The Testing Window
Gonorrhoea is usually detectable around two weeks after exposure, and sometimes sooner. If it has been only a few days, we may recommend testing now and repeating.

Treatment is an intramuscular injection rather than tablets, and needs a test of cure afterwards, because resistance is rising and treatment failure is now a real possibility. We explain both before you book, so nothing about the appointment is a surprise.
Gonorrhoea diagnoses in the UK are at their highest recorded level, and like chlamydia it frequently causes no symptoms, particularly in the throat and rectum. Testing is the only way to know.
The test is straightforward: a urine sample or a swab, taking a few minutes, with results the next day. One thing worth knowing before you book is that gonorrhoea often infects the throat or rectum without any genital infection, so if you have had oral or anal sex, a genital sample alone can come back negative while an infection is present elsewhere. Tell us about your sexual history when you book, not because anyone is judging, but because it determines which samples are taken and whether the test actually answers your question.

Gonorrhoea is usually detectable around two weeks after exposure, and sometimes sooner. If it has been only a few days, we may recommend testing now and repeating.
Genital, throat and rectal sites are tested separately, and infection at one site does not show up in a sample from another. Which samples you need depends on your sexual history.
Same-day slots are usually available across all ten clinics, Monday to Friday 8am to 7pm and Saturday 9am - 2pm.
Step 1
Same-day slots available. Tell us your sexual history so the right samples are taken.
Step 2
A urine sample or swab, plus throat or rectal swabs where relevant. A few minutes.
Step 3
Results come directly to you, with a clinician available to explain them.
Step 4
If positive, treatment is arranged, plus advice on partners and a test of cure afterwards.

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Gonorrhoea is an infection caused by the bacterium Neisseria gonorrhoeae, passed on through unprotected vaginal, anal or oral sex and through sharing sex toys. It can infect the genital tract, the throat, the rectum and, less commonly, the eyes.
Symptoms, where they occur, tend to appear within two weeks: thick discharge that may be yellow or green, discomfort passing urine, testicular pain in men, or rectal discharge and discomfort. But around one in ten men and half of women have no genital symptoms, and throat and rectal infections are very often silent.
Untreated, gonorrhoea can cause pelvic inflammatory disease in women, with the same consequences for fertility as untreated chlamydia, and epididymo-orchitis in men. Rarely it spreads through the bloodstream to cause joint and skin problems.
The antibiotic resistance point is genuinely important and worth understanding. Gonorrhoea has become resistant to one antibiotic class after another, which is why treatment is no longer a course of tablets but a single intramuscular injection of ceftriaxone, and why UK guidance expects a test of cure afterwards to confirm the infection has actually cleared. Strains resistant even to ceftriaxone have been identified in the UK. Practically, this means two things for you: do not accept oral antibiotics for gonorrhoea from any provider, and do go back for the test of cure rather than assuming it worked.
| Private Gonorrhoea Testing | NHS | |
|---|---|---|
| Access | Book directly, same day usually | Sexual health clinic, some walk in |
| Results | Next day | Typically several days to two weeks |
| Multi site testing | Genital, throat and rectal | Same, and routine at specialist clinics |
| Culture and sensitivity | Available at £195 | Standard practice at specialist clinics |
| Treatment | Ask at your appointment | Provided free, including IM ceftriaxone |
| Test of cure | Ask at your appointment | Standard practice |
For gonorrhoea specifically, a specialist NHS sexual health clinic is a genuinely good option. They are free, they treat with the right agent, they do tests of cure as standard, and they handle partner notification and resistance surveillance. Private testing is worth paying for when you want a next-day result or an appointment at a time you choose. If you test positive, what matters most is getting the correct treatment and a test of cure, wherever that happens.
Around two weeks for a reliable result, sometimes sooner. We may suggest testing now and repeating.
If you have had oral or anal sex, yes. Infection at those sites does not show up in a genital sample and is often symptomless.
Often, but not always. Around one in ten men and half of women have no genital symptoms, and throat and rectal infections are usually silent.
Because gonorrhoea has become resistant to the oral options that used to work. Any provider offering you tablets for gonorrhoea is not following current guidance.
Yes. Current and recent partners need testing and treatment, or reinfection is likely. We will talk through how, including anonymously if you prefer.
Usually yes. Co-infection is common, and both are covered in our screening panels.
A urine sample or swab, plus throat or rectal swabs where relevant to your history.
The next day.
With a single intramuscular injection of ceftriaxone under current UK guidance, not oral antibiotics.
Yes, current guidance recommends one because treatment failure does happen.
Untreated, it can, through pelvic inflammatory disease in women. Treated promptly, that risk is much reduced.
Only if you ask us to.
Book a confidential gonorrhoea test at your nearest clinic. Next-day results, testing at all relevant sites, and clear advice on what to do next.