Medically reviewed by Jordan Stachel, MS, RDN, CPT on November 26, 2023. To give you technically accurate, evidence-based information, content published on the Everlywell blog is reviewed by credentialed professionals with expertise in medical and bioscience fields.
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As rates of gonorrhea continue to rise, it’s more pressing than ever for sexually active adults to take a conscious approach to their sexual well-being.  Gonorrhea is best known for infecting the reproductive organs, but oral gonorrhea can be just as damaging to reproductive and overall health.
Oral gonorrhea is most commonly transmitted through unprotected oral sex—but because it rarely presents with symptoms it can be difficult to know whether you have it. Understanding its causes, how it can manifest, and how to reduce your chances of contracting it can be an important measure of proactive, protective healthcare.
Gonorrhea is a sexually transmitted infection caused by a bacteria called Neisseria gonorrhoeae.  The CDC reports gonorrhea cases have been on the rise in the US for the past several years, with 710,151 reported in 2021 alone. 
Oral gonorrhea (also called pharyngeal gonorrhea) occurs when the bacteria causing the infection attacks the tissues of the throat, rather than the areas of the genitals, urinary tract, or rectum. 
Oral gonorrhea is most commonly transmitted through unprotected oral sex. You can contract oral gonorrhea through :
According to research, gonorrhea disproportionately impacts young, sexually active adults.  Gonorrhea is also the second-ranking cause of bacterial STIs in the world.  It’s thought escalating rates of transmission are partly linked to growing rates of antibiotic resistance. 
In most cases, oral gonorrhea presents with no noticeable symptoms. Importantly, transmission can occur even if no symptoms are present in the person who first had the infection.
Among people who do experience them, the most prevalent sign is gonorrhea symptoms, throat-related in nature. This may involve a persistent sore throat, as well as :
Visible symptoms of gonorrhea in throat are uncommon. But when gonorrhea infects the throat, it can produce symptoms that look similar to strep throat. If you notice an unusual redness, white spotting, or pale-colored discharge in your throat, it could actually be throat gonorrhea symptoms—and it’s a good idea to see your healthcare provider for an evaluation.
It’s also possible to have a pharyngeal gonorrhea infection as well as an infection of the genitals, urinary tract, or rectum. In this case, you might notice symptoms like:
So, does gonorrhea go away on its own? No. While symptoms may fluctuate (if they occur), gonorrhea must be treated with medication to fully dispel the infection-causing bacteria.
It’s important to remember oral gonorrhea is predominantly asymptomatic. Moreover, apparent gonorrhea throat symptoms can overlap with those of many other infections and health conditions. The only way to know whether you have it—or another STI that can cause throat symptoms, like syphilis—is to take an STI test. Ideally, you’ll make STD testing a regular part of your sexual hygiene routine. 
National health bureaus recommend at least yearly gonorrhea screenings for :
Some STIs aren’t treatable, but oral gonorrhea is. Left untreated, oral gonorrhea can spread to the bloodstream, where it can more easily infect other areas of the body. 
When gonorrhea migrates to other parts of the body, it’s referred to as a disseminated gonococcal infection (DGI) or disseminated gonorrhea.  Symptoms of DGI include :
More rarely, DGI can travel to infect and cause inflammation of the heart (endocarditis) or brain (meningitis).  At this stage, gonorrhea infection can lead to significant damage to the heart and even result in heart failure. 
Fortunately, disseminated gonorrhea is rare—but it does demonstrate the importance of diagnosing and treating oral gonorrhea of any kind when it surfaces. Throat gonorrhea can easily be passed on to a sex partner if it isn’t treated quickly. 
Other health conditions that can result from untreated gonorrhea include:
Pelvic inflammatory disease (PID) – Pelvic inflammatory disease affecting women and IFAB people.  It’s a painful condition that causes an inflammation of the female reproductive organs. In most cases, PID originates with an active, untreated infection of the female reproductive organs. 
Common symptoms include persistent pelvic or lower abdominal pain, abnormal vaginal bleeding, pain during intercourse, and other symptoms.  PID is treatable if caught early, but left untreated it can cause permanent damage to the reproductive system. 
Fertility challenges or infertility in women – If gonorrhea spreads to the reproductive organs, it can cause structural damage that can ultimately lead to infertility.  For instance, if gonorrhea causes PID, it can result in fallopian tube scarring—a condition that can greatly jeopardize their ability to conceive. It can also lead to complications during pregnancy. 
Fertility challenges in men – In men and people AMAB, untreated gonorrhea can cause epididymitis—a condition where the testicular ducts can become scarred.  Gonorrhea can also result in prostatitis, which can cause symptoms like pain during urination, genital and testicular swelling, and painful ejaculation. 
If you believe you’re experiencing gonorrhea in throat symptoms or think you may have contracted oral gonorrhea, early detection of a potential infection is key to keeping your health safe. Your healthcare provider may recommend:
If your tests show a positive gonorrhea test, your healthcare provider will likely prescribe you a round of antibiotics for treatment. Pharyngeal gonorrhea is typically treated with a single dose of ceftriaxone (totaling 500 mg) for oral gonorrhea without complications. 
Follow-up STD testing—also called a “test-of-cure”—is highly recommended to people who’ve contracted oral gonorrhea specifically. This helps to ensure your medication has cleared up your infection. Ideally, you’ll test again 1 to 2 weeks after you’ve taken your medication. 
Unfortunately, reinfection rates for gonorrhea are high—up to 12% of people treated for gonorrhea are diagnosed with the same infection within a year of getting it.  This, in part, is why a regular screening routine can be an effective, protective measure for establishing sexual health.
Additionally, oral gonorrhea can be prevented by :
Read up on safe sex practices.
Protecting your sexual health shouldn’t be a hassle. With Everlywell, you can stay up-to-date with your gonorrhea status as well as five other common STIs. The at-home STD Test – Female and STD Test – Male makes routine testing accessible no matter your sex or gender, with physician-reviewed, CLIA-certified lab results you can trust. For even more information on your sexual health, meet with a clinician via Everlywell. They can discuss your symptoms with you and prescribe STD treatment online.