Gonorrhea Urine Test

Below is a plain-language overview of the gonorrhea urine test. A gonorrhea urine test checks for the bacterium Neisseria gonorrhoeae, which causes the sexually transmitted infection gonorrhea. It is often ordered when someone has symptoms like burning during urination or discharge, or after possible exposure to an STI.

Sample type
urine
Category
Sexual Health
Turnaround
1-3 business days
Price
$118
Referral
Not required

A gonorrhea urine test checks for the bacterium Neisseria gonorrhoeae, which causes the sexually transmitted infection gonorrhea. It is often ordered when someone has symptoms like burning during urination or discharge, or after possible exposure to an STI.

What it measures

  • Neisseria gonorrhoeae DNA — Genetic material from the gonorrhea bacteria, detected by a lab technique called nucleic acid amplification testing (NAAT).
  • Neisseria gonorrhoeae RNA — Another form of genetic material from the bacteria; some tests look for RNA instead of DNA.
  • Chlamydia trachomatis DNA (if included) — Many urine tests also check for chlamydia, another common STI, because symptoms can be similar.

Who it is for

A doctor, nurse, or sexual health clinic typically orders this test for anyone with symptoms of gonorrhea or a known exposure. It may also be part of routine screening for sexually active adults at higher risk.

Preparation

No fasting or special preparation is needed. You may be asked to provide a first-morning urine sample or to avoid urinating for one to two hours before the test.

Results and what they mean

Results are usually reported as positive (bacteria found) or negative (not found), and sometimes as indeterminate if the sample was unclear. A clinician interprets the result along with your symptoms and history. This information is not medical advice; only a healthcare professional can diagnose or treat an infection.

How to order this test

  1. Choose the test and place a confidential order online.
  2. Select a certified collection site and pick a time that suits you.
  3. Have your specimen collected — most draws take only a few minutes.
  4. Review results in a secure portal, typically within 1–3 days.

Preparation, hours, and pricing vary by site; confirm details directly with the lab before your visit.

Availability by state

Direct-access online ordering for the gonorrhea urine test is available in most states. It is currently unavailable in 6 states:

Everywhere else you can order confidentially and collect your sample at a certified site. Browse by state →

Frequently asked questions

How accurate is a urine gonorrhea test?

Urine NAAT tests are highly accurate for detecting gonorrhea, but no test is perfect. A negative result does not always rule out infection if you were exposed very recently.

Can I get tested if I have no symptoms?

Yes. Many people with gonorrhea have no symptoms, so testing is recommended after possible exposure or as part of routine screening.

Does a urine test check for other STIs?

It can if the lab includes chlamydia or other targets. Ask your provider what is included in your test.

How long after exposure should I test?

Most tests can detect gonorrhea about one to two weeks after exposure. Testing too soon may give a false negative.

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