Gonorrhea: Testing and Treatment for Oral Infections - Urology

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About Gonorrhea


Next time I go for a follow-up, should I get an oral secretion test? I'm concerned about contracting gonococcal pharyngitis since I had oral sex before.
I'm also wondering if the BACCIDAL 100MG tablets you prescribed for me are effective in treating gonococcal pharyngitis.

Qi, 20~29 year old female. Ask Date: 2005/07/12

Dr. Liu Jianting reply Urology


You're overthinking it! If it were really the case, it wouldn't be detectable now.
Besides, you don't have any symptoms of pharyngitis.
Please, don't trouble yourself unnecessarily.

Reply Date: 2005/07/12

More Info


Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that can affect various parts of the body, including the throat, leading to a condition known as gonococcal pharyngitis or gonorrheal throat infection. This can occur through oral sex with an infected partner. Symptoms may include a sore throat, difficulty swallowing, and sometimes swollen lymph nodes. However, many individuals may be asymptomatic, which makes regular testing crucial, especially if you have had potential exposure.

Given your concerns about possibly contracting gonorrheal pharyngitis, it is indeed advisable to discuss the possibility of testing for oral secretions during your next appointment. Testing for gonorrhea typically involves a swab of the throat or urine test, depending on the site of potential infection. If you have engaged in oral sexual activities with a partner who has a known or suspected gonorrhea infection, testing is a prudent step to ensure your health and that of your partners.

As for the medication you mentioned, BACCIDAL (which contains the active ingredient amoxicillin) is not typically the first-line treatment for gonorrhea. The Centers for Disease Control and Prevention (CDC) currently recommends a dual therapy approach for treating gonorrhea, which usually includes an injection of ceftriaxone and oral azithromycin. This combination is effective against gonorrhea and helps prevent the development of antibiotic resistance.

If you suspect you may have gonorrhea or any STI, it is essential to seek medical advice promptly. A healthcare provider can perform the necessary tests and provide appropriate treatment. Additionally, if you are experiencing symptoms such as a sore throat, it is crucial to rule out other potential causes, including viral infections or other bacterial infections, which may require different treatment approaches.

In summary, here are some key points to consider:
1. Testing: Request a throat swab or appropriate testing for gonorrhea during your next visit, especially if you have had potential exposure.

2. Treatment: Discuss the most effective treatment options with your healthcare provider. BACCIDAL may not be the appropriate choice for treating gonorrhea.

3. Symptoms: Be aware of any symptoms you may be experiencing and communicate these to your healthcare provider for a comprehensive evaluation.

4. Prevention: Consider discussing preventive measures, including safe sex practices and regular STI screenings, to protect yourself and your partners.

5. Follow-Up: Ensure you follow up with your healthcare provider after testing and treatment to confirm resolution of the infection and to address any ongoing concerns.

By taking these steps, you can better manage your sexual health and reduce the risk of complications associated with gonorrhea and other STIs.

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