Post-Treatment Pain After Gonorrhea: When to See a Doctor

Q: Post-Treatment Pain After Gonorrhea: When to See a Doctor

Hello： For a follow-up examination, at least the urine test should be normal. <br>Wishing you good health.

The doctor told me it is gonorrhea?

Hello, doctor.
I would like to ask you about my situation.
On February 17, I was diagnosed with a urinary tract infection, and the doctor told me it was gonorrhea.
I received an injection of antibiotics and completed a week of oral medication.
Today, February 28, it has been three days since I stopped taking the medication, and I no longer feel pain while urinating.
However, I occasionally experience some pain in the lower abdomen on the same side.
What could be the reason for this? Should I see a doctor again?

Xiao An, 20~29 year old female. Ask Date: 2024/02/29

Dr. Du Shixi reply Urology

Hello: For a follow-up examination, at least the urine test should be normal.
Wishing you good health.

Reply Date: 2024/02/29

More Info

Post-treatment pain after a gonorrhea infection can be concerning, especially when it persists after completing a course of antibiotics. In your case, you received treatment for gonorrhea, which typically involves a single injection of an antibiotic followed by a course of oral antibiotics. While it’s encouraging that you no longer experience pain during urination, the lingering discomfort in your lower abdomen warrants further investigation.

There are several potential reasons for the abdominal pain you are experiencing:
1. Residual Infection: Although the antibiotics are effective in treating gonorrhea, there is a possibility that the infection was not entirely eradicated. This could lead to persistent symptoms. If the bacteria were resistant to the antibiotic used or if there were complications, such as a co-infection with another sexually transmitted infection (STI), this could explain the ongoing discomfort.

2. Pelvic Inflammatory Disease (PID): Gonorrhea can lead to PID, an infection of the reproductive organs, which can cause abdominal pain. PID can occur if the infection spreads from the cervix to the uterus and fallopian tubes. Symptoms of PID can include lower abdominal pain, fever, unusual discharge, and pain during intercourse. If you experience any of these symptoms, it’s crucial to seek medical attention.

3. Post-Inflammatory Pain: Sometimes, after an infection has been treated, inflammation can persist in the pelvic area, leading to discomfort. This type of pain can be due to the body’s healing process and may resolve on its own over time.

4. Other Causes: It’s also important to consider other potential causes of abdominal pain unrelated to the gonorrhea infection. Conditions such as urinary tract infections (UTIs), appendicitis, ovarian cysts, or gastrointestinal issues could also be responsible for your symptoms.

Given that you are experiencing ongoing abdominal pain, it is advisable to consult your healthcare provider. They may recommend a physical examination and possibly further testing, such as a pelvic ultrasound or additional urine tests, to rule out any complications or other conditions.
In summary, while it is a positive sign that you are no longer experiencing pain during urination, the abdominal pain you describe should not be ignored. It is essential to communicate your symptoms to your doctor, who can provide a thorough evaluation and ensure that you receive the appropriate care. Early intervention can prevent potential complications and help you recover fully.

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