Gonorrhea is a sexually transmitted disease (STD) that is caused by the bacterium Neisseria gonorrhea, which causes a purulent (made of pus) infection of membranes (surfaces) of the urethra, rectum, or mouth. It is transmitted during sex and affects both males and females. The newborn baby can get the disease during birth. In females, it infects the vagina, urethra, cervix and can go up to involve the pelvic organs. In males, it infects the urethra and can go up to the epididymis. It can co-exist with other STDs. It is treated with antibiotics and is prevented by having safe sex using condoms and with a single partner.
Gonorrhea is a contagious disease caused by a gram-negative bacterium, Neisseria gonorrhea. It is transmitted from one person to another during vaginal, oral, or anal sex. It affects the membranes of genital organs, anus, or mouth and causes a suppurated (pussy) infection.
Gonorrhea is a widespread infection and a burden on public health. It is equally prevalent in sexually active males and females, although the condition is increasingly seen in males. All females under age 25 are recommended to be screened for gonorrhea annually.
Risk factors of getting an infection are described below:
The incubation period, that is, the period between the inoculation with bacteria and appearance of symptoms, for gonorrhea is 2-7 days. However, some people may not show symptoms until 30 days. Many people show no signs and symptoms of the disease, especially females.
If the anus is involved, you may have:
Disseminated gonococcal infection (DGI) happens when the infection spreads throughout the body via bacteria in the blood. It affects the joints causing arthralgia/arthritis, skin rashes (dermatitis), heart causing endocarditis, muscles and tendons (tenosynovitis), brain (meningitis).
After taking a history of your symptoms and doing a physical examination, your doctor may advise laboratory tests which include testing for bacteria in the discharge of urine by simple staining method and by growing bacteria in the lab (culture). Urine may be collected, and Swabs of other affected areas may be taken. You may be tested for other STDs if you have risk factors, especially chlamydia and HIV.
For DGI cultures, any body fluid can be taken like vaginal, conjunctival, anal secretions, skin, Cerebrospinal fluid, and blood. For blood culture, three samples should be taken.
Recent CDC guidelines recommend nucleic acid amplification tests (PCR) to diagnose and screen gonorrhea. It can be done on swabs and urine.
Following diseases may present as gonorrhea
It is recommended to test and treat sexual partners. After being cured, you can again get infected by an untreated partner.
Gonorrhea is a curable disease and results in complete healing if treated on time. If left untreated can result in male and female infertility. It can cause ectopic pregnancy in females when the fertilized egg is not attached to the uterus, instead moves outside the womb, and is implanted somewhere else in the pelvis, usually in one of the fallopian tubes. The fallopian tubes connect the ovaries to the uterus. It grows and can burst the fallopian tubes resulting in serious health issues. It makes you more susceptible to having HIV/AIDS. It can cause blindness in babies if the eye’s cornea is involved.
You can prevent yourself from getting infected with gonorrhea by;
Our clinical experts continually monitor the health and medical content posted on CURA4U, and we update our blogs and articles when new information becomes available. Last reviewed by Dr.Saad Zia on April 29th, 2023.