Gonorrhea testing methods

Written by Luo Hong
Dermatology Department
Updated on September 05, 2024
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The methods for detecting gonorrhea generally fall into two main categories. One involves testing for the pathogen of gonorrhea. A simple method is the microscopic examination of Neisseria gonorrhoeae, which can be seen under a microscope as Gram-negative diplococci. Another method is the cultivation of Neisseria gonorrhoeae, although culturing with medication can occasionally result in false negatives. A more advanced and accurate method is PCR (Polymerase Chain Reaction), which involves using a urethral swab to detect the DNA of Neisseria gonorrhoeae. Currently, this is considered the most sensitive and accurate method available.

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Is vestibular adenitis gonorrhea?

Bartholin's gland inflammation is not gonorrhea. Gonorrhea is a type of sexually transmitted disease, mainly caused by infection with streptococcus. Clinically, it presents with yellow-green vaginal discharge and itching of the vulva. This can generally be diagnosed by taking a secretion sample for testing at a hospital. Treatment for gonorrhea must also be conducted at a hospital after confirming the presence of streptococcus, typically through topical medications and intravenous anti-inflammatory drugs. Bartholin's gland inflammation occurs when the duct of the Bartholin's gland becomes blocked, forming a cyst that leads to inflammation and swelling at the site of the Bartholin's gland, as well as localized pain in the vulva. This condition can severely affect daily activities and walking for some patients. Treatment for Bartholin's gland inflammation generally starts with medication. If chronic inflammation leads to cyst formation, procedures such as fistulotomy or cyst excision may be performed as treatment. These two are not the same condition.

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Has gonorrhea gotten better if there is no more pus discharge?

Gonorrhea no longer discharging pus does not necessarily indicate improvement. True improvement can only be confirmed by testing negative. The standard treatment for gonorrhea involves an intramuscular injection of cephalosporin-class medication. Symptoms must be completely controlled, and follow-up checks should be conducted two to three times subsequently. Only if all tests are negative can it be declared cured. If the disease is still detected, further treatment is necessary, and avoiding sexual activity during treatment is crucial. Sexual partners must also be examined. Common complications of gonorrhea include, in males, gonococcal urethritis, which due to improper treatment, alcohol abuse, or sexual activity, may develop further, spreading to the posterior urethra and causing complications such as posterior urethritis, prostatitis, seminal vesiculitis, and epididymitis. These conditions can cause repeated inflammation, leading to scars, urethral stricture, or even blockage of the vas deferens, potentially resulting in infertility. In females, the main complication is gonococcal pelvic inflammatory disease, including acute salpingitis, endometritis, secondary tubo-ovarian abscess and complications from rupture like pelvic cysts and peritonitis. Misdiagnosis or mistreatment can easily advance to pelvic and adnexal infections. Recurring episodes may cause fallopian tube constriction, leading to ectopic pregnancy, infertility, or chronic lower abdominal pain.

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The discharge from gonorrhea is what color?

Gonorrhea is a sexually transmitted disease caused by the infection of Neisseria gonorrhoeae, also known as gonococcus, primarily manifesting as purulent infections of the urinary and reproductive organs. The main route of transmission for gonorrhea is through sexual contact, but it can also be transmitted through close living contact and from mother to child. The clinical symptoms of gonorrhea vary; symptoms in males are typically more pronounced, including frequent urination, urgent urination, painful urination, and redness and swelling at the urinary opening, which may exude yellow purulent discharge. In females, the symptoms of gonorrhea are generally milder, commonly affecting the cervix and vagina with mucous secretions initially, which may later become purulent, often without significant noticeable symptoms.

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Gonococcal Neisseria is what kind of disease?

Gonorrhea Neisseria is the pathogen that causes gonorrhea. Clinically, gonorrhea is mainly transmitted through sexual contact, close living contact, and from mother to child. The symptoms of gonorrhea vary clinically. In men, gonorrhea typically presents as pus discharge from the urethra in the morning, accompanied by stinging and itching of the urethra. Women generally do not have obvious clinical symptoms, or may only show mild symptoms of cervicitis. After a confirmed diagnosis of gonorrhea, it is important to administer an adequate amount of antibiotics for treatment promptly.

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There are several ways to transmit gonorrhea.

Gonorrhea is a sexually transmitted disease caused by the infection of Neisseria gonorrhoeae, primarily characterized by acute purulent infections of the urogenital tract. The main transmission route of gonorrhea is through sexual contact, followed by mother-to-child transmission, blood transmission, and close living contact transmission, which can also spread gonorrhea. Since Neisseria gonorrhoeae has very poor viability outside the human body, common disinfectants can deactivate it, and the main transmission mode of gonorrhea is still primarily through the classic route of sexual contact.