Tests and diagnosis
By Mayo Clinic staffTo determine whether the gonorrhea bacterium is present in your body, your doctor will analyze a sample of cells. Samples can be collected by:
- Urine test. This may help identify bacteria in your urethra.
- Swab of affected area. A swab of your throat, urethra, vagina or rectum may collect bacteria that can be identified in a laboratory.
Testing for other sexually transmitted infections
Your doctor also may recommend tests for other sexually transmitted infections. Gonorrhea increases your risk of these infections, particularly chlamydia, which often accompanies gonorrhea. Testing for HIV is also recommended for anyone diagnosed with a sexually transmitted infection. Depending on your risk factors, tests for additional sexually transmitted infections could be beneficial as well.
- Marrazzo JM, et al. Neisseria gonorrhoeae. In: Mandell JE, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2010. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-443-06839-3..X0001-X--TOP&isbn=978-0-443-06839-3&uniq=208746819. Accessed Nov. 22, 2010.
- CDC fact sheet: Gonorrhea. Centers for Disease Control and Prevention. http://www.cdc.gov/std/gonorrhea/gonorrhea-fact-sheet.pdf. Accessed Nov. 22, 2010.
- Del Rio C, et al. Update to CDC's "Sexually transmitted diseases treatment guidelines, 2006:" Fluoroquinolones no longer recommended for treatment of gonococcal infections. Morbidity & Mortality Weekly Report. 2007;56:332.
- Swygard H, et al. Neisseria gonorrhoeae infections in women. http://www.uptodate.com/home/index.html. Accessed Nov. 23, 2010.
- Workowski KA, et al. Emerging antimicrobial resistance in Neisseria gonorrhoeae: Urgent need to strengthen prevention strategies. Annals of Internal Medicine. 2008;148:606.
- Holder NA. Gonococcal infections. Pediatrics in Review. 2008;29:228.
- Screening for gonorrhea: Recommendation statement. U.S. Preventive Services Task Force. http://www.uspreventiveservicestaskforce.org/uspstf05/gonorrhea/gonrs.htm. Accessed Nov. 23, 2010.
- Swygard H, et al. Neisseria gonorrhoeae infections in men. http://www.uptodate.com/home/index.html. Accessed Nov. 23, 2010.
- CDC no longer recommends oral drug for gonorrhea treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/nchhstp/newsroom/2012/GCTx-Guidelines-PressRelease.html. Accessed Aug. 10, 2012.


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