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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Gonorrhea Be Treated?

Good day, i was diagnosed with gonorhea and have started medications for four days now, although the pain with urination and other sensation has reduced but the discharge only got ligther but has not stopped, i need to know how long it takes for discharge to stop and how long total cure takes place.
Thu, 27 Apr 2017
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General & Family Physician 's  Response
Dear Patient
I totally understand your concerns about the ongoing symptoms of your gonorrhea.
The following points are very important in the treatment and follow up of this infection:

1- the best treatment of gonorrhea is one intramuscular shot of cetriaxone 250 milligrams just once, associated with azithromycin 1 gram orally once. i think since you are still taking the medications for 4 days now that this is not the regimen you are being treated with. however it is the recommended regimen that treats gonorrhea and also chlamydia at the same time because usually there is a co-infection of chlamydia with gonorrhe in more than 50% of cases, and if gonorrhea is treated alone then symptoms might always be present due to persistance of chlamydia.

2- after taking the regimen i told you about you should feel better after 3 days of initiation of treatment, and discharge should stop completely after one week of initiation of treatment.

My recommendation in your case is
1-to search if your are taking the medications that treat both gonorrhea and chlamydia at the same time, if not to take the regimen i told you about because it has the highest response and lowest bacterial resistance compared to other regimens.
2- dont have sex during the period of treatment because you might get re-infected again.
3- your sexual partner(s) should be also treated the same way like you to prevent future retransmission of infection
4- test yourself for other sexually transmitted infections and mainly: HIV, hepatitis B, hepatitis C and syphilis.

Best regards
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How Can Gonorrhea Be Treated?

Dear Patient I totally understand your concerns about the ongoing symptoms of your gonorrhea. The following points are very important in the treatment and follow up of this infection: 1- the best treatment of gonorrhea is one intramuscular shot of cetriaxone 250 milligrams just once, associated with azithromycin 1 gram orally once. i think since you are still taking the medications for 4 days now that this is not the regimen you are being treated with. however it is the recommended regimen that treats gonorrhea and also chlamydia at the same time because usually there is a co-infection of chlamydia with gonorrhe in more than 50% of cases, and if gonorrhea is treated alone then symptoms might always be present due to persistance of chlamydia. 2- after taking the regimen i told you about you should feel better after 3 days of initiation of treatment, and discharge should stop completely after one week of initiation of treatment. My recommendation in your case is 1-to search if your are taking the medications that treat both gonorrhea and chlamydia at the same time, if not to take the regimen i told you about because it has the highest response and lowest bacterial resistance compared to other regimens. 2- dont have sex during the period of treatment because you might get re-infected again. 3- your sexual partner(s) should be also treated the same way like you to prevent future retransmission of infection 4- test yourself for other sexually transmitted infections and mainly: HIV, hepatitis B, hepatitis C and syphilis. Best regards