References UK clinical guidance from the NHS, the British HIV Association (BHIVA), and the British Association for Sexual Health and HIV (BASHH). Last updated: April 2026.
A lab-based gonorrhoea test uses NAAT to detect the bacteria from urine or swab samples. It’s the standard diagnostic method in the UK, offering high accuracy for genital, throat and rectal infections. Results take a few days and guide appropriate antibiotic treatment.
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How the Test Works
| Feature | Detail |
|---|---|
| Method | NAAT (PCR-based) |
| Samples | Urine, vaginal, throat or rectal swab |
| Accuracy | Over 95% |
| Results | 2-5 days |
Multi-Site Testing
Gonorrhoea can infect the urethra, cervix, throat, rectum and eyes. Urine testing misses throat and rectal infections, so swabs at those sites are important if relevant.
Treatment
- Ceftriaxone 1g intramuscular injection
- Test of cure for pharyngeal infection
- Partners tested and treated
- Avoid sex for 7 days
Antibiotic Resistance
Gonorrhoea has developed resistance to many antibiotics. Ceftriaxone remains effective but is monitored closely. Proper testing and treatment are crucial.
Read more: What is gonorrhoea? | Rapid gonorrhoea tests | Future treatments
Frequently Asked Questions
Is gonorrhoea curable?
Yes — current antibiotics remain effective in most cases.
How soon can I test?
From 1-2 weeks after exposure.
Do I need a throat swab?
If you’ve had oral sex, yes.
Related reading
- Comprehensive Test: Chlamydia, Gonorrhoea and Herpes
- Chlamydia and Gonorrhoea Lab Test
- Gonorrhoea Rapid Tests: What to Know
- Home Chlamydia and Gonorrhoea Tests: How They Work
- Rectal Chlamydia and Gonorrhoea Test
Sources
- NHS — Sexual health conditions
- BASHH — UK clinical guidelines for STI management
- British HIV Association (BHIVA) — HIV treatment guidelines
- Terrence Higgins Trust — sexual health information
- UK Health Security Agency — STI surveillance data
Steve Page is a recognised expert on Sexually Transmitted Diseases (STDs) and STD treatments, having published numerous articles in peer-reviewed journals and presented his research at conferences around the world. He has an in-depth understanding of the latest medical research on STDs, and is an advocate for the development of new treatments and protocols to improve the health of those affected. In addition to his research, he has dedicated his career to understanding the causes and symptoms of STDs, as well as how to best treat those impacted.
