Home gonorrhoea treatment

Posted 12 June 2019 in Sexual Health

Home gonorrhoea treatmentThe World Health Organization, WHO, has estimated that one million new sexually transmitted infections (STIs) occur every single day. (1)

Overall, in the UK the cases of sexually transmitted infections are increasing.

In England alone, in 2018, there were 447,694 new diagnoses of STIs, a 5% increase on the 422,147 in 2017. (2)

Gonorrhoea increased the most, by 26% to 56,259 cases, the largest number since 1978.

The number of gonorrhoea cases has been increasing for years among both men and women, despite repeated warnings from public health doctors about the risks of unprotected sex.

Gonorrhoea, sometimes referred to as "The Clap", is a bacterial infection passed between people through unprotected sex.

About 50% of women and 10% of men are unaware that they’re infected as they don’t experience any obvious symptoms and this means that the infection can go untreated until the disease has progressed. This can lead to serious long-term health problems and infertility.

If symptoms are experienced, they usually occur about 10 days after being infected. Men and women are affected differently: (3)

Men may experience

  • Burning sensation/pain when urinating

  • Inflammation of the foreskin

  • An unusual discharge from the tip of the penis that may be green, yellow or white.

  • Tenderness or pain in the testicles

While women may experience

  • Burning sensation/pain when urinating

  • Bleeding between periods and/or heavier periods

  • A change in vaginal discharge which may be thick and green or yellow in colour.

  • Lower abdominal discomfort

  • Bleeding after sex

Testing

If you have put yourself at risk and are concerned, then you should wait 14 days before taking a test as it may take this amount of time before the infection can be detected.

If you visit your GP you will probably be signposted to a genitourinary medicine, GUM, clinic which may also be called a Sexual Health Clinic.  If you find it difficult to either get an appointment at a clinic or are simply short of time or indeed too embarrassed to go to a clinic, you can choose to order a test from us at Webmed Pharmacy.

Our test kits are sent to The Doctors Laboratory (TDL) in London. They are the largest independent providers of clinical laboratory diagnostic services in the UK. Once the lab has received your sample, your results will be available 2-3 days later.

The kits are posted in discreet plain unmarked packaging with no indication of their contents or who it‘s from.

Treatment

If your test is positive for gonorrhoea we can refer you to a GUM clinic for treatment. The first line treatment, as recommended by the British Association for Health and HIV, BASHH, is an injection of a single antibiotic.

If you can’t get to a GUM clinic, unable to get an appointment or have a needle phobia then our doctor can prescribe second line treatment that comprises of two different antibiotics that you take orally. As our treatment is second line, and therefore not considered to be as effective as the first line treatment, we provide a free “test of cure” that you can send to the lab 14 days after treatment to make sure you are clear of infection.

We will ask that you complete a simple medical questionnaire that our Doctor can assess for your suitability and, if approved, be prescribed the oral antibiotics to treat the infection.

Your treatment will be delivered in discreet, unmarked packaging with no mention of the contents or who it’s from. You can have your parcel delivered to your home or work address and, if in an area where we use DPD, you can have it diverted to a local pickup shop where you can collect it at your convenience.

The symptoms for all STIs are very similar and it’s better to get tested to find out which STI you may have rather than trying to guess from your symptoms. Then you can receive the most appropriate treatment and be sure of treating the infection successfully.

This is especially important for gonorrhoea as there is evidence of a resistant strain of gonorrhoea emerging in the UK and unnecessary prescribing of antibiotics can contribute to this.

References

  1. https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)

  2. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/806118/hpr1919_stis-ncsp_ann18.pdf

  3. https://www.nhs.uk/conditions/gonorrhoea/symptoms/

Medically reviewed by
Superintendent pharmacist Margaret Hudson BSc(Hons) MRPharmS
11th June 2019

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