Has gonorrhea gotten better if there is no more pus discharge?

Written by Qu Jing
Dermatology
Updated on March 13, 2025
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Gonorrhea no longer discharging pus does not necessarily indicate improvement. True improvement can only be confirmed by testing negative. The standard treatment for gonorrhea involves an intramuscular injection of cephalosporin-class medication. Symptoms must be completely controlled, and follow-up checks should be conducted two to three times subsequently. Only if all tests are negative can it be declared cured. If the disease is still detected, further treatment is necessary, and avoiding sexual activity during treatment is crucial. Sexual partners must also be examined. Common complications of gonorrhea include, in males, gonococcal urethritis, which due to improper treatment, alcohol abuse, or sexual activity, may develop further, spreading to the posterior urethra and causing complications such as posterior urethritis, prostatitis, seminal vesiculitis, and epididymitis. These conditions can cause repeated inflammation, leading to scars, urethral stricture, or even blockage of the vas deferens, potentially resulting in infertility. In females, the main complication is gonococcal pelvic inflammatory disease, including acute salpingitis, endometritis, secondary tubo-ovarian abscess and complications from rupture like pelvic cysts and peritonitis. Misdiagnosis or mistreatment can easily advance to pelvic and adnexal infections. Recurring episodes may cause fallopian tube constriction, leading to ectopic pregnancy, infertility, or chronic lower abdominal pain.

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Written by Wang Zhi Guo
Dermatology
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Has gonorrhea been cured if there has been no recurrence for 5 years?

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 Liu Gang
Dermatology
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What will happen if gonorrhea is not treated?

In general, gonorrhea will not heal on its own if left untreated, and symptoms may gradually worsen. In men, it can cause gonococcal infection of the scrotum, while in women, it may lead to pelvic inflammatory disease or adnexitis and other gynecological diseases. Once diagnosed, it is advisable to seek treatment in the dermatology or urology department of a standard hospital. With proper treatment, the disease can be completely cured. Avoid delays in seeking treatment. During treatment, avoid sexual contact, alcohol consumption, drink plenty of water, exercise regularly, and avoid bathing or swimming in public pools. Undergarments should be sun-dried and sterilized, and avoid sharing bath towels or washbasins for washing clothes with family members.

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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 Huang Ling Juan
Dermatology
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What are the symptoms of gonorrhea?

Gonorrhea is mainly a type of infectious skin disease caused by infection with gonococcus. Symptoms of gonorrhea differ between men and women, with men generally presenting more obvious symptoms. Typically, men show early symptoms of gonorrhea about a week after infection with gonococcus, including purulent discharge at the urethral opening, accompanied by symptoms such as frequent urination, urgent urination, and painful urination. In women, gonorrhea usually manifests as cervicitis, with purulent or bloody discharge from the vagina. Many women do not notice early symptoms of gonorrhea, which if ignored can lead to delays in treatment and may result in gonococcal pelvic inflammatory disease. Severe cases can lead to infertility or ectopic pregnancies. If gonorrhea is suspected, it is important to visit a reputable hospital and undergo treatment with antibiotics under the guidance of a doctor.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Is vestibular adenitis the same as gonorrhea?

Bartholin's gland inflammation is not limited to gonorrhea; these are two different diseases. Bartholin's gland inflammation refers to the condition where pathogenic microorganisms enter the Bartholin's glands through their external openings, causing inflammation of these glands. Gonorrhea, on the other hand, is a sexually transmitted disease caused by a specific pathogenic microorganism, primarily transmitted through sexual contact. These two are not equivalent; therefore, they require different treatments.