Gonorrhea in Nepal:
Complete Treatment Guide
Expert medical care for gonorrhea treatment in Kathmandu. Learn about symptoms, testing options, and effective antibiotic therapies.
Medically Reviewed
Clinical Observations in Nepal
At our Kathmandu clinic, gonorrhea is the second most common bacterial STI after chlamydia. We're seeing increasing cases of antibiotic-resistant strains, making proper diagnosis and treatment crucial.
- Dual Therapy Required: Due to rising resistance, we now use combination therapy with ceftriaxone injection plus azithromycin.
- Partner Treatment Essential: Re-infection rates are high in Nepal when partners aren't treated simultaneously.
What is Gonorrhea?
Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. It affects both men and women and can infect the genitals, rectum, and throat. In Nepal, gonorrhea remains a significant public health concern with increasing antibiotic resistance.
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Symptoms in Men
Men typically develop symptoms 2-7 days after exposure. However, some men may have gonorrhea for weeks without noticeable symptoms, which increases the risk of complications and transmission.
[рдиреЗрдкрд╛рд▓реА] рдкреБрд░реБрд╖рд╣рд░реВрдорд╛ рд╕рд╛рдорд╛рдиреНрдпрддрдпрд╛ рд╕рдВрдХреНрд░рдордг рднрдПрдХреЛ реи-рен рджрд┐рдирдкрдЫрд┐ рд▓рдХреНрд╖рдг рджреЗрдЦрд┐рдиреНрдЫред рддрд░ рдХреЗрд╣реА рдкреБрд░реБрд╖рд╣рд░реВрдорд╛ рд╣рдкреНрддреМрдВрд╕рдореНрдо рд▓рдХреНрд╖рдг рдирджреЗрдЦрд┐рди рд╕рдХреНрдЫ, рдЬрд╕рд▓реЗ рдЬрдЯрд┐рд▓рддрд╛ рд░ рд╕рдВрдХреНрд░рдордгрдХреЛ рдЬреЛрдЦрд┐рдо рдмрдврд╛рдЙрдБрдЫред
Thick, Pus-like Discharge
Yellow, white, or green discharge from the penis.
Painful Urination
Burning or stinging sensation when peeing.
Testicular Pain
Swelling or pain in the testicles (epididymitis).
Rectal Symptoms
Discharge, itching, bleeding, or painful bowel movements.
Symptoms in Women
Women often have mild or no symptoms, making gonorrhea harder to detect. When symptoms occur, they can be mistaken for bladder or vaginal infections.
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- Increased vaginal discharge (yellow or bloody)
- Burning sensation when urinating
- Bleeding between periods or after sex
- Pelvic or abdominal pain
- Pain during intercourse
Serious Complications
In Women: Infertility
Pelvic inflammatory disease (PID) can cause scarring and block fallopian tubes, leading to infertility or ectopic pregnancy.
In Men: Epididymitis
Painful swelling of the testicles that can lead to infertility if untreated.
Disseminated Gonorrhea
Bacteria can spread to joints, skin, and heart causing arthritis, skin lesions, and endocarditis.
Increased HIV Risk
Having gonorrhea increases your risk of getting or transmitting HIV by 3-5 times.
Gonorrhea can spread throughout the body causing severe health problems.
Testing & Treatment in Nepal
Diagnosis
Accurate diagnosis requires laboratory testing. We recommend NAAT (PCR) testing as the gold standard with 99% accuracy.
Testing Options in Kathmandu:
- тАв PCR/NAAT Test: NPR 1,200-2,000
- тАв Culture Test: NPR 800-1,500
- тАв Gram Stain: NPR 300-600
- тАв Results: Same day for PCR
Treatment
Due to antibiotic resistance, combination therapy is now standard in Nepal.
- Ceftriaxone injection + Azithromycin
- Alternative: Gemifloxacin + Azithromycin
- Partner treatment mandatory
Frequently Asked Questions
Q: Can gonorrhea be cured completely?
Yes, gonorrhea can be completely cured with appropriate antibiotics. However, drug-resistant strains are increasing, so proper medical supervision is essential.
Q: How much does gonorrhea testing cost in Nepal?
Gonorrhea PCR testing costs approximately NPR 1,200-2,000 in Kathmandu. Culture tests are slightly cheaper at NPR 800-1,500.
Q: What happens if gonorrhea is left untreated?
Untreated gonorrhea can cause serious complications including infertility, pelvic inflammatory disease, joint infections, and increased HIV risk.
Q: How long does gonorrhea treatment take?
Standard treatment is a single injection of ceftriaxone plus oral azithromycin. Symptoms usually improve within 2-3 days, but complete recovery takes 7-14 days.
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Last Updated: January 14, 2026 |Clinic: STD Treatment Clinic |License: 15834