Gonorrhea

Gonorrhea is a common bacterial STI caused by Neisseria gonorrhoeae. Many people have no symptoms, yet infection can spread and lead to pelvic inflammatory disease (PID)infertilityectopic pregnancy, and chronic pelvic pain in women, and epididymitis in men. Throat and rectal infections are also possible and are often silent.
 

Lab testing is the only reliable way to know. Modern NAATs (nucleic acid amplification tests) detect gonorrhea DNA from urinevaginal/cervicalurethralthroat, or rectal samples—matched to where exposure occurred. Because coinfection with chlamydia is common, many screens test for both at once. In cases of persistent symptoms or suspected treatment failure, culture with antimicrobial susceptibility can guide next steps. Testing supports screening, diagnosis, and follow-up, but does not replace clinician care or emergency services.

Signs, Symptoms & Related Situations

  • Often asymptomatic (screening recommended for many sexually active adults)

  • Genital/urinary: burning with urination, penile/vaginal discharge, bleeding after sex, pelvic/testicular pain

  • Rectal (after receptive anal exposure): pain, discharge, bleeding, tenesmus—or no symptoms

  • Throat (after receptive oral exposure): sore throat—or no symptoms

  • When to test: new or multiple partners, condom break, a partner tests positive, pregnancy planning, or routine screening per risk

  • Seek urgent care now: severe pelvic pain with fever, sudden severe testicular pain, signs of sepsis, chest pain, or trouble breathing

All symptoms and risks should be evaluated by a qualified clinician.

Why These Tests Matter

What testing can do

  • Detect silent infection with high-sensitivity NAATs

  • Target the right sites (urine/genital, throat, rectal) for accurate results

  • Support follow-up with re-testing to check for reinfection, and culture if treatment failure is suspected

What testing cannot do

  • Replace a clinician’s exam, treatment, or partner management

  • Diagnose every cause of symptoms without site-appropriate sampling

  • Guarantee detection immediately after exposure—there is a window period

What These Tests Measure (at a glance)

  • Neisseria gonorrhoeae NAAT (urine or genital swab): first-catch urine, self-collected vaginal swab, or clinician-collected endocervical/urethral swab. Often paired with chlamydia NAAT from the same specimen.

  • Extragenital NAATs (as indicated): throat and/or rectal swabs when those sites were exposed—critical for accurate screening.

  • Gonorrhea culture ± antimicrobial susceptibility: used when treatment failure is suspected, in persistent symptoms, or for public health monitoring of resistance.

  • Context tests: broader STI screening (HIVsyphilishepatitis B/C) based on risk and clinician guidance.

Window period: Many infections are detectable by about 1 week after exposure; by 2 weeks most will be detectable. If you test very early, plan a retest per clinician advice.

Quick Build Guide

Goal / Scenario Start with Add if needed
Routine screen (no symptoms) Gonorrhea/Chlamydia NAAT (urine or vaginal swab) Throat/rectal NAAT if oral/anal exposure
Symptoms (discharge, dysuria, pain) Site-matched GC/CT NAAT Trichomonas NAAT • Urinalysis/urine culture(clinician-directed)
Recent exposure GC/CT NAAT now Repeat NAAT in ~2 weeks if early; broader STI panel
Pregnancy GC/CT NAAT (vaginal/cervical or urine) Test of cure in selected cases and retest at ~3 months
MSM or extragenital exposure Urine/genital NAAT Throat and rectal NAAT (site-based screening)
Suspected treatment failure Gonorrhea culture ± susceptibility • Extragenital NAATs
Partner tested positive Gonorrhea NAAT Expanded STI panel (HIV, syphilis, hepatitis) per clinician

How the Testing Process Works

  1. Match tests to exposure: order urine or genital NAAT, and add throat/rectal NAAT for those sites.

  2. Prepare correctly: do not urinate for ≥1 hour before a urine NAAT; avoid douching before a vaginal swab; follow collection instructions. No fasting required.

  3. Provide samples: urine and/or swabs; blood is not used for gonorrhea NAAT.

  4. Get secure results: most post within a few days; some positives reflex to confirmation per lab protocol.

  5. Plan follow-up: review with your clinician for treatment, partner notification, and retesting timelines.

Interpreting Results (General Guidance)

  • Positive NAAT: infection at that site—seek clinician treatment and discuss partner management.

  • Negative NAAT very soon after exposure: could be too early—retest at the recommended window.

  • Persistent symptoms or recurrent positives: consider culture with susceptibility and ensure all exposed sites were tested.

  • Pregnancy: clinician may recommend retesting to check for reinfection.
    Always interpret results with a qualified healthcare professional; site selection, timing, and exposure historymatter.

Choosing Panels vs. Individual Tests

  • Core screen: Gonorrhea/Chlamydia NAAT from urine or vaginal/cervical swab

  • Site-expanded screen: add throat and/or rectal NAAT based on exposure

  • When symptoms persist or failure suspected: Gonorrhea culture ± susceptibility

  • Broader STI panel (as indicated): HIV 4th-generationsyphilishepatitis B/C
    Use bundled panels for efficient screening; add site-specific tests and culture to answer targeted questions.

FAQs

Do I need to fast for gonorrhea testing?
No. NAATs do not require fasting.

Can a urine test find throat or rectal gonorrhea?
No. You need throat and/or rectal NAATs for those sites.

How soon after sex should I test?
Many infections are detectable by 1 week2 weeks is more reliable. If you test earlier, plan a retest.

What is a “test of cure,” and do I need one?
A repeat test to confirm clearance. It’s considered in selected cases (e.g., certain sites or circumstances). Your clinician will advise.

Why retest a few months after treatment?
Reinfection is common. Retesting helps catch new infections.

What if symptoms persist after treatment?
Ask about extragenital testing and culture with susceptibility to evaluate for resistance or another cause.

Are my results private?
Yes. Results are delivered securely. Positive results require clinician follow-up and may involve public health reporting.

Related Categories & Key Tests

  • STD Tests Hub

  • All STD Tests • Chlamydia Tests • Trichomonas Tests • HIV Tests • Syphilis Tests • Hepatitis Screening Tests • Reproductive Health Tests

  • Key Tests: Gonorrhea NAAT (urine/vaginal/cervical/urethral) • Gonorrhea NAAT (throat) • Gonorrhea NAAT (rectal) • Combined GC/CT NAAT • Gonorrhea Culture ± Antimicrobial Susceptibility • HIV-1/2 4th-Generation Ag/Ab • Syphilis (RPR with treponemal confirm) • Hepatitis B Surface Antigen • Hepatitis C Antibody

References

  • Centers for Disease Control and Prevention — Sexually Transmitted Infections Treatment and Screening Recommendations.
  • U.S. Preventive Services Task Force — Screening for Gonorrhea and Chlamydia.
  • World Health Organization — Gonorrhea testing and antimicrobial resistance monitoring.
  • American College of Obstetricians and Gynecologists — STI screening in women and pregnancy.
  • Infectious Diseases Society of America — Diagnostic testing for STIs and NAAT best practices.
  • Clinical reviews on extragenital NAAT performance, test-of-cure indications, and culture with susceptibility for suspected treatment failure.

Available Tests & Panels

Your Gonorrhea Tests menu is pre-populated in the Ulta Lab Tests system. Start with a combined gonorrhea/chlamydia NAAT from urine or vaginal/cervical swab, then add throat and/or rectal NAATs based on exposure. Use filters to include culture with susceptibility when treatment failure is suspected and to add a broader STI screen as needed. Follow collection instructions and review results with your clinician to plan treatment, partner notification, and retesting.

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Name Matches

The Chlamydia/Neisseria gonorrhoeae RNA, TMA Urine Test screens for both chlamydia and gonorrhea infections by detecting RNA from these bacteria. Using advanced molecular technology, it offers high accuracy for diagnosing active infections. Doctors order this urine-based test to confirm infection, support early treatment, and protect sexual partners. It is an essential tool for sexual health screening, helping reduce long-term health risks and control STD spread.

Varied
Phlebotomist
Also Known As: Gonorrhea and Chlamydia Test

Most Popular

The Neisseria gonorrhoeae RNA TMA Urine Test detects gonorrhea infection by identifying bacterial RNA using transcription-mediated amplification. This highly sensitive urine test helps diagnose current gonorrhea infections, even in asymptomatic cases. Doctors use it for early detection, accurate diagnosis, and timely treatment to prevent complications. Results support effective STD management and help reduce the risk of transmission.

Varied
Phlebotomist
Also Known As: GC Test, Neisseria Gonorrhoeae test, Gonorrhoeae test, Gonorrhea Urine Test

 The STD Urinary Tract Infection Panel is a targeted diagnostic tool designed to identify sexually transmitted infections (STIs) such as Chlamydia and Gonorrhea, alongside assessing overall urinary tract health through a Urinalysis Complete test. This panel facilitates the early detection of common STIs and urinary tract infections (UTIs), allowing for timely treatment and management.
Urine, Varied
Phlebotomist, Urine Collection

It might be scary or difficult to think about, but if you've even had one sexual partner, there's a chance you have a sexually transmitted infection or disease (STI or STD). Among STIs and STDs, gonorrhea is among the top three most common in the United States.

The gonorrhea CDC fact sheet estimates that there were about 1.6 million new gonorrhea infections in 2018 alone, most of which happened to people in the 15-24 age bracket.

These statistics make people uncomfortable, but they underscore how important it is to get regularly tested. A gonorrhea test is quick and easy, so there's no reason to hesitate.

To assess your chances and understand the infection and disease, read this article about what gonorrhea is and how you can seek diagnosis and treatment.

What Is Gonorrhea?

Gonorrhea is a common STI in the United States, only beat out by the human papillomavirus (HPV) and chlamydia. Sexual interactions mostly spread sexually transmitted infections and diseases. However, these diseases can spread in other ways in rare cases.

Gonorrhea, much like other STIs, also does not only affect the genital areas. While the genital area is the most common area to show signs and symptoms of an infection, the infection can occur elsewhere or spread to another area. For gonorrhea, the genital area, rectum, and throat can all show signs and symptoms of an infection.

Left untreated, gonorrhea can lead to more serious, permanent health conditions. Women can develop pelvic inflammatory disease (PID) and experience ectopic pregnancies, infertility, blocked fallopian tubes, and chronic pain. Men can develop chronic pain and infertility. Additionally, it increases the chances of catching HIV.

Risk Factors for Gonorrhea

If you are sexually active, you are at risk for gonorrhea, among many other STIs and STDs. The only way to completely avoid catching gonorrhea is to abstain from sexual interactions. Both men and women are equally able to catch gonorrhea, although lifestyle choices can affect the likelihood of catching it.

As with all other STDs and STIs, your risk for catching gonorrhea increases with your increased number of sexual interactions and partners.

Men who are sexually active and have sex with other men should seek testing at least once every year. Women under 25 or who have new or multiple sex partners are also advised to get tested at least yearly. If you fit into these categories, you are at high risk.

Your risk of infection also increases if you are having unprotected sex. While it is possible to transmit STIs and STDs while still protected, there is a much smaller chance of transmission.

People who have been in committed, long-term monogamous relationships and have tested negative are generally safe from STIs.

Causes of Gonorrhea

Gonorrhea is one of the oldest STIs on record. It was originally coined "gonorrhea" by a Greek physician, Galen, before 200 AD. Despite not having its official name, gonorrhea is likely to predate Galen due to many previous references to the disease going back all the way to 2600 BC.

Because of its ancient nature, it's difficult to understand the origins of the disease.

With modern science, we can understand that gonorrhea is mostly caused by having sexual interactions with someone who has already been infected. Gonorrhea can be easily transferred to a sexual partner through vaginal, anal, and oral sex.

In unfortunate cases, pregnant women can pass on gonorrhea infections to their children through birth.

Signs and Symptoms of Gonorrhea

The signs and symptoms of gonorrhea can slightly differ for men and women and the source of infection. It is important to understand that gonorrhea, much like many other STIs, might not show symptoms at first. Many people become infected without knowing and continue to have sex. This lack of early detection is what makes gonorrhea so common and so risky.

Gonorrhea from vaginal sex can cause painful sex, swollen lymph nodes around the groin, painful urination, and unusual discharge for both men and women. Men could also experience swollen testicles, while women could experience bleeding between periods.

If you have gotten gonorrhea from oral sex (or in rare cases, if you've kissed someone with oral gonorrhea), you can experience:

  • Red, sore throat
  • Swollen lymph nodes in the neck
  • Fever

If you've gotten gonorrhea from anal sex, you could experience:

  • Rectal discharge
  • Rectal itching or soreness
  • Painful bowel movements
  • Rectal bleeding

If you're at all concerned that you're showing these symptoms, you need to see a doctor right away.

How Is Gonorrhea Diagnosed?

Gonorrhea can be easily diagnosed by a healthcare professional who orders a test and analyzes the results. Tests can be done on urine. If gonorrhea is caught early, it can be treated and will vanish quickly with prescription antibiotics.

Tests for Gonorrhea

A commercial urine test from Ulta Lab Tests is a highly accurate and reliable way to get a diagnosis and next steps from your health care provider. Some of the benefits of buying a gonorrhea urine test are:

  • Secure online results
  • No need for insurance
  • No referral requirements
  • Great pricing
  • Satisfaction 100% guaranteed

Get Started with Gonorrhea Testing

The causes and symptoms of gonorrhea are very similar to many other STIs and STDs, but the results can be very different. Left undetected and untreated, gonorrhea can lead to serious, permanent health conditions. That's why it's so important to get tested often and seek treatment immediately.

Ulta Lab Tests can become a part of your regimen for pristine sexual health. We offer tests with high accuracy without the embarrassing swabbing of most STD tests. In turn, you can make informed decisions about your health.

You can save yourself the embarrassment of an STD appointment with your doctor by getting tested privately.

Order your Gonorrhea test today to get confidential results online within the next two days!

Take control of your health with Ulta Lab Tests.