Diagnosing Gonorrhea

    medical history

    Medical history

  • Medical History
  • The medical professional will start the interview by taking a medical history. This will include why the patient thinks they should be tested for gonorrhea. The doctor will enquire about the symptoms and signs of gonorrhea as well as ask about the sexual history. It is important that the patient is open and honest with the doctor. Other conditions which the patient suffers from, as well as other medication which the patient is taking, is important for the doctor to know. It is important for the patient to mention if he has previously had any other sexually transmitted disease or if he has previously been treated for gonorrhea. Resistant strains of gonorrhea may be possible if the patient has had repeated episodes of gonorrhea. This will guide the doctor that it will be important to do a pus swab if pus is present.

  • Medical Examination
  • The medical examination will include a general medical examination which consists of measurement of vital signs and a brief but thorough systemic evaluation. If the patient is worried about having a sexually transmitted disease the doctor should examine the genitals for any discharge, ulceration, redness or swelling. Swollen lymph nodes in the groin may also be felt.

    Swab Kit for testing puss

    Swab Kit for testing puss

  • Pus swab
  • If a urethral discharge is present, which is often the case; a pus swab may be taken and evaluated in the laboratory. Microscopy, culture and sensitivity testing can be done on the swab. This will guide the treating physician in which antibiotics to prescribe especially if the patient does not respond to the usual antibiotics or if the patient is suspected to have a resistant strain of gonorrhea.

    In a male a pus swab is usually done by inserting a pus swab into the urethra to obtain an adequate amount of fluid. This is slightly uncomfortable and may cause the man mild pain. Pus swab collection is a quick procedure.

    A urine sample can also be used to diagnose gonorrhea

    A urine sample can also be used to diagnose gonorrhea

  • Urine sample
  • A urine sample can also be used to diagnose gonorrhea. This is less invasive than having a pus swab taken. Pus swabs are still considered more accurate than urine testing but most cases of gonorrhea are able to be diagnosed with a urine sample.