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What is the difference?

Chlamydia vs Gonorrhoea

Chlamydia and gonorrhoea are both common bacterial STIs, often tested for together and often silent, so they are easy to confuse. They are caused by different bacteria, are treated with different antibiotics, and gonorrhoea raises particular concern about antibiotic resistance.

General information, not medical advice. For advice about your own situation, talk to a clinician, pharmacist or sexual health clinic.

Chlamydia

Chlamydia is a common bacterial STI that often causes no symptoms and is easily cured with antibiotics once it has been found through testing.

Full entry

Gonorrhoea

Gonorrhoea is a bacterial STI that can infect the genitals, rectum and throat, and is treated with antibiotics, although resistant strains are a growing concern.

Full entry

Side by side

ChlamydiaGonorrhoea
CauseChlamydiaThe bacterium Chlamydia trachomatis.GonorrhoeaThe bacterium Neisseria gonorrhoeae.
SymptomsChlamydiaMost people notice none; when present, they can include pain when urinating, unusual discharge or bleeding between periods.GonorrhoeaMany people notice none, especially with throat or rectal infections; when present, discharge can be yellow or greenish, with burning when urinating.
When symptoms may startChlamydiaFrom about a week to several months after infection.GonorrhoeaOften around two weeks after infection, sometimes much later.
TreatmentChlamydiaAntibiotics, either a single dose or a course of tablets over 7 to 14 days.GonorrhoeaA single dose of antibiotics, often an injection, with a follow-up test usually advised.
Particular concernChlamydiaVery common among young adults, so routine screening is widely recommended.GonorrhoeaThe bacteria have become resistant to several antibiotics over time.

In short

Different bacteria, similar story: both are often silent and both are curable. Regular testing, especially after a new partner, is the only reliable way to know.

What they have in common

Both are passed on through vaginal, anal or oral sex without a condom, are found with the same urine test or swab, can lead to pelvic inflammatory disease and fertility problems if untreated, and both need partners to be tested too.

Sources

  1. NHSChlamydia
  2. NHSGonorrhoea
  3. WHOGonorrhoea (Neisseria gonorrhoeae infection) fact sheet

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Last reviewed 16 October 2026. Spotted a mistake?