A 24-year-old woman presents to the GP with dysuria and urinary frequency. She is sexually active with multiple partners. Urine dipstick shows leucocy...

Question

A 24-year-old woman presents to the GP with dysuria and urinary frequency. She is sexually active with multiple partners. Urine dipstick shows leucocytes but no nitrites. An MSU is sent. NAAT testing returns positive for Neisseria gonorrhoeae. She has no drug allergies. What is the most important additional action alongside treating the gonorrhoea?

Accepted Answer

Treat empirically for chlamydia co-infection with doxycycline 100 mg twice daily for 7 days, and arrange partner notification

Answer

No additional action needed - treat gonorrhoea only

Answer

Arrange a test of cure only if symptoms persist

Answer

Advise partner notification only if the partner is symptomatic

Answer

Prescribe oral metronidazole for possible trichomoniasis

uk-drcog MCQ (SBA): Gonorrhoea - Co-treatment and Partner Notification