There is no discharge coming out of gonorrhea, so your doctor can take a secretion from a specific area and examine it for clarity. Gonorrhea is a purulent infection of the genitourinary system caused by Neisseria gonorrhoeae. Gonorrhea can be diagnosed by a direct smear or a gonococcal culture. 1. Direct smear examination: the doctor will take the secretion from the patient’s urethra and cervix and put it into the microscope for observation, which can find gram-negative diplococci in the white blood cells. 2. Gonococcal culture: smear examination is not typical, can take gonococcal culture to meet the typical colonies. Gonorrhea infection, it is recommended that both husband and wife at the same time examination and treatment, as prescribed by the doctor to take sensitive antibiotic treatment.