Throat Gonorrhea

Throat Gonorrhea is more common than previously thought.

It can be spread via deep kissing and oral sex.

Although it can cause severe throat pain, it is frequently asymptomatic.

Diagnosis is made with a throat swab.


What is Throat Gonorrhea?

Throat Gonorrhea (aka Gonorrhea of the Throat, The Clap) is an infection of the throat by the bacteria Neisseria Gonorrhea.


How do I know I have it?

90% of the time, Throat Gonorrhea has no symptoms.

10% of the time, it causes a sore throat, fever and swollen neck glands. This usually happens 2 to 10 days after exposure.


How can I catch it?

Throat Gonorrhea is caught when you have unprotected oral sex with a partner who is infected with gonorrhea.

It is much easier to catch Throat Gonorrhea via receptive penile oral sex (i.e. having your partner’s penis in your mouth) than through receptive vaginal oral sex (i.e. licking or sucking your partner’s vagina).

Symptoms of other STDs you can get from Oral Sex


If I have Throat Gonorrhea can I pass it to my partner?

Yes. If you have Throat Gonorrhea, you can pass it to your partner by having unprotected oral sex.

If your partner develops symptoms of Gonorrhea (pain passing urine, discharge) after having oral sex with you, you should have yourself checked for Throat Gonorrhea.

How do I check for Throat Gonorrhea?

See your doctor. He will take a swab from your throat and send it to the lab for a special culture. Please let your doctor know you are worried about Throat Gonorrhea. It requires a special swab. The normal swab for Strep Throat will not detect Throat Gonorrhea.


How is Throat Gonorrhea Treated?

The commonest treatment for Throat Gonorrhea is an injection of an anti-biotic called Ceftriaxone. If you are unable to take this injection you will be given pills instead. You might need to visit the doctor again to make sure the Throat Gonorrhea is fully cured.


How can I protect myself from Throat Gonorrhea?

Always use a condom when having oral sex.

Are there other STDs associated with Throat Gonorrhea?

Yes. If you have Throat Gonorrhea you likely will have Gonorrhea in other areas such as the Urethra (urine tube) or Anus. You should ask your doctor to check for these too.


Throat Gonorrhea is also associated with other STDs such as HIV, Syphilis and Hepatitis B.

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Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.

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About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.

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  1. I am currently located in Cambodia. Can you advise what treatment regime do you for pharynx and rectal gonorrhea. Do you use the same treatment for disseminated gonorrhea or alliterative regime

    • Pharyngeal and Rectal Gonorrhea are both known to be more resistant to treatment compared to Urehtral Gonorrhea. Ideally, you should get a swab test, have the Gonorrhea cultured and determine antibiotic sensitivity. As empirical treatment, I still use Ceftriaxone and Azithromycin or Doxycycline. What is more important is the follow up test-of-cure to determine bacterial clearance.

  2. Went friday and had the injection for gonorrhea and the zpak 4 pills single dose things seemed to clear up until yesterday the seventh day after treatment found discharge not much then this morning i squeezed my penis and some more came out my question how long afer treatment does the discharge start havent done any sexual encounters to reinfect myself

    • Dr Justin Sim

      Even though you took one-off medicine (4 tablets and injection in can take up to 2 weeks for symptoms to subside). Did you get testing before you started antibiotics? If anything was shown as positive then it would be wise to check for clearance approximately 2 weeks after your antibiotics to see if the infection really has gone. But keep a close eye on your symptoms. If they are not getting better then please make some time to see a doctor in clinic for further assessment.

  3. Dear doctor,
    I performed oral sex with condom on Sunday early morning around 3 am and i got sore throat on the same morning. There was no other penetration. We did deep kissing. I checked that the condom seemed remain intact. Is the sore throat related to any std?

    • I did deep throat also. I am still having the sore throat.

      • It is very unlikely for any STDs to present with symptoms so soon after the exposure. More likely there was some trauma to the throat during the oral sex. This however does not mean that you are not infected. Please see your doctor if the symptoms persists or worsen.

  4. About 2 days ago it have my boyfriend oral sex and now today my left tonsil hurts and I have white patches on my throat and I have no fever is this a sign of an std?

    • Yes it could be throat gonorrhea or chlamydia. Or maybe it is just a tonsillitis with no relation to the oral sex episode at all. The only way to know is to see your doctor. If it is an STD both you and your BF should get treated.


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