was diagnosed with gonorrhea in my throat at a urology clinic and received a single dose of antibiotics two weeks ago.
Although the doctor said a follow-up visit is not necessary, I would like to know which specialty I should consult for testing to confirm if I have fully recovered.
Should I also consider simultaneous screening for both the throat and vagina, even though the initial vaginal examination showed no abnormalities? Lastly, if there are no abnormal white membranes in my throat but I have increased phlegm and sometimes feel a foreign body sensation in my throat, along with slight pain when swallowing, does this indicate that I have not fully recovered, or could these symptoms be unrelated to gonococcal pharyngitis?

Ke Ke, 20~29 year old female. Ask Date: 2023/05/13

Dr. Cai Zhuorong reply Urology


It is recommended to consult an otolaryngologist and a gynecologist for examination and evaluation.

Reply Date: 2023/05/13

More Info


Throat gonorrhea, or pharyngeal gonorrhea, is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. It can often be asymptomatic, but when symptoms do occur, they may include a sore throat, difficulty swallowing, and a sensation of something being stuck in the throat. After receiving treatment with antibiotics, it is essential to confirm whether the infection has been successfully eradicated.

Given your situation, where you have already received a single dose of antibiotics for throat gonorrhea, it is understandable that you would want to confirm your recovery. The best course of action would be to follow up with a healthcare provider who specializes in sexually transmitted infections (STIs), such as a specialist in infectious diseases or a urologist, as you have already consulted one. They can perform a follow-up test, typically a nucleic acid amplification test (NAAT), which is the most sensitive and specific method for detecting gonorrhea. This test can be done using a throat swab, and it is advisable to wait at least one week after completing antibiotic treatment before testing to ensure accurate results.

Regarding your question about simultaneous screening for both the throat and the vagina, it is indeed a good practice to screen for gonorrhea in multiple sites, especially if there is a risk of exposure. Even if your initial vaginal test was negative, it is still beneficial to have both areas tested, as infections can sometimes be localized and may not present symptoms in every site.

As for your current symptoms of increased phlegm and a sensation of something in your throat, these may not necessarily indicate a persistent gonorrhea infection. Post-infection, it is common for the throat to remain irritated or inflamed, which can lead to discomfort and a feeling of fullness. However, if you are experiencing pain while swallowing, it is essential to consult a healthcare provider. They may perform a physical examination and possibly a throat culture to rule out any residual infection or other conditions, such as viral pharyngitis or even other bacterial infections.

In summary, to confirm your recovery from throat gonorrhea, I recommend scheduling an appointment with a healthcare provider who can perform the appropriate follow-up testing. It is also advisable to discuss your symptoms in detail during this visit, as they can help determine if further evaluation or treatment is necessary. Remember that open communication with your healthcare provider is crucial for effective management of your health concerns.

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