STDs: Do You Need an Exam for Gonorrhea Treatment? - Urology

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Sexually Transmitted Infection Inquiry


Hello, doctor.
A few days ago, I sought the services of a sex worker due to physiological needs, and now I am experiencing a white, yellowish discharge.
After searching online, I suspect it might be gonorrhea.
I would like to ask if an internal examination is necessary for this condition.
To be honest, I have significant psychological barriers due to my short penis, making it difficult for me to undergo an internal examination.
Is it possible to treat this with medication or injections, or is an internal examination absolutely required? Thank you for your response!

Zhua Zhua, 30~39 year old female. Ask Date: 2011/10/14

Dr. Xu Weikai reply Urology


Hello, you need to have your discharge examined and undergo a bacterial culture for identification.
If it's inconvenient to visit a clinic, please communicate directly with your outpatient physician.

Reply Date: 2011/10/14

More Info


When it comes to sexually transmitted diseases (STDs) like gonorrhea, it is crucial to seek medical attention promptly. Gonorrhea is a bacterial infection that can affect various parts of the body, including the genitals, throat, and rectum. The symptoms you describe, such as the presence of a white or yellow discharge, are indeed consistent with gonorrhea, and it is important to get tested and treated as soon as possible.

Regarding your question about whether an internal examination is necessary for treatment, the answer can vary depending on the healthcare provider and the specific circumstances. In many cases, a healthcare provider can diagnose gonorrhea based on your symptoms and a urine test. This means that an internal examination may not be strictly necessary for diagnosis or treatment. However, an examination may still be recommended to rule out other potential infections or complications, especially if you are experiencing additional symptoms.

If you are feeling anxious about an internal examination due to concerns about your body image or size, it is important to communicate these feelings to your healthcare provider. They are trained to handle such situations with sensitivity and can often provide alternatives or make accommodations to help you feel more comfortable. Remember, healthcare providers are there to help you, and they will prioritize your health and well-being over any concerns you may have about your body.

In terms of treatment, gonorrhea is typically treated with antibiotics. The specific type of antibiotic and the method of administration (oral or injection) will depend on the severity of the infection and any other health considerations. If you are diagnosed with gonorrhea, your healthcare provider will discuss the best treatment options with you.

It is also important to note that if you are diagnosed with gonorrhea, your sexual partners should also be informed and tested to prevent reinfection and further spread of the disease. Additionally, practicing safe sex in the future, such as using condoms, can help reduce the risk of STDs.

In summary, while an internal examination may not be strictly necessary for the treatment of gonorrhea, it is essential to consult with a healthcare provider who can guide you through the process. They can provide the necessary tests and treatment options while addressing any concerns you may have about your body. Your health is the priority, and seeking treatment is a responsible step toward ensuring your well-being.

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