Materiały źródłowe

• #1 Gonorrhea – Resources for All Coloradans | Colorado Department of Public Health and Environment

  https://cdphe.colorado.gov/sti-hiv-vh/antibiotic-resistant-gonorrhea/gonorrhea-resources-for-all

  Gonorrhea is a sexually transmitted infection (STI) that can cause infection in the genitals, rectum, and throat. It is very common, especially among young people ages 15-24 years. […] You can get gonorrhea by having vaginal, anal, or oral sex with someone who has gonorrhea. A pregnant person with gonorrhea can give the infection to their baby during childbirth. […] The only way to completely avoid STIs is to not have vaginal, anal, or oral sex. […] If you are sexually active, the following things can lower your chances of getting gonorrhea: Being in a long-term mutually monogamous relationship with a partner who has been tested and does not have gonorrhea. Using condoms the right way every time you have sex. […] If you are pregnant and have gonorrhea, you can give the infection to your baby during delivery. This can cause serious health problems for your baby. If you are pregnant, talk to your healthcare provider so you get the correct examination, testing, and treatment, as necessary. Treating gonorrhea as soon as possible will make health problems for your baby less likely.

• #2 Gonorrhea: Causes, Symptoms, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/4217-gonorrhea

  The only way to prevent gonorrhea is not to have sex. For many people, a more realistic goal is to reduce the risk of contracting and spreading gonorrhea. Take these steps to reduce your risk: […] Always use a condom or dental dam during sex. […] Get tested for gonorrhea and have your partners get tested, too. […] Taking extra precautions during sex can greatly reduce your risk of infection. […] The Centers for Disease Control and Prevention (CDC) recommends that all women who are sexually active and under 25 get tested for gonorrhea each year. […] You can get gonorrhea more than once, so taking steps to avoid getting it and spreading it again is important. […] The best way to prevent gonorrhea is to get tested for the infection and use a condom or dental dam during any sexual activity.

• #3 Gonorrhea – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gonorrhea/symptoms-causes/syc-20351774

  Aby obniżyć ryzyko zakażenia gonoreą: […] Nie uprawianie seksu i unikanie aktywności seksualnej to najpewniejszy sposób na zapobieganie gonorei. […] Ale jeśli zdecydujesz się na seks, używaj prezerwatywy podczas wszelkiego rodzaju kontaktów seksualnych, w tym seksu analnego, oralnego lub waginalnego. […] Bycie w monogamicznym związku, w którym żaden z partnerów nie ma kontaktów seksualnych z innymi osobami, może obniżyć ryzyko. […] Upewnij się, że ty i twój partner zostaliście przebadani na choroby przenoszone drogą płciową. […] Nie uprawiaj seksu z kimś, kto wydaje się mieć chorobę przenoszoną drogą płciową. […] Rozważ regularne badania na gonoreę. […] Roczne badania są zalecane dla aktywnych seksualnie kobiet poniżej 25 roku życia oraz dla starszych kobiet z podwyższonym ryzykiem zakażenia.

• #4 Gonorrhea: Causes, Symptoms, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/4217-gonorrhea

  The only way to prevent gonorrhea is not to have sex. For many people, a more realistic goal is to reduce the risk of contracting and spreading gonorrhea. Take these steps to reduce your risk: […] Always use a condom or dental dam during sex. […] Get tested for gonorrhea and have your partners get tested, too. […] Taking extra precautions during sex can greatly reduce your risk of infection. […] The Centers for Disease Control and Prevention (CDC) recommends that all women who are sexually active and under 25 get tested for gonorrhea each year. […] You can get gonorrhea more than once, so taking steps to avoid getting it and spreading it again is important. […] The best way to prevent gonorrhea is to get tested for the infection and use a condom or dental dam during any sexual activity.

• #5

  https://www.who.int/news-room/fact-sheets/detail/gonorrhoea-(neisseria-gonorrhoeae-infection)

  Gonorrhoea is a preventable and curable sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae, which is primarily transmitted through vaginal, oral or anal sex. […] Most cases of gonorrhoea can be prevented with regular and correct condom use. […] People with gonorrhoea should notify current and recent sexual partners to help prevent the spread of the disease. […] Antibiotic eye ointment is recommended for newborns to prevent gonococcal eye infection. […] There are no specific vaccines for the prevention of gonorrhoea. However, studies are showing promising results with the use of a meningococcal type B vaccine (4CMenB) that seems to offer cross-protection against gonorrhoea. WHO is monitoring vaccine trials results.

• #6 Open Search

  https://www.plannedparenthood.org/learn/stds-hiv-safer-sex/gonorrhea/how-do-i-prevent-gonorrhea

  Gonorrhea is spread through sexual contact. So the best way to prevent gonorrhea is to get tested regularly and use condoms if you have sex. […] Gonorrhea is spread through sexual fluids like semen (cum), pre-cum, and vaginal fluids. So the best way to avoid gonorrhea and other STDs is to not have vaginal, anal, or oral sex at all. But most people have sex at some point in their lives, so knowing how to have safer sex is important. And using protection when you have sex really helps to lower your chances of getting an STD. […] Getting tested for STDs regularly is another important way to keep yourself healthy. […] Tell your past and present sexual partners that you have gonorrhea, so they can get tested and treated, too. […] Don’t have sex with ANYONE until youve totally finished your treatment. […] Your sex partners should also be treated before they have sex with anyone, including you. […] Once youve finished your treatment and start having sex again, its still a good idea to use condoms every single time you have sex.

• #7 Gonorrhoea (the clap) – symptoms, treatments and prevention | healthdirect

  https://www.healthdirect.gov.au/gonorrhoea-the-clap

  Gonorrhoea infection is treated with antibiotics; prompt treatment reduces your chance of developing serious complications such as infections in your heart and brain, and infertility. […] You can prevent gonorrhoea by practicing safe sex. […] The best way you can prevent gonorrhoea is by practicing safe sex: […] Always use condoms with a water-based lubricant. […] Always use dental dams for oral sex (a dental dam is a thin square of latex placed over the vulva or anus during oral sex). […] Limit your sex partners to reduce your risk of catching an STI. […] Avoid sex with someone infected with gonorrhoea until after they have finished treatment and are cured. […] Have regular check-ups and STI checks.

• #8 Gonorrhea – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gonorrhea/symptoms-causes/syc-20351774

  Aby obniżyć ryzyko zakażenia gonoreą: […] Nie uprawianie seksu i unikanie aktywności seksualnej to najpewniejszy sposób na zapobieganie gonorei. […] Ale jeśli zdecydujesz się na seks, używaj prezerwatywy podczas wszelkiego rodzaju kontaktów seksualnych, w tym seksu analnego, oralnego lub waginalnego. […] Bycie w monogamicznym związku, w którym żaden z partnerów nie ma kontaktów seksualnych z innymi osobami, może obniżyć ryzyko. […] Upewnij się, że ty i twój partner zostaliście przebadani na choroby przenoszone drogą płciową. […] Nie uprawiaj seksu z kimś, kto wydaje się mieć chorobę przenoszoną drogą płciową. […] Rozważ regularne badania na gonoreę. […] Roczne badania są zalecane dla aktywnych seksualnie kobiet poniżej 25 roku życia oraz dla starszych kobiet z podwyższonym ryzykiem zakażenia.

• #9 Gonorrhea: Causes, Symptoms, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/4217-gonorrhea

  The only way to prevent gonorrhea is not to have sex. For many people, a more realistic goal is to reduce the risk of contracting and spreading gonorrhea. Take these steps to reduce your risk: […] Always use a condom or dental dam during sex. […] Get tested for gonorrhea and have your partners get tested, too. […] Taking extra precautions during sex can greatly reduce your risk of infection. […] The Centers for Disease Control and Prevention (CDC) recommends that all women who are sexually active and under 25 get tested for gonorrhea each year. […] You can get gonorrhea more than once, so taking steps to avoid getting it and spreading it again is important. […] The best way to prevent gonorrhea is to get tested for the infection and use a condom or dental dam during any sexual activity.

• #10 Gonorrhea – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gonorrhea/symptoms-causes/syc-20351774

  Aby obniżyć ryzyko zakażenia gonoreą: […] Nie uprawianie seksu i unikanie aktywności seksualnej to najpewniejszy sposób na zapobieganie gonorei. […] Ale jeśli zdecydujesz się na seks, używaj prezerwatywy podczas wszelkiego rodzaju kontaktów seksualnych, w tym seksu analnego, oralnego lub waginalnego. […] Bycie w monogamicznym związku, w którym żaden z partnerów nie ma kontaktów seksualnych z innymi osobami, może obniżyć ryzyko. […] Upewnij się, że ty i twój partner zostaliście przebadani na choroby przenoszone drogą płciową. […] Nie uprawiaj seksu z kimś, kto wydaje się mieć chorobę przenoszoną drogą płciową. […] Rozważ regularne badania na gonoreę. […] Roczne badania są zalecane dla aktywnych seksualnie kobiet poniżej 25 roku życia oraz dla starszych kobiet z podwyższonym ryzykiem zakażenia.

• #11 Gonorrhea: Symptoms, Treatments and Prevention | WellMed Bangkok’s Best Clinic in 2025

  https://wellmedbangkok.com/gonorrhea-in-thailand/

  Gonorrhea can cause symptoms like painful urination, abnormal discharge, and pelvic pain, though some may not have symptoms at all. […] To prevent gonorrhea, always practice safe sex, get regularly tested, and communicate with your partners about STIs. […] Prevent gonorrhea by practicing safe sex, using condoms, and limiting sexual partners. […] One of the most effective ways to prevent neisseria gonorrhoeae infection is by consistently using condoms during sexual activity. […] Get regularly tested for gonorrhea and other STIs, especially if you have multiple partners. […] Discuss sexual health openly with your partners, ensuring they’re aware of their status. […] Avoid sexual activity with partners showing symptoms of gonorrhea. […] Limit the number of sexual partners to reduce exposure. […] Regular testing is essential for preventing neisseria gonorrhoeae infection and ensuring sexual health.

• #12 Gonorrhea: Symptoms, Causes, Prevention, Diagnosis, and Treatment

  https://www.webmd.com/sexual-conditions/gonorrhea

  Take these steps to protect yourself from gonorrhea: […] Use condoms. They help keep you from getting STDs. They act as a barrier and keep bacteria from infecting you. Spermicide wont prevent you from getting gonorrhea. […] Have your sexual partners get tested. Ask them whether theyve been checked for gonorrhea. If they havent, talk to them about getting tested. […] Don’t have sex with someone who has symptoms of gonorrhea. Has your partner complained of a burning feeling while peeing or sores in their genital area? Take a break from sexual activity until they get their symptoms checked (and you should get checked, too). […] Get regular screenings. Get tested for gonorrhea once a year if youre: a man who has sex with men, a sexually active woman under age 25, a woman who has a new sex partner, multiple partners, or a partner with an STD.

• #13 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  Annual screening for N. gonorrhoeae infection is recommended for all sexually active women aged 25 years and for older women at increased risk for infection (e.g., those aged 25 years who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, or a sex partner who has an STI) (149). […] Clinicians should consider the communities they serve and consult local public health authorities for guidance regarding identifying groups at increased risk. […] At least annual screening is recommended for all MSM. Screening for gonorrhea among heterosexual men and women aged 25 years who are at low risk for infection is not recommended (149). […] To maximize adherence with recommended therapies and reduce complications and transmission, medication for gonococcal infection should be provided on-site and directly observed.

• #14 Gonorrhea: Symptoms, Causes, Prevention, Diagnosis, and Treatment

  https://www.webmd.com/sexual-conditions/gonorrhea

  Take these steps to protect yourself from gonorrhea: […] Use condoms. They help keep you from getting STDs. They act as a barrier and keep bacteria from infecting you. Spermicide wont prevent you from getting gonorrhea. […] Have your sexual partners get tested. Ask them whether theyve been checked for gonorrhea. If they havent, talk to them about getting tested. […] Don’t have sex with someone who has symptoms of gonorrhea. Has your partner complained of a burning feeling while peeing or sores in their genital area? Take a break from sexual activity until they get their symptoms checked (and you should get checked, too). […] Get regular screenings. Get tested for gonorrhea once a year if youre: a man who has sex with men, a sexually active woman under age 25, a woman who has a new sex partner, multiple partners, or a partner with an STD.

• #15 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  Annual screening for N. gonorrhoeae infection is recommended for all sexually active women aged 25 years and for older women at increased risk for infection (e.g., those aged 25 years who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, or a sex partner who has an STI) (149). […] Clinicians should consider the communities they serve and consult local public health authorities for guidance regarding identifying groups at increased risk. […] At least annual screening is recommended for all MSM. Screening for gonorrhea among heterosexual men and women aged 25 years who are at low risk for infection is not recommended (149). […] To maximize adherence with recommended therapies and reduce complications and transmission, medication for gonococcal infection should be provided on-site and directly observed.

• #16 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  Annual screening for N. gonorrhoeae infection is recommended for all sexually active women aged 25 years and for older women at increased risk for infection (e.g., those aged 25 years who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, or a sex partner who has an STI) (149). […] Clinicians should consider the communities they serve and consult local public health authorities for guidance regarding identifying groups at increased risk. […] At least annual screening is recommended for all MSM. Screening for gonorrhea among heterosexual men and women aged 25 years who are at low risk for infection is not recommended (149). […] To maximize adherence with recommended therapies and reduce complications and transmission, medication for gonococcal infection should be provided on-site and directly observed.

• #17 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  Annual screening for N. gonorrhoeae infection is recommended for all sexually active women aged 25 years and for older women at increased risk for infection (e.g., those aged 25 years who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, or a sex partner who has an STI) (149). […] Clinicians should consider the communities they serve and consult local public health authorities for guidance regarding identifying groups at increased risk. […] At least annual screening is recommended for all MSM. Screening for gonorrhea among heterosexual men and women aged 25 years who are at low risk for infection is not recommended (149). […] To maximize adherence with recommended therapies and reduce complications and transmission, medication for gonococcal infection should be provided on-site and directly observed.

• #18 Gonorrhea – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gonorrhea/symptoms-causes/syc-20351774

  Regularne badania są również zalecane dla mężczyzn, którzy uprawiają seks z mężczyznami. […] Lek o nazwie doksycyklina może być opcją zapobiegania zakażeniu wśród osób z wyższym ryzykiem niż przeciętne. […] Przyjmowanie doksycykliny w ciągu 3 dni po aktywności seksualnej obniża ryzyko zakażenia bakteriami, które powodują gonoreę. […] Jeśli zdiagnozowano u ciebie gonoreę, nie uprawiaj seksu, dopóki ty i twój partner seksualny nie zakończycie leczenia i nie ustąpią objawy.

• #19 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  To minimize disease transmission, persons treated for gonorrhea should be instructed to abstain from sexual activity for 7 days after treatment and until all sex partners are treated (7 days after receiving treatment and resolution of symptoms, if present). […] All persons who receive a diagnosis of gonorrhea should be tested for other STIs, including chlamydia, syphilis, and HIV. Those persons whose HIV test results are negative should be offered HIV PrEP. […] Recent sex partners (i.e., persons having sexual contact with the infected patient 60 days preceding onset of symptoms or gonorrhea diagnosis) should be referred for evaluation, testing, and presumptive treatment. […] If adherence with multiday dosing is a considerable concern, azithromycin 1 g can be considered but has lower treatment efficacy among persons with rectal chlamydia (see Chlamydial Infections). […] To avoid reinfection, sex partners should be instructed to abstain from condomless sexual intercourse for 7 days after they and their sex partners have completed treatment and after resolution of symptoms, if present.

• #20 Chlamydial and Gonococcal Infections: Screening, Diagnosis, and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p388.html

  The USPSTF and Centers for Disease Control and Prevention (CDC) recommend annual screening for chlamydial and gonococcal infections to prevent infertility and pelvic inflammatory disease in sexually active people 24 years and younger with a cervix and in older people with a cervix who have risk factors. […] Screening for urogenital infections only and neglecting pharyngeal and rectal sites of exposure will miss a substantial proportion of chlamydial and gonococcal infections. […] Routine testing for chlamydial infections of the oropharynx is not recommended, but many laboratories will test for gonococcal and chlamydial infections simultaneously. […] The prevalence of perinatal gonococcal infections is 0.2 to 0.4 cases per 100,000 live births. The USPSTF recommends universal prophylaxis with ocular erythromycin 0.5% ointment to prevent gonococcal ophthalmia neonatorum. […] Gonococcal and chlamydial infections in pregnancy are associated with increased risks, including preterm birth, premature rupture of membranes, stillbirth, low-birth-weight infants, and neonatal infection.

• #21 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  Annual screening for N. gonorrhoeae infection is recommended for all sexually active women aged 25 years and for older women at increased risk for infection (e.g., those aged 25 years who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, or a sex partner who has an STI) (149). […] Clinicians should consider the communities they serve and consult local public health authorities for guidance regarding identifying groups at increased risk. […] At least annual screening is recommended for all MSM. Screening for gonorrhea among heterosexual men and women aged 25 years who are at low risk for infection is not recommended (149). […] To maximize adherence with recommended therapies and reduce complications and transmission, medication for gonococcal infection should be provided on-site and directly observed.

• #22 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  To minimize disease transmission, persons treated for gonorrhea should be instructed to abstain from sexual activity for 7 days after treatment and until all sex partners are treated (7 days after receiving treatment and resolution of symptoms, if present). […] All persons who receive a diagnosis of gonorrhea should be tested for other STIs, including chlamydia, syphilis, and HIV. Those persons whose HIV test results are negative should be offered HIV PrEP. […] Recent sex partners (i.e., persons having sexual contact with the infected patient 60 days preceding onset of symptoms or gonorrhea diagnosis) should be referred for evaluation, testing, and presumptive treatment. […] If adherence with multiday dosing is a considerable concern, azithromycin 1 g can be considered but has lower treatment efficacy among persons with rectal chlamydia (see Chlamydial Infections). […] To avoid reinfection, sex partners should be instructed to abstain from condomless sexual intercourse for 7 days after they and their sex partners have completed treatment and after resolution of symptoms, if present.

• #23 Gonorrhea Treatment & Management: Approach Considerations, Pharmacologic Treatment Regimens, Consultations

  https://emedicine.medscape.com/article/218059-treatment

  Identification and treatment of the patient’s partner and any partners of the partner are important to prevent reinfection and complications. […] Prevention of neonatal disease is with the use of silver nitrate, erythromycin, ciprofloxacin, gentamicin, or erythromycin eye drops. […] In an effort to minimize transmission of gonorrhea, patients should refrain from all sexual activity for at least 7 days after treatment, and all sexual partners should undergo appropriate treatment. […] The prevention of gonococcal infections is based on education, mechanical or chemical prophylaxis, and early diagnosis and treatment. Condoms offer partial protection, while effective antibiotics taken in therapeutic doses immediately before or soon after exposure can mediate an infection. […] Preventive measures also include attention to partner notification. Patients should be encouraged to notify their sexual partners of their exposure and encourage them to seek medical care; this is patient referral.

• #24 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  To minimize disease transmission, persons treated for gonorrhea should be instructed to abstain from sexual activity for 7 days after treatment and until all sex partners are treated (7 days after receiving treatment and resolution of symptoms, if present). […] All persons who receive a diagnosis of gonorrhea should be tested for other STIs, including chlamydia, syphilis, and HIV. Those persons whose HIV test results are negative should be offered HIV PrEP. […] Recent sex partners (i.e., persons having sexual contact with the infected patient 60 days preceding onset of symptoms or gonorrhea diagnosis) should be referred for evaluation, testing, and presumptive treatment. […] If adherence with multiday dosing is a considerable concern, azithromycin 1 g can be considered but has lower treatment efficacy among persons with rectal chlamydia (see Chlamydial Infections). […] To avoid reinfection, sex partners should be instructed to abstain from condomless sexual intercourse for 7 days after they and their sex partners have completed treatment and after resolution of symptoms, if present.

• #25 Gonorrhoea – including symptoms, treatment and prevention | SA Health

  https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/conditions/infectious+diseases/gonorrhoea/gonorrhoea+-+including+symptoms+treatment+and+prevention

  Gonorrhoea is a serious infection of the genital tract, caused by the bacterium Neisseria gonorrhoeae, sometimes called gonococcus. […] Gonorrhoea is transmitted sexually, by oral, anal or genital sex. […] Prevention of gonorrhoea […] Using condoms or other barrier methods during sex […] No sex until antibiotic treatment is completed, and your usual sexual partner has completed treatment […] A follow-up test must be done to make sure that treatment has cleared the infection […] All sexual partners need to be contacted, tested and treated, if indicated. Even if partners have no symptoms they may be able to transmit infection to other sexual partners […] Testing to exclude other sexually transmitted infections is advisable.

• #26 Gonococcal Infections Among Adolescents and Adults – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm

  To minimize disease transmission, persons treated for gonorrhea should be instructed to abstain from sexual activity for 7 days after treatment and until all sex partners are treated (7 days after receiving treatment and resolution of symptoms, if present). […] All persons who receive a diagnosis of gonorrhea should be tested for other STIs, including chlamydia, syphilis, and HIV. Those persons whose HIV test results are negative should be offered HIV PrEP. […] Recent sex partners (i.e., persons having sexual contact with the infected patient 60 days preceding onset of symptoms or gonorrhea diagnosis) should be referred for evaluation, testing, and presumptive treatment. […] If adherence with multiday dosing is a considerable concern, azithromycin 1 g can be considered but has lower treatment efficacy among persons with rectal chlamydia (see Chlamydial Infections). […] To avoid reinfection, sex partners should be instructed to abstain from condomless sexual intercourse for 7 days after they and their sex partners have completed treatment and after resolution of symptoms, if present.

• #27 Gonorrhea | doh

  https://dchealth.dc.gov/page/gonorrhea

  Gonorrhea is treated with antibiotics. Commonly used medications include Rocephin (injection) and Cefixime (pills or liquid). […] It is recommended that individuals be re-screened three months after receiving treatment. […] Avoid unprotected sexual contact. Always use a condom during vaginal, anal and oral sex. […] If you are treated for gonorrhea, notify your sex partners to avoid re-infection. […] If you have questions or think you may have Gonorrhea, stop having sex and come to the DC Health and Wellness Center for a FREE and CONFIDENTIAL assessment.

• #28 Gonorrhea: Symptoms, Testing, Treatment and Prevention | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/gonorrhea

  Abstinence (not having sex) is the best way to avoid other STIs and HIV. If you do have sex, some things might help prevent the spread of STIs: […] Use a condom every time you have sex, the whole time you have sex. […] You and your partner(s) must be treated and have a follow-up health care visit if the symptoms do not go away. […] Get re-tested in 3 months. People who are infected with gonorrhea once are more likely to get it again.

• #29 Doxy PEP for Bacterial STI Prevention | STI | CDC

  https://www.cdc.gov/sti/hcp/doxy-pep/index.html

  Healthcare providers can use CDC guidelines to prescribe doxycycline post-exposure prophylaxis (doxy PEP) to prevent bacterial STIs. […] Doxy PEP has proven to reduce the risk of getting some bacterial STIs for gay, bisexual, and other men who have sex with men and transgender women at increased risk for STIs (specifically, syphilis, chlamydia, and in some studies, gonorrhea). […] CDC recommends healthcare providers discuss doxy PEP with all gay, bisexual, and other men who have sex with men and transgender women with a history of at least one bacterial STI (gonorrhea, chlamydia, and syphilis) in the last 12 months. […] Providers should discuss the proven benefits of doxy PEP in reducing STIs, as well as the known and unknown risks of this strategy. […] Write a prescription for self-administration of doxycycline 200 mg (any formulation) as soon as possible, within 72 hours after oral, vaginal, or anal sex. […] Continue screening for gonorrhea, chlamydia, and syphilis. […] Assess doxy side effects. […] Re-assess need for doxy PEP.

• #30 Doxycycline Postexposure Prophylaxis for Prevention of Sexually Transmitted Infections

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10776032/

  Doxycycline postexposure prophylaxis (doxy-PEP) is a novel strategy now demonstrated in several clinical trials to dramatically reduce incidence rates of gonorrhea, chlamydia, and syphilis in some key populations at high risk of sexually transmitted infections. […] Doxycycline postexposure prophylaxis (doxy-PEP) is an evidence-based prevention intervention that involves a person at risk of bacterial STI (ie, gonorrhea, chlamydia, or syphilis) taking a single dose of doxycycline 200 mg after condomless sex to proactively prevent infection. […] Taken together, the 3 trials (IPERGAY, DoxyPEP, and DOXYVAC) have provided consistent and robust evidence of the efficacy of doxy-PEP. Its primary benefit is a substantial reduction in risk of bacterial STIs in certain MSM and TGW, regardless of HIV status, who are at high risk of repeat infection based on their history of a recent STI.

• #31 Practice Alert: CDC Guidelines on Doxycycline for STI Postexposure Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2024/1000/editorial-doxycycline-sti-postexposure-prophylaxis.html

  The Centers for Disease Control and Prevention (CDC) recently released guidelines on the use of doxycycline for postexposure prophylaxis of gonorrhea, chlamydia, and syphilis. […] The CDC recommends that clinicians discuss prescribing doxycycline postexposure prophylaxis to prevent bacterial STIs with men who have sex with men (MSM), and transgender women, who have had a bacterial STI in the past year. […] Doxycycline, 200 mg, administered within 24 hours and no later than 72 hours after condomless oral, vaginal, or anal sex has been shown to prevent gonorrhea, chlamydia, and syphilis. […] Because of the lack of evidence in other populations and a concern about possible antibiotic resistance with long-term, widespread use, the CDC recommends doxycycline postexposure prophylaxis only for MSM, and transgender women, who have received a bacterial STI diagnosis in the previous year.

• #32 STI prevention method shows promise in curbing infections in groups at high risk – Kaiser Permanente Division of Research

  https://divisionofresearch.kaiserpermanente.org/sti-prevention-method-shows-promise-in-curbing-infections-in-groups-at-high-risk/

  Taking the antibiotic doxycycline after sexual exposures for prevention of sexually transmitted infections (STIs) a method known as doxyPEP was effective in reducing cases of syphilis, chlamydia and gonorrhea in patients at risk for STIs, according to a new study of Kaiser Permanente patients. […] DoxyPEP involves taking doxycycline within 72 hours after sexual exposures to reduce risk of acquiring bacterial STIs such as chlamydia, syphilis, and gonorrhea. […] The study compared bacterial STI infections in the patients before they received a doxyPEP prescription and after. The researchers found incidence declined 79% for chlamydia, 80% for syphilis, and 12% for gonorrhea. […] After doxyPEP became available for our PrEP patients, we have seen a dramatic decline in positive STI tests and less need for treatment after STI exposures.

• #33 Doxy PEP for Bacterial STI Prevention | STI | CDC

  https://www.cdc.gov/sti/hcp/doxy-pep/index.html

  Healthcare providers can use CDC guidelines to prescribe doxycycline post-exposure prophylaxis (doxy PEP) to prevent bacterial STIs. […] Doxy PEP has proven to reduce the risk of getting some bacterial STIs for gay, bisexual, and other men who have sex with men and transgender women at increased risk for STIs (specifically, syphilis, chlamydia, and in some studies, gonorrhea). […] CDC recommends healthcare providers discuss doxy PEP with all gay, bisexual, and other men who have sex with men and transgender women with a history of at least one bacterial STI (gonorrhea, chlamydia, and syphilis) in the last 12 months. […] Providers should discuss the proven benefits of doxy PEP in reducing STIs, as well as the known and unknown risks of this strategy. […] Write a prescription for self-administration of doxycycline 200 mg (any formulation) as soon as possible, within 72 hours after oral, vaginal, or anal sex. […] Continue screening for gonorrhea, chlamydia, and syphilis. […] Assess doxy side effects. […] Re-assess need for doxy PEP.

• #34 DoxyPEP: Using antibiotics to prevent STIs | aidsmap

  https://www.aidsmap.com/about-hiv/doxypep-using-antibiotics-prevent-stis

  Some strains are resistant to doxycycline, so the drug may vary in its effectiveness at preventing gonorrhoea depending on the context, as was documented in the French and Kenyan studies. […] Doxycycline is not used to treat gonorrhoea. […] The available evidence for doxyPEP only applies to gay and bisexual men and transgender women. […] If you do not use condoms consistently, or at all, have multiple sexual partners and have had bacterial STIs in the past year, doxyPEP could benefit you. […] An accepted public health approach promotes the control of STIs among those at highest risk as a way of reducing STIs in the general population. […] Guidelines recommend a 200mg dose after a sexual encounter (ideally within 24 hours and no later than 72 hours). […] Doxycycline should not be used by pregnant people, or those who might become pregnant. […] Potential bacterial resistance needs to be monitored at a population level with increased regular use of doxycycline.

• #35 Doxy PEP FAQs | Doxy PEP FAQs – NCSD

  https://ncsddc.org/resource/doxy-pep-faqs/

  An April 2023 NEJM article showed doxy PEP reduced syphilis by 87%, chlamydia by 88%, and gonorrhea by 55% in individuals taking HIV PrEP and reduced syphilis by 77%, chlamydia by 74%, and gonorrhea by 57% in people living with HIV. […] It’s important to note that it’s most effective when taken within the first 24 hours after exposure, and must be taken within 72 hours to work. […] While results vary somewhat from study to study, they have consistently found a significant decrease in transmission rates when using doxy PEP as prescribed. […] It’s important to continue to get regularly tested for STIs if you’re sexually active, especially if you have multiple and/or anonymous partners — try scheduling a routine STI visit and then bring up doxy PEP during your time with your provider.

• #36 Doxy PEP for Bacterial STI Prevention | STI | CDC

  https://www.cdc.gov/sti/hcp/doxy-pep/index.html

  Healthcare providers can use CDC guidelines to prescribe doxycycline post-exposure prophylaxis (doxy PEP) to prevent bacterial STIs. […] Doxy PEP has proven to reduce the risk of getting some bacterial STIs for gay, bisexual, and other men who have sex with men and transgender women at increased risk for STIs (specifically, syphilis, chlamydia, and in some studies, gonorrhea). […] CDC recommends healthcare providers discuss doxy PEP with all gay, bisexual, and other men who have sex with men and transgender women with a history of at least one bacterial STI (gonorrhea, chlamydia, and syphilis) in the last 12 months. […] Providers should discuss the proven benefits of doxy PEP in reducing STIs, as well as the known and unknown risks of this strategy. […] Write a prescription for self-administration of doxycycline 200 mg (any formulation) as soon as possible, within 72 hours after oral, vaginal, or anal sex. […] Continue screening for gonorrhea, chlamydia, and syphilis. […] Assess doxy side effects. […] Re-assess need for doxy PEP.

• #37 Practice Alert: CDC Guidelines on Doxycycline for STI Postexposure Prophylaxis | AAFP

  https://www.aafp.org/pubs/afp/issues/2024/1000/editorial-doxycycline-sti-postexposure-prophylaxis.html

  The Centers for Disease Control and Prevention (CDC) recently released guidelines on the use of doxycycline for postexposure prophylaxis of gonorrhea, chlamydia, and syphilis. […] The CDC recommends that clinicians discuss prescribing doxycycline postexposure prophylaxis to prevent bacterial STIs with men who have sex with men (MSM), and transgender women, who have had a bacterial STI in the past year. […] Doxycycline, 200 mg, administered within 24 hours and no later than 72 hours after condomless oral, vaginal, or anal sex has been shown to prevent gonorrhea, chlamydia, and syphilis. […] Because of the lack of evidence in other populations and a concern about possible antibiotic resistance with long-term, widespread use, the CDC recommends doxycycline postexposure prophylaxis only for MSM, and transgender women, who have received a bacterial STI diagnosis in the previous year.

• #38 Doxycycline Postexposure Prophylaxis (doxy PEP) | Washington State Department of Health

  https://doh.wa.gov/you-and-your-family/illness-and-disease-z/sexually-transmitted-infections-sti/doxycycline-postexposure-prophylaxis-doxy-pep

  Use of doxycycline for PEP, known as doxy PEP, is reported to be tolerated and to significantly reduce the acquisition of chlamydia (CT), gonorrhea (GC), and syphilis when taken within 72 hours after condomless oral, anal, or vaginal sex. […] Doxy PEP is less effective for gonorrhea prevention because of existing resistance to tetracyclines in some forms of gonorrhea. This means that the use of doxycycline will not prevent all forms of gonorrhea. However, not all forms of gonorrhea are resistant to the tetracycline class of antibiotics, so doxy PEP will still prevent gonorrhea infection for many who use it. […] Recent studies have shown that taking doxy PEP can reduce your chance of getting syphilis and chlamydia by about three quarters and gonorrhea by about half. […] Doxy PEP does not prevent HIV, hepatitis A, B, or C, Mpox (monkeypox), HPV, or herpes. Although doxy PEP can prevent bacterial STIs, and that is why it is recommended, it may not prevent all bacterial STIs, so you should still get tested regularly.

• #39 DoxyPEP: Using antibiotics to prevent STIs | aidsmap

  https://www.aidsmap.com/about-hiv/doxypep-using-antibiotics-prevent-stis

  Taking the antibiotic doxycycline after sex works well to prevent syphilis and chlamydia for gay and bisexual men, and trans women. It tends to be less effective at preventing gonorrhoea. […] DoxyPEP can be taken by those living with HIV and people who are HIV-negative. […] This approach may not be effective for cisgender women or people assigned female at birth. […] A general concern about this idea is an increase in bacteria that are resistant to doxycycline, an antibiotic needed to treat a wide range of infections. […] STI prophylaxis involves taking an antibiotic pill to prevent bacterial STIs, such as syphilis and chlamydia. […] This approach has proven effective for gay and bisexual men and transgender women. […] The evidence shows that doxyPEP is effective against syphilis and chlamydia, but tends to be less effective in preventing gonorrhoea.

• #40 Doxycycline Postexposure Prophylaxis (doxy PEP) | Washington State Department of Health

  https://doh.wa.gov/you-and-your-family/illness-and-disease-z/sexually-transmitted-infections-sti/doxycycline-postexposure-prophylaxis-doxy-pep

  Current efficacy data only applies to gay/bisexual men and transgender women. Doxy PEP efficacy in other populations (i.e., cisgender women, cisgender heterosexual men, transgender men, other queer and nonbinary people) remains unclear. Given the lack of supporting data and the concerns for possible birth defects caused by the use of doxycycline during pregnancy, there is not currently enough evidence to recommend doxy PEP for people who have receptive vaginal sex or who may become pregnant. However, if a client feels that doxy PEP would be a valuable tool for their sexual health, encourage them to talk with their medical provider.

• #41 DoxyPEP: Using antibiotics to prevent STIs | aidsmap

  https://www.aidsmap.com/about-hiv/doxypep-using-antibiotics-prevent-stis

  Taking the antibiotic doxycycline after sex works well to prevent syphilis and chlamydia for gay and bisexual men, and trans women. It tends to be less effective at preventing gonorrhoea. […] DoxyPEP can be taken by those living with HIV and people who are HIV-negative. […] This approach may not be effective for cisgender women or people assigned female at birth. […] A general concern about this idea is an increase in bacteria that are resistant to doxycycline, an antibiotic needed to treat a wide range of infections. […] STI prophylaxis involves taking an antibiotic pill to prevent bacterial STIs, such as syphilis and chlamydia. […] This approach has proven effective for gay and bisexual men and transgender women. […] The evidence shows that doxyPEP is effective against syphilis and chlamydia, but tends to be less effective in preventing gonorrhoea.

• #42 Doxycycline Guidelines for STI Postexposure Prophylaxis

  https://www.uspharmacist.com/article/doxycycline-guidelines-for-sti-postexposure-prophylaxis

  At follow-up visits, providers should continue to follow CDC recommendations for screening, treatment, and prevention of STIs, including encouraging the use of HIV PrEP as indicated; screening for gonorrhea, chlamydia, and syphilis every 3 to 6 months in MSM and transgender women at increased risk for infection. […] Pharmacists play an integral role in the appropriate use of doxycycline as PEP of bacterial STIs.

• #43 Doxy PEP FAQs | Doxy PEP FAQs – NCSD

  https://ncsddc.org/resource/doxy-pep-faqs/

  Using doxycycline as STI PEP (post-exposure prophylaxis), or doxy PEP, is a new use for a well-known medication. […] PEP stands for Post-Exposure Prophylaxis. Post-exposure prophylaxis, also known as post-exposure prevention, is any preventive medical treatment started after exposure to a pathogen in order to prevent the infection from occurring. […] Using doxy PEP involves taking 200 mg of doxycycline, ideally within 24 hours but no later than 72 hours, after condomless oral, anal, or vaginal sex. The sooner you can take it after sexual contact, the better! […] Since doxycycline is an antibiotic, it will only be helpful in preventing bacterial STIs. So far, it has primarily been studied for prevention of gonorrhea, chlamydia, and syphilis. […] Condoms are still the most effective way to prevent the transmission of STIs.

• #44 Doxycycline Guidelines for STI Postexposure Prophylaxis

  https://www.uspharmacist.com/article/doxycycline-guidelines-for-sti-postexposure-prophylaxis

  The CDC clinical guidelines strongly recommend that providers counsel MSM and transgender women about the risks and benefits of doxycycline PEP to prevent bacterial STIs and to offer doxycycline PEP using shared decision-making for those with a history of at least one infection with chlamydia, gonorrhea, or syphilis within the previous 12 months. […] Doxycycline PEP should be used in conjunction with a comprehensive sexual health approach, focused on prevention and control of STIs. […] At the initial doxycycline PEP visit, individuals should be screened for gonorrhea and chlamydia at anatomic sites of exposure and screened for syphilis with serologic testing and treated accordingly based on findings. […] Providers should assess an individual’s ongoing need for doxycycline PEP every 3 to 6 months.

• #45 Chlamydial and Gonococcal Infections: Screening, Diagnosis, and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p388.html

  The USPSTF and Centers for Disease Control and Prevention (CDC) recommend annual screening for chlamydial and gonococcal infections to prevent infertility and pelvic inflammatory disease in sexually active people 24 years and younger with a cervix and in older people with a cervix who have risk factors. […] Screening for urogenital infections only and neglecting pharyngeal and rectal sites of exposure will miss a substantial proportion of chlamydial and gonococcal infections. […] Routine testing for chlamydial infections of the oropharynx is not recommended, but many laboratories will test for gonococcal and chlamydial infections simultaneously. […] The prevalence of perinatal gonococcal infections is 0.2 to 0.4 cases per 100,000 live births. The USPSTF recommends universal prophylaxis with ocular erythromycin 0.5% ointment to prevent gonococcal ophthalmia neonatorum. […] Gonococcal and chlamydial infections in pregnancy are associated with increased risks, including preterm birth, premature rupture of membranes, stillbirth, low-birth-weight infants, and neonatal infection.

• #46 Gonorrhea Treatment & Management: Approach Considerations, Pharmacologic Treatment Regimens, Consultations

  https://emedicine.medscape.com/article/218059-treatment

  The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on expedited partner therapy for chlamydial and gonorrheal sexually transmitted diseases (STDs). […] Doxycycline post-exposure prophylaxis was tested in a randomized open-label trial among men who have sex with men and transgender women living with HIV or on PrEP who had N gonorrhoeae (GC), C trachomatis (CT), or early syphilis in the past year. […] All infants born to mothers with untreated gonococcal infection should be treated prophylactically with a single dose of ceftriaxone (25-50 mg/kg IV/IM, not to exceed 125 mg). All neonates should undergo prophylaxis for ophthalmia neonatorum with silver nitrate (1%) aqueous solution in both eyes once or erythromycin (0.5%) ophthalmic ointment in both eyes once.

• #47 Gonorrhea | Department of Health | Commonwealth of Pennsylvania

  https://www.pa.gov/agencies/health/diseases-conditions/infectious-disease/std/gonorrhea.html

  By using latex condoms correctly and consistently during vaginal or rectal sexual activity, you can reduce your risk of getting gonorrhea and its complications. […] All pregnant women at risk for gonorrhea or living in an area in which the prevalence of Neisseria gonorrhoeae is high should be screened at the first prenatal visit for N. gonorrhoeae. Pregnant women aged 25 years are at highest risk for gonorrhea infection. Other risk factors for gonorrhea include a previous gonorrhea infection, other STDs, new or multiple sex partners, inconsistent condom use, commercial sex work, and drug use. Pregnant women found to have gonococcal infection during the first trimester should be retested within approximately 36 months, preferably in the third trimester. Uninfected pregnant women who remain at high risk for gonococcal infection also should be retested during the third trimester.

• #48 Gonorrhea | Department of Health | Commonwealth of Pennsylvania

  https://www.pa.gov/agencies/health/diseases-conditions/infectious-disease/std/gonorrhea.html

  By using latex condoms correctly and consistently during vaginal or rectal sexual activity, you can reduce your risk of getting gonorrhea and its complications. […] All pregnant women at risk for gonorrhea or living in an area in which the prevalence of Neisseria gonorrhoeae is high should be screened at the first prenatal visit for N. gonorrhoeae. Pregnant women aged 25 years are at highest risk for gonorrhea infection. Other risk factors for gonorrhea include a previous gonorrhea infection, other STDs, new or multiple sex partners, inconsistent condom use, commercial sex work, and drug use. Pregnant women found to have gonococcal infection during the first trimester should be retested within approximately 36 months, preferably in the third trimester. Uninfected pregnant women who remain at high risk for gonococcal infection also should be retested during the third trimester.

• #49 Gonorrhea Treatment & Management: Approach Considerations, Pharmacologic Treatment Regimens, Consultations

  https://emedicine.medscape.com/article/218059-treatment

  The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on expedited partner therapy for chlamydial and gonorrheal sexually transmitted diseases (STDs). […] Doxycycline post-exposure prophylaxis was tested in a randomized open-label trial among men who have sex with men and transgender women living with HIV or on PrEP who had N gonorrhoeae (GC), C trachomatis (CT), or early syphilis in the past year. […] All infants born to mothers with untreated gonococcal infection should be treated prophylactically with a single dose of ceftriaxone (25-50 mg/kg IV/IM, not to exceed 125 mg). All neonates should undergo prophylaxis for ophthalmia neonatorum with silver nitrate (1%) aqueous solution in both eyes once or erythromycin (0.5%) ophthalmic ointment in both eyes once.

• #50 Chlamydial and Gonococcal Infections: Screening, Diagnosis, and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p388.html

  The USPSTF and Centers for Disease Control and Prevention (CDC) recommend annual screening for chlamydial and gonococcal infections to prevent infertility and pelvic inflammatory disease in sexually active people 24 years and younger with a cervix and in older people with a cervix who have risk factors. […] Screening for urogenital infections only and neglecting pharyngeal and rectal sites of exposure will miss a substantial proportion of chlamydial and gonococcal infections. […] Routine testing for chlamydial infections of the oropharynx is not recommended, but many laboratories will test for gonococcal and chlamydial infections simultaneously. […] The prevalence of perinatal gonococcal infections is 0.2 to 0.4 cases per 100,000 live births. The USPSTF recommends universal prophylaxis with ocular erythromycin 0.5% ointment to prevent gonococcal ophthalmia neonatorum. […] Gonococcal and chlamydial infections in pregnancy are associated with increased risks, including preterm birth, premature rupture of membranes, stillbirth, low-birth-weight infants, and neonatal infection.

• #51 Gonorrhea Treatment & Management: Approach Considerations, Pharmacologic Treatment Regimens, Consultations

  https://emedicine.medscape.com/article/218059-treatment

  The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on expedited partner therapy for chlamydial and gonorrheal sexually transmitted diseases (STDs). […] Doxycycline post-exposure prophylaxis was tested in a randomized open-label trial among men who have sex with men and transgender women living with HIV or on PrEP who had N gonorrhoeae (GC), C trachomatis (CT), or early syphilis in the past year. […] All infants born to mothers with untreated gonococcal infection should be treated prophylactically with a single dose of ceftriaxone (25-50 mg/kg IV/IM, not to exceed 125 mg). All neonates should undergo prophylaxis for ophthalmia neonatorum with silver nitrate (1%) aqueous solution in both eyes once or erythromycin (0.5%) ophthalmic ointment in both eyes once.

• #52 Sexual Assault Infectious Disease Prophylaxis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482239/

  Sexual assault is a traumatic experience that can expose survivors to the risk of sexually transmitted infections (STIs). Preventing these infections is essential as they can lead to long-term complications. […] Prophylactic treatment is often recommended. This includes antibiotics for chlamydia, gonorrhea, and trichomoniasis, as well as preventive measures for hepatitis B, HPV, and HIV. […] The CDC recommends antibiotics for chlamydia, gonorrhea, and trichomoniasis, as well as emergency contraception, hepatitis B, HPV, and HIV evaluation. […] Standard recommendations include the treatment of gonorrhea and chlamydia at the time of the initial examination. […] The suggested evaluation includes nucleic acid amplification tests for C trachomatis and N gonorrhea at penetration sites. […] Gonorrhea: Currently, the CDC recommends ceftriaxone in a 500 mg dose intramuscularly (IM) as the drug of choice for preventing active infection of gonorrhea after sexual assault.

• #53 Sexual Assault Infectious Disease Prophylaxis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482239/

  Sexual assault is a traumatic experience that can expose survivors to the risk of sexually transmitted infections (STIs). Preventing these infections is essential as they can lead to long-term complications. […] Prophylactic treatment is often recommended. This includes antibiotics for chlamydia, gonorrhea, and trichomoniasis, as well as preventive measures for hepatitis B, HPV, and HIV. […] The CDC recommends antibiotics for chlamydia, gonorrhea, and trichomoniasis, as well as emergency contraception, hepatitis B, HPV, and HIV evaluation. […] Standard recommendations include the treatment of gonorrhea and chlamydia at the time of the initial examination. […] The suggested evaluation includes nucleic acid amplification tests for C trachomatis and N gonorrhea at penetration sites. […] Gonorrhea: Currently, the CDC recommends ceftriaxone in a 500 mg dose intramuscularly (IM) as the drug of choice for preventing active infection of gonorrhea after sexual assault.

• #54 Sexual Assault Infectious Disease Prophylaxis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482239/

  For chlamydia prophylaxis, oral doxycycline is now the first-line recommended treatment administered at 100 mg orally twice a day for 7 days. […] The CDC recommends serologic testing for hepatitis B in cases where the victim’s vaccination status is uncertain. […] The CDC recommends HPV vaccination for sexual assault survivors, particularly those younger than 26. […] The CDC recommends initiating postexposure prophylaxis (PEP) for sexual assault victims within 72 hours of an assault, particularly when there is a significant risk of transmission and the perpetrator is known to be HIV-positive. […] The preferred regimen is tenofovir disoproxil fumarate and emtricitabine, plus one of the following: raltegravir, 400 mg twice daily, or dolutegravir, 50 mg once daily. […] While the CDC recommends routine medication administration to prevent symptomatic trichomoniasis infection, some clinicians may hesitate to prescribe this treatment due to the significant adverse effects associated with the recommended antiprotozoal agents.

• #55 Sexual Assault Infectious Disease Prophylaxis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482239/

  Sexual assault is a traumatic experience that can expose survivors to the risk of sexually transmitted infections (STIs). Preventing these infections is essential as they can lead to long-term complications. […] Prophylactic treatment is often recommended. This includes antibiotics for chlamydia, gonorrhea, and trichomoniasis, as well as preventive measures for hepatitis B, HPV, and HIV. […] The CDC recommends antibiotics for chlamydia, gonorrhea, and trichomoniasis, as well as emergency contraception, hepatitis B, HPV, and HIV evaluation. […] Standard recommendations include the treatment of gonorrhea and chlamydia at the time of the initial examination. […] The suggested evaluation includes nucleic acid amplification tests for C trachomatis and N gonorrhea at penetration sites. […] Gonorrhea: Currently, the CDC recommends ceftriaxone in a 500 mg dose intramuscularly (IM) as the drug of choice for preventing active infection of gonorrhea after sexual assault.

• #56 Sexual Assault Infectious Disease Prophylaxis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482239/

  For chlamydia prophylaxis, oral doxycycline is now the first-line recommended treatment administered at 100 mg orally twice a day for 7 days. […] The CDC recommends serologic testing for hepatitis B in cases where the victim’s vaccination status is uncertain. […] The CDC recommends HPV vaccination for sexual assault survivors, particularly those younger than 26. […] The CDC recommends initiating postexposure prophylaxis (PEP) for sexual assault victims within 72 hours of an assault, particularly when there is a significant risk of transmission and the perpetrator is known to be HIV-positive. […] The preferred regimen is tenofovir disoproxil fumarate and emtricitabine, plus one of the following: raltegravir, 400 mg twice daily, or dolutegravir, 50 mg once daily. […] While the CDC recommends routine medication administration to prevent symptomatic trichomoniasis infection, some clinicians may hesitate to prescribe this treatment due to the significant adverse effects associated with the recommended antiprotozoal agents.

• #57

  https://www.who.int/news-room/fact-sheets/detail/gonorrhoea-(neisseria-gonorrhoeae-infection)

  Gonorrhoea is a preventable and curable sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae, which is primarily transmitted through vaginal, oral or anal sex. […] Most cases of gonorrhoea can be prevented with regular and correct condom use. […] People with gonorrhoea should notify current and recent sexual partners to help prevent the spread of the disease. […] Antibiotic eye ointment is recommended for newborns to prevent gonococcal eye infection. […] There are no specific vaccines for the prevention of gonorrhoea. However, studies are showing promising results with the use of a meningococcal type B vaccine (4CMenB) that seems to offer cross-protection against gonorrhoea. WHO is monitoring vaccine trials results.

• #58 Gonorrhea | Georgia Department of Public Health

  https://dph.georgia.gov/STDs/information-about-stds/gonorrhea

  Any sexually active person can be infected with gonorrhea. […] CDC recommends yearly gonorrhea screening for all sexually active women younger than 25 years, as well as older women with risk factors such as new or multiple sex partners, or a sex partner who has a sexually transmitted infection. […] CDC recommends a single 500 mg intramuscular dose of ceftriaxone for uncomplicated gonorrhea. […] It is important to take all of the medication prescribed to cure gonorrhea. […] Antimicrobial resistance in gonorrhea is of increasing concern, and successful treatment of gonorrhea is becoming more difficult.

• #59

  https://www.who.int/news-room/fact-sheets/detail/gonorrhoea-(neisseria-gonorrhoeae-infection)

  Gonorrhoea is a preventable and curable sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae, which is primarily transmitted through vaginal, oral or anal sex. […] Most cases of gonorrhoea can be prevented with regular and correct condom use. […] People with gonorrhoea should notify current and recent sexual partners to help prevent the spread of the disease. […] Antibiotic eye ointment is recommended for newborns to prevent gonococcal eye infection. […] There are no specific vaccines for the prevention of gonorrhoea. However, studies are showing promising results with the use of a meningococcal type B vaccine (4CMenB) that seems to offer cross-protection against gonorrhoea. WHO is monitoring vaccine trials results.

• #60

  https://recruit.cumc.columbia.edu/studyinfopage/2554

  A Phase II randomized, observer-blind, placebo-controlled study, to assess efficacy of meningococcal Group B vaccine rMenB+OMV NZ (Bexsero) in preventing gonococcal infection (Healthy Volunteers) […] We are looking for adult volunteers to help us see if the FDA-approved Bexsero meningitis B vaccine can prevent people from getting gonorrhea infections. […] There is no effective vaccine currently approved for preventing gonorrhea. […] This study will assess the safety and effectiveness of an FDA-approved meningococcal B vaccine called rMenB+OMV NZ (Bexsero) – in preventing gonorrhea infections.

• #61 STI prevention method shows promise in curbing infections in groups at high risk – Kaiser Permanente Division of Research

  https://divisionofresearch.kaiserpermanente.org/sti-prevention-method-shows-promise-in-curbing-infections-in-groups-at-high-risk/

  These modest reductions in gonorrhea rates reinforce the importance of regular STI testing for patients on doxyPEP and the need for novel prevention strategies for gonorrhea prevention, like vaccines that are currently in development, he said. […] Since being introduced in late 2022, doxyPEP has become the standard of care for KPNC patients on PrEP or with an HIV diagnosis at risk for bacterial STIs, Volk said. […] Having more tools at our disposal to reduce incidence is critical.

• #62 Gonorrhea and PrEP: A Comprehensive Guide to Prevention

  https://www.stdlabs.com/blog-detail/gonorrhea-and-prep:-a-comprehensive-guide-to-prevention

  It’s essential to view PrEP as just one element of a comprehensive STI prevention strategy. Combining PrEP with other preventive measures, such as regular STI testing, condom use, and vaccination against other STIs like HPV, can provide a more robust defense against gonorrhea and other STIs. […] However, its accessibility for gonorrhea prevention varies. While some healthcare providers may prescribe PrEP for its potential benefits against gonorrhea, it is not yet officially approved for this purpose in most regions. […] Gonorrhea and other STIs must be tested even during PrEP. While PrEP gives only partial protection against gonorrhea, people still need to undergo frequent medical attention for timely diagnosis and effective treatment in case of any infections. […] Although it mainly refers to a mighty weapon against HIV, current studies indicate PrEP involvement in gonorrhea transmission reduction as well. This is, however, a complicated problem that warrants more research. […] When taking PrEP, it is advisable to use other preventive measures, regular testing, and safe sex practices to prevent gonorrhea as well as other STIs.

• #63 Gonorrhea Diagnosis: Prevention and Management – Prof. Dr. Basak Baksu

  https://basakbaksu.com.tr/en/gonore-teshisi-onleme-yonetim/

  Having sex only with a partner you trust and who is careful about their sexual health minimizes the risk of contracting diseases such as gonorrhea. […] Regular sexual health screenings and seeing a doctor if you notice any symptoms can help to detect the infection early. […] Sexual health education helps individuals become aware of the disease and helps them avoid risky behaviors. […] Education and information provide strong protection against the spread of gonorrhea infection in the community. […] There is a risk of reinfection after gonorrhea treatment. […] One of the most effective ways to protect yourself from infection is to adopt safe sexual intercourse practices and make condom use a habit. […] Regular sexual health screenings allow for early detection of infection. […] Awareness of individuals about the disease largely prevents the spread of the infection to society. […] Education reduces risky behaviors, especially in young individuals, and helps them live a healthy sexual life.

• #64

  https://www.who.int/news-room/fact-sheets/detail/gonorrhoea-(neisseria-gonorrhoeae-infection)

  Gonorrhoea is a preventable and curable sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae, which is primarily transmitted through vaginal, oral or anal sex. […] Most cases of gonorrhoea can be prevented with regular and correct condom use. […] People with gonorrhoea should notify current and recent sexual partners to help prevent the spread of the disease. […] Antibiotic eye ointment is recommended for newborns to prevent gonococcal eye infection. […] There are no specific vaccines for the prevention of gonorrhoea. However, studies are showing promising results with the use of a meningococcal type B vaccine (4CMenB) that seems to offer cross-protection against gonorrhoea. WHO is monitoring vaccine trials results.

• #65 Warm Up to Safety: Cuffing Season Tips for Chlamydia and Gonorrhea Prevention | City of Bridgeport

  https://www.bridgeportct.gov/news/warm-safety-cuffing-season-tips-chlamydia-and-gonorrhea-prevention

  Chlamydia and Gonorrhea are very common sexually transmitted infections (STIs). […] The good news is chlamydia and gonorrhea are very easy to prevent with the right steps. […] Having sex with multiple partners without a condom puts you at risk for getting a chlamydia infection, as well as other STIs. Luckily, you can drastically reduce your chances of getting chlamydia by using a condom every time you have sex. […] To prevent infection, wear a condom every time you have sex, especially if you have sex with multiple partners. […] The bottom line is that wearing a condom during sex is the easiest and most effective way for sexually active people to protect themselves and their partners from STIs.

• #66 Gonorrhea Prevention: What You Need to Know – K Health

  https://khealth.com/learn/std/gonorrhea-prevention/

  You should visit a clinic to get tested after having unprotected sex with any new partner. This will ensure that if you are infected with an STD, it can be treated immediately to avoid more complicated health issues down the line. It will also help stop the spread of STDs to any other partners. […] Communicate these symptoms with your healthcare provider and they will be able to test you to determine the right treatment for you.

• #67 Preventing Sexually Transmitted Infections (STIs) after Unprotected Sex | Patient Care

  https://weillcornell.org/news/preventing-sexually-transmitted-infections-stis-after-unprotected-sex

  Doxycycline has the advantage of empowering patients to take a preventive antibiotic before they’re informed of the exposure. […] Asymptomatic patients who are at high risk for STIs, either by self-identification or provider recommendation, are advised to have screening tests performed quarterly. […] All sexually active women younger than 25 years old should be tested for gonorrhea and chlamydia every year. […] Women 25 years and older who have new or multiple sex partners, or a sex partner who has an STD, should also be tested for gonorrhea and chlamydia every year. […] High-risk patients who have had an STI in the last year should be screened regularly. […] Patients should feel empowered to ask their doctor about DoxyPEP. […] For now, doxyPEP may be the best way to stop an STI in its tracks after unprotected sex.

• #68 Gonorrhea symptoms | Cure Gonorrhea in Oklahoma | OHHPC

  https://endinghivoklahoma.org/gonorrhea-symptoms/

  Antibiotic resistance: The emergence of drug-resistant gonorrhea strains complicates treatment and increases the risk of complications. […] Stigma and barriers to testing: Social stigma surrounding STIs and limited access to confidential testing can prevent people from seeking diagnosis and treatment.

• #69 Gonorrhea guide: Prevention and control – Canada.ca

  https://www.canada.ca/en/public-health/services/infectious-diseases/sexual-health-sexually-transmitted-infections/canadian-guidelines/gonorrhea/prevention-control.html

  Prevention and control of Neisseria gonorrhoeae infections […] Measures to prevent and control the transmission of N. gonorrhoeae include counselling, prompt diagnosis and treatment of the person and their sexual partners. […] Counsel people with suspected or confirmed gonorrhea about: […] Consistent practice of safer sex (e.g. use of barrier methods such as condoms and dental dams for vaginal, anal and oral sex) […] The importance of STBBI screening […] The benefits of partner notification […] Avoiding sexual contact with untreated partners […] The importance of the treatment […] Prevention of reproductive sequelae […] Prevention of ophthalmia neonatorum by detection and treatment of gonococcal infection during pregnancy.

• #70 Gonorrhoea

  https://www.nhs.uk/conditions/gonorrhoea/

  Gonorrhoea is spread through vaginal fluid and semen. It can pass from person to person by having vaginal, anal or oral sex without a condom. […] There are some things you can do to avoid getting gonorrhoea and spreading it to others. […] use condoms when you have vaginal or anal sex […] use condoms to cover the penis or a latex or plastic square (dam) to cover the vagina if you have oral sex […] get tested once a year, or if you have a new sexual partner […] complete the full treatment if you or your sexual partner have gonorrhoea. […] do not share sex toys (if you do, wash and cover them with a new condom before anyone else uses them)

• #71 Gonorrhea: Symptoms, Causes, Prevention, Diagnosis, and Treatment

  https://www.webmd.com/sexual-conditions/gonorrhea

  Take these steps to protect yourself from gonorrhea: […] Use condoms. They help keep you from getting STDs. They act as a barrier and keep bacteria from infecting you. Spermicide wont prevent you from getting gonorrhea. […] Have your sexual partners get tested. Ask them whether theyve been checked for gonorrhea. If they havent, talk to them about getting tested. […] Don’t have sex with someone who has symptoms of gonorrhea. Has your partner complained of a burning feeling while peeing or sores in their genital area? Take a break from sexual activity until they get their symptoms checked (and you should get checked, too). […] Get regular screenings. Get tested for gonorrhea once a year if youre: a man who has sex with men, a sexually active woman under age 25, a woman who has a new sex partner, multiple partners, or a partner with an STD.

• #72 Gonorrhea: Symptoms, Treatment, Causes, and More

  https://www.healthline.com/health/gonorrhea

  Using a condom or other barrier method when engaging in sexual activity can go a long way toward lowering your chances of transmitting or contracting STIs like gonorrhea. […] The most effective way to prevent gonorrhea and other STIs is through abstinence. Otherwise, using a condom or other barrier method every time you have oral, anal, or vaginal sex can also help lower your risk. […] Another important step toward preventing STI transmission? Always have an open conversation with new partners before beginning a sexual relationship. […] If a partner has symptoms of gonorrhea or any other STI, encourage them to get tested and abstain from sexual activity until they receive a negative result.

• #73 Controlling Spread of Gonorrhea | Health & Human Services

  https://hhs.iowa.gov/center-acute-disease-epidemiology/epi-manual/reportable-diseases/gonorrhea/controlling-spread-gonorrhea

  The Iowa Department of Public Health may initiate a voluntary partner notification/referral service with persons who have been diagnosed with N. gonorrhoeae infection. […] Patients names and times of exposure are not used when notifying partners. Referral for testing and treatment are offered to all partners. […] Patient-delivered partner therapy is an option. […] Medications or prescriptions should be provided for all partners who have been sexually exposed to the patient within the two months prior to diagnosis or within the two months prior to the onset of symptoms, whichever is greater. […] Risk reduction counseling/education and testing should be offered to all persons with risk factors for N. gonorrhoeae infections and transmission. […] The surest way to avoid transmission of sexually transmitted diseases is to abstain from sexual contact, or to be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected.

• #74 Guidelines on the Use of Doxycycline Postexposure Prophylaxis

  https://nvose.org/cdc-clinical-guidelines-on-the-use-of-doxycycline-postexposure-prophylaxis-for-bacterial-sexually-transmitted-infection-prevention-united-states-2024/

  As such, the CDC recommends the following: Provide comprehensive preventative sexual health counseling and services to all sexually active individuals as indicated. […] Providers are encouraged to discuss the benefits and potential harms of using doxy PEP with all gay, bisexual, and other MSM and TGW with a history of at least one bacterial STI (syphilis, chlamydia, gonorrhea) in the last 12 months. […] If offering doxy PEP, healthcare providers should write a prescription for self-administration of the recommended dose of 200 mg of doxycycline (any formulation) to be taken as soon as possible within 72 hours after having oral, vaginal, or anal sex with a maximum dose of 200mg every 24 hours.

• #75 Gonorrhea Diagnosis: Prevention and Management – Prof. Dr. Basak Baksu

  https://basakbaksu.com.tr/en/gonore-teshisi-onleme-yonetim/

  Having sex only with a partner you trust and who is careful about their sexual health minimizes the risk of contracting diseases such as gonorrhea. […] Regular sexual health screenings and seeing a doctor if you notice any symptoms can help to detect the infection early. […] Sexual health education helps individuals become aware of the disease and helps them avoid risky behaviors. […] Education and information provide strong protection against the spread of gonorrhea infection in the community. […] There is a risk of reinfection after gonorrhea treatment. […] One of the most effective ways to protect yourself from infection is to adopt safe sexual intercourse practices and make condom use a habit. […] Regular sexual health screenings allow for early detection of infection. […] Awareness of individuals about the disease largely prevents the spread of the infection to society. […] Education reduces risky behaviors, especially in young individuals, and helps them live a healthy sexual life.

• #76 Doxycycline for STI Prevention: Highly Effective, Minimal Drug Resistance | UC San Francisco

  https://www.ucsf.edu/news/2023/02/424861/doxycycline-sti-prevention-highly-effective-minimal-drug-resistance

  Doxy-PEP is a promising strategy to reduce sexually transmitted infections in populations that are disproportionately affected by high rates of sexually transmitted infections, specifically, men who have sex with men and transgender women who have had recent STIs, said Connie Celum, MD, professor of global health, medicine, and epidemiology at the University of Washington, a co-principal investigator on the study. It will be important to monitor the impact of doxy-PEP on antibiotic resistance over time and weigh this against the demonstrated benefit of reduced STIs.

• #77 Doxycycline Postexposure Prophylaxis (doxy PEP) | Washington State Department of Health

  https://doh.wa.gov/you-and-your-family/illness-and-disease-z/sexually-transmitted-infections-sti/doxycycline-postexposure-prophylaxis-doxy-pep

  Use of doxycycline for PEP, known as doxy PEP, is reported to be tolerated and to significantly reduce the acquisition of chlamydia (CT), gonorrhea (GC), and syphilis when taken within 72 hours after condomless oral, anal, or vaginal sex. […] Doxy PEP is less effective for gonorrhea prevention because of existing resistance to tetracyclines in some forms of gonorrhea. This means that the use of doxycycline will not prevent all forms of gonorrhea. However, not all forms of gonorrhea are resistant to the tetracycline class of antibiotics, so doxy PEP will still prevent gonorrhea infection for many who use it. […] Recent studies have shown that taking doxy PEP can reduce your chance of getting syphilis and chlamydia by about three quarters and gonorrhea by about half. […] Doxy PEP does not prevent HIV, hepatitis A, B, or C, Mpox (monkeypox), HPV, or herpes. Although doxy PEP can prevent bacterial STIs, and that is why it is recommended, it may not prevent all bacterial STIs, so you should still get tested regularly.

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