Comninos NB, Garton L, Guy R, et al. - Temporal trends in pharyngeal gonorrhea positivity were explored among men who have sex with men (MSM) compared with anorectal and urogenital positivity via analyzing data (2011–2015) of 24,792 MSM tested (16,710 pharyngeal, 19,810 urogenital and 15,974 anorectal first-visit tests) at 41 publicly funded sexual health clinics participating in a national surveillance network. At all anatomical sites, gonorrhea positivity showed temporal increases, with the greatest rise in the pharynx. Pharyngeal gonorrhea was identified to be independently correlated with the following factors: younger age, higher numbers of recent sexual partners, contact with a person with a diagnosed STI, injecting drug use, anogenital symptoms and HIV-positive status. Researchers suggest using these factors in developing testing and prevention strategies among MSM at highest risk. For pharyngeal gonorrhea control, they emphasize strengthening sexual health service delivery, testing and surveillance.