What causes a diagnosis of gonorrhea

Gonorrhea (gonorrhea)

The diagnosis is usually made by a purulent, mucous inflammation of the cervix (cervicitis) and / or the urethra (urethritis). In addition, a smear is taken from the urethra or cervix, anal canal and throat and possibly examined microscopically, using a pathogen culture and / or molecular biological methods. Specific nucleic acid detection (PCR from smear material from the cervix, the urethra or from a urine sample in men) is the method of choice with the highest success rate of around 90 percent. Advantage: a chlamydial infection can be determined. In the case of pathogen cultures, an antibiogram is usually created at the same time to check for possible resistance to antibiotics.

An examination of the partner is absolutely necessary, as is the partner treatment. According to the Venereal Diseases Act, there is a limited reporting requirement for venereal diseases (syphilis, gonorrhea, ulcus molle and lymphogranuloma venereum) in Austria. This means that people who do not follow the doctor's instructions will be reported to the health department.

NoteIf there is evidence, but also if symptoms suggest an STD, the most common STDs should be tested.

It is important to rule out other causes for the symptoms (differential diagnosis). Because other bacteria can also lead to purulent-slimy discharge, fallopian tubes and uterine inflammation.