Prevention of gonorrhoea

Medically Reviewed by Dr Sravya, MBBS, MS 


It’s crucial to remember that some gonorrhoea sufferers may not show any symptoms, a condition known as being asymptomatic. As a result, there is a danger of problems and continued transmission to sexual partners, as well as the illness staying undetected and untreated. 

prevention of gonorrhoea

Urine tests, swabs from the afflicted location (urethra, cervix, rectum, or throat), or blood tests can all be used to diagnose gonorrhoea. If you are sexually active, getting tested frequently is essential, especially if you have several sexual partners or participate in unprotected sex. 

Gonorrhoea can have major side effects if it is not treated, including pelvic inflammatory disease (PID), which in women can result in infertility, persistent pelvic discomfort, and ectopic pregnancies. Untreated gonorrhoea in males can cause epididymitis, an inflammation of the epididymis that can affect fertility. Combinations of techniques that promote education, safe sexual behaviour, and prompt medical attention, Prevent Dangerous Sexual Behaviours, Vaccination, Health and hygiene,  are used in the  prevention of gonorrhoea.

Table of Contents

Gonorrhoea symptoms

1. Men who experience pain or burning when urinating

2. Women may experience extreme pain or burning when urinating.

Spreading of gonorrhoea infection due to:

Prevention of gonorrhoea:-

Combinations of techniques that promote education, safe sexual behaviour, and prompt medical attention are used in the prevention of gonorrhoea. 


Antibiotics are used to treat gonorrhoea by killing the Neisseria gonorrhoeae bacterium. Gonorrhoea must be treated very quickly in order to avoid problems and additional sexual partner transmission of the virus.

The predominance of gonorrhoea strains that are resistant to antibiotics, however, means that different locations may have different treatment recommendations. Therefore, it is essential to adhere to the prescriptions and directions provided by regional healthcare organisations while treating gonorrhoea.

1. Dual Therapy:

To increase treatment efficacy and lessen the emergence of antibiotic resistance, the CDC advises combining two different antibiotics. The following is the main dual therapy that is advised for uncomplicated gonorrhoea:

Due to its efficiency against the Neisseria gonorrhoeae bacteria and its capacity to target the infection at various places throughout the body, ceftriaxone is regarded as the main therapy for gonorrhoea.

Azithromycin: Azithromycin, a macrolide antibiotic, is typically ingested once daily. It enhances the effects of ceftriaxone and aids in the improvement of therapeutic results.

Alternative Treatments:

The CDC offers alternative treatment choices based on antibiotic susceptibility testing in situations when ceftriaxone cannot be administered (for example, owing to an allergy). These could include other cephalosporins used with azithromycin, including cefixime.

To avoid reinfection, it is imperative that both sexual partners take therapy at the same time. Every person with gonorrhoea should also be tested for other STIs, and they should let their sexual partners know so that they may be checked as well and treated if required.

People should refrain from sexual activity until they have finished the entire course of antibiotics and have gotten confirmation from their healthcare practitioner that the infection has cleared, in order to ensure the efficacy of treatment and lower the risk of reinfection.

Prevention and control of gonorrhoea:

Adopting numerous techniques to lower the risk of catching and spreading the virus is part of the prevention of gonorrhoea. The following are some crucial precautions:


In conclusion, preventing gonorrhoea is an important public health imperative that requires an all-encompassing strategy. An important principle of prevention is the use of safe sexual practices, such as regular condom use and open conversation with partners. Regular testing, early diagnosis of infection, and partner notification help stop the spread of the disease. 

The creation of a gonorrhoea vaccine holds promise for upcoming preventative initiatives as research continues. Campaigns for education and awareness are essential to provide people with information about the risks and protective actions. 

The investigation of cutting-edge prevention strategies like PrEP and prudent antibiotic usage also supports the effort being made by everyone to fight this STD. We are able to reduce gonorrhoea’s availability, lessen antibiotic resistance, and protect the sexual health of individuals and communities by attacking the disease from many aspects.