Gonorrhoea is a bacterial infection which is transmitted through sex. Common symptoms might include penile or vaginal discharge, but sometimes no noticeable signs may be present.
- Over 56,000 UK cases reported in 2018
- 50% of female cases display no symptoms
- Treatable with prescription antibiotics
If you have tested positive for gonorrhoea, and are unable to have the first-line injection, you may be able to order gonorrhoea treatment online. Take our questionnaire to have your request reviewed by our doctor or pharmacy prescriber.
2 treatment(s) for Gonorrhoea
Gonorrhoea is an illness initiated by the presence of a bacterium called neisseria gonorrhoeae. It is transferred from one person to another through sex. The condition is often referred to in slang terms as ‘the clap’, and became more widespread in the UK towards the end of the 20th century.
This is thought by many to be a result of more relaxed attitudes to sex among younger people. The promotion of safe sex practices in the years which followed resulted in instances of the illness decreasing. However, the number of reported cases in the UK increased again in 2018. Public Health England reported over 56,000 diagnoses made at sexual health clinics in England alone (a rise of 26 percent on the previous year).
The infection can be spread through vaginal, anal or oral sex. It can also be passed from mother to baby. Gonorrhoea is most common among young people; notably those between the ages of 15 and 30, but it can affect anyone of any age.
Symptoms can include a green or yellow discharge emanating from the penis or vagina, discomfort during urination and episodes of extra vaginal bleeding falling outside the menstrual cycle. But, as many as one in ten male cases and five in ten female cases of the infection may show no visible symptoms at all. Left untreated, gonorrhoea can lead to more severe symptoms, and cause infertility.
Diagnosis is made after testing for the infection, which can be carried out at a GUM clinic or at your GP surgery. Home testing kits are also available for gonorrhoea. During testing, women will usually have a sample taken from their vagina via swab; while men will often be asked to supply a urine sample.
Following positive diagnosis, beginning treatment as soon as possible is recommended, provided the proposed course of treatment is suitable for you.
Until around 30 years ago, doctors would uniformly prescribe penicillin for the treatment for gonorrhoea; however this changed to cefixime when a number of penicillin-resistant strains began to develop. With the emergence of more resilient strains in recent years, doctors now often employ a combination-approach to treatment, consisting of more than one antibiotic agent.
Currently, best (sometimes called first line) treatment for gonorrhea in the UK is a one-off antibiotic injection given in combination with a tablet. The injection, however, which is commonly administered into the buttock or thigh, can only be issued by a trained medical professional. This means that the antibiotic injection for gonorrhea is not available to buy online for you to administer yourself.
For those who are unable to take the injection or have a phobia of needles, there is a two tablet course consisting of Suprax and Azithromycin. It isn’t the preferred treatment for gonorrhoea, but evidence suggests it is still effective in most cases.
The British Association for Sexual Health and HIV (BASHH) guidelines for this treatment were published in 2011, and advised a one-off dose of 1g Azithromycin (in addition to Suprax) when used as a second line option for gonorrhoea. We currently offer 2g Azithromycin in the gonorrhoea pack in line with European guidelines on this treatment, published more recently, in 2012.
Please note that when taking this treatment you will need to refrain from having sex until you have been re-tested after finishing the course, and have cleared the infection.
We only offer this medication to patients who have received a positive test result, and you will be asked to provide this during consultation. If you suspect you may have gonorrhoea but have not been tested, we recommend you do so through your GP or local sexual health services, or by ordering a gonorrhoea test kit from us here.
We offer both a home test kit, where you can collect a sample and get a result in 15 minutes, and a lab test kit where you provide a sample to be analysed by our pathology partners.
The test kit and treatment bundle available is for people who want to do a ‘test of cure’ two weeks after finishing treatment, to check the infection has cleared.
If you have tested positive for gonorrhoea, but are not able to have the first line treatment, you can order the gonorrhoea treatment pack online through our secure service. Fill in our questionnaire to start your consultation and have your case reviewed by our doctor or pharmacy prescriber. Once your order is approved, your treatment will be dispensed at our UK pharmacy and shipped by tracked next-day delivery.
Sex after gonorrhoea
Once your prescribed course of treatment for gonorrhoea has concluded, we recommend waiting for three weeks before resuming sexual activity. This waiting period allows for any remaining traces of gonorrhoea to leave the body. After this waiting period, we also highly recommend taking a second test for gonorrhoea to be certain there is no longer any presence of infection.
Types of Treatment
Gonorrhoea is treated by doctors via a short course of antibiotic medication. This is typically very proficient at tackling the infection, and often clears all signs of it in a matter of days.
The best treatment (sometimes called first-line treatment) in the UK for gonorrhoea comprises of two antibiotics. One is given as an injection, and the other as a tablet. This injection will need to be given by a trained health professional however, which means that you can’t buy it and inject the treatment yourself.
Another form of treatment consists of Azithromycin and Suprax, two oral antibiotics; although this method is not as effective at treating Gonorrhoea, so this is only recommended for use in cases where the injection is unsuitable or a patient is needle-phobic.
It is important to finish the course of medication prescribed for you, and to get tested again once you have completed treatment, to ensure that the infection has passed. Obviously, you should refrain from engaging in sex during this time.
How do they work?
Antibiotics come in many different forms. They are generally indicated for the treatment of infections caused by bacteria. They work by breaking down the cells of infection-causing bacteria, and restoring balance in the body.
Until recently, doctors would tend to cure gonorrhoea with just one form of antibiotic drug. However, due to the emergence of resistant strains of the infection, many now prescribe a combination treatment involving two antibiotic agents to ensure that infection is sufficiently treated.
What are the side effects?
Although most people using medicines such as these will experience very few or no ill effects, you should take time to acquaint yourself with the possible side effects they may induce, so that you can take the appropriate action in the event that they develop.
These may include: hypersensitivity, nausea, vomiting and diarrhoea. Consult the relevant product page for more detailed information.
Can I take them with other medications?
The antibiotics used to treat gonorrhoea can interact with other medications. You should always make certain that you tell your prescriber about any additional medicines you may be taking, whether they are prescription, non-prescription or over-the-counter remedies.
What’s the difference between this and other antibiotics?
Over the years, some strains of gonorrhoea have developed an immunity to certain antibiotics when used alone. Gonorrhoea treatment may be given as a combination of two antibiotic treatments, to comprehensively rid the body of infection.
Should I take this treatment?
The recommended first line treatment for gonorrhoea in the UK is a combination of an injection and a one-off oral antibiotic. The injection can only be administered by a healthcare professional. If you are able to see a practitioner in person and have this treatment, we advise that you do, as it is the most appropriate course of medicine for gonorrhoea.
The Gonorrhoea Pack we offer should only be used by those patients who are unable to have the first-line injection.
These medicines may not be suitable for use in conjunction with other treatments. If you are using other prescription products or have a history of any medical conditions, you should let your prescriber know, as they may need to issue special instructions or look into possible alternative solutions.
When is it safe for me to have sex again?
Once the course of treatment is complete, you should wait for three weeks and then take another test for gonorrhoea. These steps help to ensure there is no longer any presence of gonorrhoea. Once you receive a negative test result, it is then safe to resume sexual activity.
Are there side effects?
Yes. Side effects which have been associated with both of these medicines include headache, diarrhoea, nausea and vomiting.
How can I get gonorrhoea treatment online?
Before you can buy gonorrhoea treatment online, you will need to get tested for the infection. The treatment we offer is only available to patients who have received a positive test result, and are unable to have the first line antibiotic combination, which is an injection given in tandem with a tablet.
If you haven’t been tested for gonorrhoea, but think you may have been exposed to it, gonorrhoea test kits are also available to order online from us.
If have tested positive for gonorrhoea and cannot have the first line treatment, you can order the gonorrhoea treatment pack online through our secure consultation platform. Take our medical questionnaire to get started. If your order is approved, our UK pharmacy will dispense your medicine and ship it to your chosen address by next-day delivery.
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