What is the first treatment tried for gonorrhoea?

Gonorrhoea can affect the genitals, throat, rectum, or eyes, and some people have no noticeable symptoms. A clinician may take samples before treatment and choose an antibiotic according to the infection site, allergies, pregnancy status, and current medical guidance. [Antibiotic Treatment](/treatments/medical-management/antibiotic-treatment/) must be taken or given as prescribed.

Arrange [STI Screening](/treatments/diagnostics-and-screening/sti-screening/) if exposure is possible or symptoms include discharge, burning when urinating, pelvic pain, rectal discomfort, or a sore throat after sexual contact. Avoid sex until your clinician says it is safe, tell recent partners they may need assessment, and complete follow-up testing if advised. Pelvic pain may require [Antibiotic Treatment for Pelvic Infection](/treatments/medical-gynaecology/antibiotic-treatment-for-pelvic-infection/).

Seek prompt care for pelvic or testicular pain, fever, a painful eye, reduced vision, a spreading rash, or severe joint pain. Urgent assessment is needed during pregnancy or when symptoms are rapidly worsening, because untreated infection can affect more than the original site.

Ask which samples are needed, where the infection may be located, when partners should be contacted, and whether you need a repeat test. Ask when sexual contact can resume and which symptoms should trigger urgent review.