Detecting Gonorrhea: The Tests You Need to Know About
Published: Mar 07, 2024
Early and accurate testing for gonorrhea is crucial to prevent complications and the spread of this infection. Here, we break down the methods available for diagnosing gonorrhea.
Contents
NAAT: The Gold Standard
Nucleic Acid Amplification Tests (NAAT) are the most accurate tests for detecting gonorrhea. They work by identifying the genetic material of the bacteria from samples like urine or swabs. NAATs are highly sensitive and can detect even small amounts of bacteria, making them the preferred choice for diagnosis.
The Role of Microscopy
Microscopy involves examining a sample under a microscope to look for the presence of the bacteria. It's particularly useful in symptomatic men, where a swab from the urethra can quickly confirm an infection. While not as comprehensive as NAAT, it's a cost-effective option for quick diagnosis in males.

Why Culture Still Matters
Despite the rise of NAAT, culture tests remain important, especially for assessing bacterial resistance to antibiotics. Cultures can grow the bacteria from a sample, which allows doctors to test which antibiotics are still effective against the infection.
Frequently Asked Questions
NAAT is considered the most accurate test for diagnosing gonorrhea.
Yes, it's useful for quick diagnosis in symptomatic men using a urethral swab.
Culture tests are important for identifying antibiotic-resistant strains of gonorrhea.
The Bottom Line
Choosing the right test ensures effective diagnosis and treatment of gonorrhea.
References
- Centers for Disease Control and Prevention. Recommendations for the laboratory-based detection of Chlamydia trachomatis and Neisseria gonorrhoeae--2014.
- Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021; 70:1.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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