Looking for a gonorrhoea test in Melbourne? Clinic365 offers gonorrhoea testing from $39 — order online and walk into any of hundreds of Melbourne pathology collection centres. No appointment needed. Your nearest options include clinics in the CBD, East Melbourne, South Melbourne, Carlton, Fitzroy, Richmond, St Kilda, South Yarra, Prahran, and across all Melbourne suburbs. Most results are sent by SMS within 24 hours and reviewed by a Specialist GP. Gonorrhoea Test Melbourne is available by telehealth from our Specialist GP.
Gonorrhoea is a bacterial sexually transmitted infection caused by Neisseria gonorrhoeae. It is the second most commonly notified STI in Australia after chlamydia, and notification rates have more than doubled in the past decade. Gonorrhoea is spread through vaginal, anal, and oral sex, and it can infect the urethra, cervix, rectum, throat, and eyes. According to the Australian STI Management Guidelines, gonorrhoea rates are rising across all demographics, with the highest rates among young adults and men who have sex with men.
Many people with gonorrhoea have no symptoms at all, particularly at the throat and rectal sites. When symptoms do occur, they may include a yellow or green discharge from the penis or vagina, pain or burning when urinating, sore throat, or rectal discomfort. In women, gonorrhoea is frequently asymptomatic and can be mistaken for a urinary tract infection. Because symptoms are unreliable, routine screening is the only way to detect most gonorrhoea infections.
Testing for gonorrhoea uses the same urine sample collected for chlamydia, analysed by nucleic acid amplification testing with sensitivity above 95 per cent. However, urine testing only detects urethral gonorrhoea. If you have had oral sex, a self-collected throat swab is strongly recommended. If you have had receptive anal sex, a rectal swab should also be collected. These extragenital sites are where gonorrhoea most commonly hides undetected, and a urine test alone will miss these infections entirely.
Gonorrhoea can be detected from approximately two weeks after exposure. If a positive result is confirmed by nucleic acid amplification testing, the Australian guidelines recommend that a culture specimen also be collected before treatment to test for antibiotic sensitivity. This is important because antibiotic-resistant gonorrhoea is an increasing global concern, and treatment must be guided by the most current resistance data available.
Treatment for gonorrhoea currently involves dual therapy — an an intramuscular antibiotic injection combined with an oral antibiotic. Oral-only treatment is generally not recommended due to resistance concerns. A test of cure is recommended two weeks after treatment to confirm the infection has been cleared. All sexual partners from the past two months should be notified and tested. Untreated gonorrhoea can cause pelvic inflammatory disease and infertility in women, epididymitis in men, and can increase susceptibility to HIV infection.
Regular sexual health screening is recommended for anyone who is sexually active, even when no symptoms are present. Most sexually transmitted infections produce no noticeable symptoms in the early stages, which means they can be unknowingly passed to sexual partners. Australian guidelines recommend at least annual screening for sexually active adults, and more frequent testing for those with new or multiple partners. If you have had unprotected sex with a new partner, testing is recommended even if you feel well.
If your test results are positive, your Specialist GP will contact you directly to discuss treatment options and arrange treatment. Most bacterial STIs respond well to a short course of antibiotics and are straightforward to manage when detected early. Partner notification is an important part of treatment — all recent sexual partners should be informed and tested, even if they have no symptoms. Your GP can advise on how to approach this conversation, including anonymous notification options if preferred.