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Gonorrhea Urine PCR Test

The gonorrhea urine test detects genetic material from Neisseria gonorrhoeae, the bacterium that causes gonorrhea, in a urine sample. It is a common, non-invasive way to screen for or confirm a gonorrhea infection.

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Typical turnaround
1-3 business days
Starting price
From $118
Results
Confidential, online

Quick answer

The gonorrhea urine test looks for the bacterium Neisseria gonorrhoeae in a urine sample. It uses a molecular method that detects the organism's genetic material, which makes it a sensitive and convenient option compared with a swab. The test is used to screen for gonorrhea and to confirm an infection when symptoms or an exposure raise concern.

What this test measures

Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. It can infect the urethra, cervix, rectum, throat, and eyes, and many people have no noticeable symptoms. Because it often spreads without signs, routine screening is important for sexually active people and their partners.

The urine test uses nucleic acid amplification testing, often shortened to NAAT, to detect the bacterium's DNA or RNA. A first-catch urine sample, meaning the first part of the stream, is generally preferred because it concentrates organisms from the urethra. A single sample can also be tested for chlamydia at the same time when the order includes both.

A negative result reflects the sample at the time it was collected, and the window period after exposure matters, so testing too early can miss an infection. A positive result should be discussed promptly with a healthcare provider, who can recommend confirmatory testing, treatment, and partner notification as appropriate.

  • Neisseria gonorrhoeae nucleic acid (NAAT)
  • Chlamydia trachomatis nucleic acid when co-tested
  • Mycoplasma genitalium nucleic acid when included
  • Trichomonas vaginalis nucleic acid when included
  • Urine specimen adequacy markers
  • Neisseria gonorrhoeae culture when confirmatory testing is requested

Why people order this test

  • Screen for gonorrhea after a new or multiple partners
  • Check for infection when there are symptoms such as burning or discharge
  • Follow up after known or suspected exposure
  • Test for gonorrhea alongside chlamydia in one urine sample
  • Provide routine screening for sexually active individuals
  • Confirm clearance or reinfection as advised by a provider
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How to prepare

A first-catch urine sample is usually requested, so avoid urinating for about one to two hours before collection if possible and follow the site's instructions. Antibiotics taken recently can affect detection, so tell the ordering provider about any recent antibiotic use.

Understanding your results

Results are typically reported within one to three business days. A negative result means the bacterium was not detected in that sample, while a positive result indicates infection and should be reviewed promptly with a healthcare provider for next steps.

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Frequently Asked Questions

How is the gonorrhea urine test done?

It uses nucleic acid amplification to detect the genetic material of Neisseria gonorrhoeae in a urine sample. A first-catch sample is usually preferred.

How soon after exposure can it be detected?

There is a window period before an infection can be detected, so testing too soon after exposure can produce a negative result. A healthcare provider can advise on the best testing timing.

Can this test also check for chlamydia?

Yes. Gonorrhea and chlamydia are often tested together from the same urine sample, since both are common and frequently occur together.

Do I need to fast?

No fasting is required. The main preparation is to provide a first-catch urine sample according to the collection instructions.

Does a negative result mean I am clear?

A negative result means the bacterium was not detected in that sample. If testing happened too early after exposure, a repeat test may be recommended.

What should I do if the result is positive?

A positive result should be reviewed promptly with a healthcare provider, who can arrange confirmatory testing, discuss treatment, and advise on partner notification.

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Reviewed by the LabOrdering Editorial Team

Every page on this site is reviewed for clarity, sourcing, and accuracy. We update our library as testing options, collection networks, and accreditation standards change.

Medical disclaimer. The information on LabOrdering.com is educational only and is not medical advice, diagnosis, or treatment. Reference ranges and clinical guidance vary between laboratories. Always consult a qualified healthcare provider about your own results and care.