), so regime 1 should be used in patients at high risk of this STI (BASHH, 2011). Microscopy in sexual health departments is a useful tool to help identify gonorrhoea at the presenting visit which may help support treatment options until culturing results are back (Bignell and FitzGerald, 2011). To aid adherence to treatment it is important that the patient is involved in ‘shared decision making’.This will allow the patient to convey their concerns