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Can sex with someone who had gonorrhea spread infection?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been diagnosed positive for UTI (urinary tract Infection) and my pus cells result is too high. The doctor concluded that I might have an STD (sexually transmitted disease), but I do not feel anything aside from dysuria. He gave me a prescription for Unasyn, and I took it for one week. Now, the urination has gotten better, but I still feel the urge to pee sometimes, like once every 2 weeks.

And the smell of my pee is still strong, especially in the morning. What should I do? Is it possible that I might be positive for an STD? I had unprotected sex with my partner and he was diagnosed before of having gonorrhea, but he is already cured. Is there any chance that I might get it even if he is not positive anymore?

Thank you.

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Firstly, you must relax and not allow your condition to further worsen the mental stress that you already seem to bear. Whatever it is, it can be taken care of.

Now, note the following points: respond with the answers to my queries, and plan a video consultation session to address the problems. Your partner had gonorrhea. And even though he was treated at some point in time the ideal approach for any partner having an STI (sexually transmitted Infection), especially like gonorrhea, involves evaluation and empirical treatment or specific treatment for gonorrhea of the other partner simultaneously, irrespective of the presence or absence of symptoms in the other partner at that time).

If you were not concomitantly treated for gonorrhea along with your partner when he or she was detected, then you might have been infected with a high possibility, and remained a carrier, with the development of full gonorrhea a few days later, and possibly given the infection back to the treated partner. Pus cells in excess in urine would be significant, depending on the urine collection.

Additionally, a urethral smear and a cervical smear from you should have been submitted or need to be submitted now for staining for gonorrhea, non-gonococcal urethritis (NGU), or cervicitis. Symptoms of dysuria alone may be suggestive of both gonococcal and non-gonococcal urethritis, with or without cervicitis. Frank discharge from the urethra is rather uncommon in women compared to men.

Foul-smelling cervical discharge is common, but not essential for considering gonorrhea. Lastly, you took the antibiotic Unasyn (Ampicillin and Sulbactam) for seven days. This treatment was in all likelihood a total failure due to the rampant resistance of urinary tract infection-causing bacteria, and both gonococcal and non-gonococcal urethritis-causing bacteria.

Cephalosporins, with or without Azithromycin or Doxycycline, are given both as an injection and orally, respectively, and are the only recommended treatment in your case. We can discuss this after you provide me with the details I requested and the suggested test results.

Thank you.

The Probable causes

The probable causes are gonococcal urethrocervicitis with or without nongonococcal urethritis.

Investigations to be done

Investigations to be done are an ultrasound (USG) of the pelvis to rule out pelvic inflammatory disease, urethral smear for Gram and Giemsa staining for both partners, vaginal (and endocervical) swabs for Gram and Giemsa staining, urine analysis (collected by first void, clean catch, mid-stream sample technique) for both partners, serology for HIV (fourth generation) in both partners, and RPR (rapid plasma reagin) or VDRL (venereal disease research laboratory) serology for syphilis for both partners.

Treatment plan

The treatment plan includes maintaining local hygiene with baby soap and water, drinking plenty of fluids, and strictly avoiding any sexual contact (protected or unprotected) until after proper treatment.

Medically reviewed byiCliniq medical review team

Published At April 8, 2023
Reviewed AtDecember 19, 2025

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