Sexually transmitted diseases

What Is Gonorrhea? Causes of Painful Urination and Purulent Discharge, and Treatment Options


Gonorrhea is a sexually transmitted infection caused by the gonococcus bacterium, and along with chlamydia, it is commonly seen in Japan. While symptoms tend to be stronger than those of chlamydia, antibiotic-resistant gonorrhea, which is difficult to treat with antibiotics, has become a global problem in recent years, making the selection of treatment drugs crucial. This page provides a detailed explanation of the characteristic symptoms, the background of drug resistance, and the treatment process at Mona.

  • Typical symptoms include severe pain during urination and purulent discharge, which are more likely to be noticed than with chlamydia.
  • In recent years, drug-resistant gonorrhea, which is difficult to treat with antibiotics, has been increasing worldwide, making drug selection crucial.
  • In some cases, depending on the infected area and resistance status, injectable treatments may be recommended, in which case we will guide you through an in-person consultation.
  • Since co-infection with Chlamydia is common, we recommend simultaneous testing.
Available daily from 9:00 AM to 10:00 PM
Available daily from 9:00 AM to 10:00 PM
5-minute walk from the station
5-minute walk from the station
A clean clinic with a white-based interior
A clean clinic with a white-based interior
Online consultations: same-day shipping at the earliest
Online consultations: same-day shipping at the earliest
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.

What is Gonorrhea?

Gonorrhea is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae. It infects the mucous membranes of the genitals, throat, and rectum, and is characterized by symptoms that tend to be more severe than those of Chlamydia.

Main Routes of Transmission

  • Genital-to-genital sexual intercourse

  • Oral sex (pharyngeal infection)

  • Anal sex (rectal infection)

  • Mother-to-child transmission (cause of neonatal conjunctivitis during childbirth)

Symptoms


Male

Female

Main Symptoms

Severe pain and burning sensation during urination, purulent discharge from the urethra

Purulent vaginal discharge, pain during urination

If progressed

Epididymitis, prostatitis

Pelvic inflammatory disease, can cause infertility

Percentage of asymptomatic cases

Relatively few (symptoms tend to be severe)

Many (often left untreated)

Pharyngeal infections caused by oral sex are usually asymptomatic and are therefore often difficult to detect.

About Drug-Resistant Gonorrhea

In recent years, drug-resistant gonorrhea, which is difficult to treat with conventional antibiotics, has been increasing worldwide, making the choice of treatment crucial. Self-medication with over-the-counter drugs or incomplete treatment can also contribute to the increase in resistant strains.

About Testing

Diagnosis requires testing. If you have already tested positive at a medical institution or public health center, you can present your test results and a prescription can be issued after a consultation.

Treatment Methods

Our clinic prescribes antibiotics in accordance with guidelines that take into account the status of resistant bacteria. Depending on the infection site and resistance status, injectable medication may be the first choice, and we may recommend in-person treatment.


Content

Online availability

Consultation, oral medication treatment based on test results (where applicable)

In-person required

Injection treatment, detailed examination if symptoms do not improve

Online Treatment Process

  • ① Provisional payment & Pre-consultation: Select your desired plan and place an order.

  • ② Online consultation: A doctor will counsel you via video call and determine the prescription policy.

  • ③ Same-day shipping (for oral treatment): Delivered in discreet packaging.

  • ④ Follow-up: Online confirmation of symptom progression after treatment.

Precautions during Treatment

  • Refrain from sexual intercourse until treatment is complete.

  • Partner's simultaneous testing and treatment are important (to prevent reinfection).

  • Since co-infection with chlamydia is common, we recommend simultaneous testing.

  • Do not stop treatment on your own even if your symptoms improve.

About Partners

Gonorrhea is considered to be highly contagious, and the risk of transmitting it to a partner is high. We recommend that your partner be tested and treated, regardless of whether they have symptoms.

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よくある質問

Frequently Asked Questions

Q Can it be cured with only online medication?
A

In some cases, injection therapy may be recommended depending on the infection site and drug resistance. We will recommend the best method after your consultation.

Q Should I be tested for chlamydia as well?
A



Since gonorrhea and chlamydia often occur as co-infections, we recommend simultaneous testing.

Q Does treatment end when symptoms subside?
A

Stopping treatment on your own can lead to a relapse or the risk of drug-resistant bacteria. Please complete your treatment as instructed by your doctor.

Q Is treatment necessary even for an infection limited to the pharynx?
A

Even if you are asymptomatic, we recommend treatment as the infection can continue and be a source of transmission to your partner.

Q Does my partner also need to be tested?
A

Because gonorrhea is relatively contagious, we recommend that your partner be tested and treated, regardless of whether they have symptoms.

Q 淋病は内服薬だけで治療できますか?
A

淋病の治療方法は、感染部位や薬剤耐性などを考慮して決定されます。注射による治療が必要となる場合もあるため、医師の診察のもとで適切な治療を受けてください。

Q 淋病とクラミジアは何が違うのですか?
A

どちらも性感染症ですが、原因となる病原体が異なります。症状が似ていることがあり、同時に感染している場合もあるため、症状だけで見分けることはできません。