Has gonorrhea been cured if there has been no recurrence for 5 years?

Written by Wang Zhi Guo
Dermatology
Updated on May 21, 2025
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Gonorrhea has been cured without relapse for five years, which generally indicates recovery. To confirm recovery from gonorrhea after treatment, clinical practice typically requires follow-up examinations, involving the collection of urethral secretions from men and cervical secretions from women, to test for Neisseria gonorrhoeae. Men can have a smear test; whereas women generally have a culture of cervical secretions for Neisseria gonorrhoeae, as vaginal secretions contain many other bacteria and cannot be used for definitive diagnosis through smear testing alone. If Neisseria gonorrhoeae tests negative twice, it indicates that the gonorrhea has been cured.

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Written by Zou De Bo
Urology
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Is urethritis gonorrhea?

Urethritis is not necessarily gonorrhea. Gonorrhea is a sexually transmitted disease primarily characterized by pus-forming infections of the urinary and reproductive systems caused by Neisseria gonorrhoeae. Acute urethritis can be divided into bacterial urethritis, gonococcal urethritis, and non-gonococcal urethritis, which are a broad category of diseases. Therefore, gonorrhea can have the clinical symptoms of acute urethritis and is a type of acute urethritis. If it is gonococcal urethritis, it should be treated as such, while non-specific urethritis should be treated as non-specific urethritis.

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Written by Zhai Yu Juan
Dermatology Department
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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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Written by Luo Hong
Dermatology Department
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Can gonorrhea relapse?

Gonorrhea (gonococcus) is caused by a bacterial infection. If it is an initial infection of gonococcus, it can be completely cured using sensitive antibiotics in the prescribed treatment course at a standard hospital. However, if the medication is used irregularly or intermittently by oneself, this can easily lead to drug resistance in gonococcus. Therefore, if drug resistance in gonococcus occurs, the effectiveness of the treatment is relatively poor. Hence, it is crucial to receive treatment at a standard hospital through formal medical procedures. Of course, if it is recurrent gonococcal infection, repeated infections may require a longer treatment course.

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Written by Luo Hong
Dermatology Department
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Can gonorrhea cause blood in urine?

Gonorrhea infection can present with symptoms of blood in the urine. Common symptoms of gonorrhea include urethral discharge, a large amount of purulent secretion on the underwear, as well as frequent urination, urgency, and pain during urination. Blood in the urine can also occur, although it is less common. Besides gonorrhea, stones must also be ruled out if blood in the urine is observed. If there is only blood in the urine, the likelihood of it being gonorrhea is relatively small, as gonorrhea usually presents with other accompanying symptoms such as frequent urination, urgency, pain during urination, and itching in the urethra.

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Written by Xiong Hong Hai
Infectious Disease
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How to diagnose and treat a patient with AIDS who also has gonorrhea?

Patients with AIDS who are also infected with gonorrhea need simultaneous treatment and management. If the AIDS is still in its early stage and the CD4 cells are in a high state, gonorrhea can be treated first, as its treatment is relatively straightforward, primarily involving the use of potent antibiotics. Usually, a course of treatment lasting about one to two weeks can essentially cure it. After curing gonorrhea, anti-HIV treatment can be administered, which tends to be more effective. Both gonorrhea and AIDS are sexually transmitted diseases and can easily co-infect.