A 33-year-old cisgender man develops urethral discharge and is diagnosed with gonorrhea; he is treated by his primary care medical provider with recommended therapy. His symptoms resolved after treatment, but he returns to his primary care clinic 10 days later with recurrent purulent urethral discharge. A Gram’s stain on the smear of the urethral discharge shows multiple gram-negative diplococci. He reports one new sex partner in the past week.