Gonorrhea: Symptoms, Treatment, and Cost of Ceftriaxone - Urology

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Regarding gonorrhea issues?


Hello, doctor.
A week ago, I started experiencing mild pain during urination.
While I am awake, I continuously secrete a clear fluid (which feels neither slippery nor sticky).
In the morning, upon waking, I sometimes notice a small amount of thick discharge that is white or yellow-green (which also stains my underwear).
I would like to ask if this could possibly be gonorrhea or chlamydia urethritis? Additionally, I read online about a medication [third-generation antibiotic Ceftriaxone 250mg] that can almost cure the condition with just one injection.
Could you please let me know how much this injection typically costs out of pocket? I have heard that this medication is quite expensive, and since prices may vary slightly from clinic to clinic, I would appreciate a general price range to prepare myself mentally.

Niming, 30~39 year old female. Ask Date: 2023/12/18

Dr. Du Shixi reply Urology


Hello: There can be significant price differences among general clinics, so you may need to inquire yourself.
Wishing you good health.

Reply Date: 2023/12/18

More Info


Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that can lead to various symptoms, particularly in the urogenital tract. Your symptoms of mild pain during urination, along with the discharge that varies in color and consistency, could indeed suggest a possible gonococcal infection or other forms of urethritis, such as chlamydia (caused by Chlamydia trachomatis). It is important to note that both infections can occur simultaneously, which is why testing for both is often recommended.


Symptoms of Gonorrhea
Common symptoms of gonorrhea in men include:
- Painful urination (dysuria)
- Increased frequency of urination
- Discharge from the penis, which may be white, yellow, or green
- Swelling or pain in the testicles (less common)
In women, symptoms can be more subtle and may include:
- Painful urination
- Increased vaginal discharge
- Vaginal bleeding between periods
- Pelvic pain
However, many individuals, especially women, may be asymptomatic, which can lead to complications if left untreated.


Treatment
Ceftriaxone is a third-generation cephalosporin antibiotic that is commonly used to treat gonorrhea. The standard treatment regimen for uncomplicated gonorrhea typically includes a single intramuscular injection of 250 mg of ceftriaxone, often combined with azithromycin to cover potential co-infection with chlamydia. This dual therapy approach is recommended to combat antibiotic resistance.


Cost of Ceftriaxone
The cost of ceftriaxone can vary significantly based on several factors, including geographic location, healthcare provider, and whether the patient has insurance. In the United States, the price for a single dose of ceftriaxone (250 mg) can range from approximately $30 to $150. However, in some clinics or hospitals, the price may be higher due to additional fees for administration or facility costs. It is advisable to check with local clinics or pharmacies for the most accurate pricing.


Additional Considerations
If you suspect you have gonorrhea or any STI, it is crucial to seek medical attention promptly. A healthcare provider can perform the necessary tests to confirm the diagnosis and rule out other potential infections. Early treatment is essential to prevent complications, such as pelvic inflammatory disease (PID) in women, which can lead to infertility, and disseminated gonococcal infection (DGI), which can affect other parts of the body.

In summary, your symptoms could indicate gonorrhea or another form of urethritis, and ceftriaxone is an effective treatment option. The cost of the medication can vary, so it is wise to inquire about prices at local healthcare facilities. Always consult with a healthcare professional for a proper diagnosis and treatment plan tailored to your specific situation.

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