Gonorrhea is an infection caused by a sexually transmitted bacterium that can infect both males and females. Gonorrhea most often affects the urethra, rectum or throat. In females, gonorrhea can also infect the cervix.
Gonorrhea is most commonly spread during sex. But babies can be infected during childbirth if their mothers are infected. In babies, gonorrhea most commonly affects the eyes.
Gonorrhea is a common infection, and in some cases, causes no symptoms. You may not even know that you’re infected. Abstaining from sex, using a condom if you do have sex and being in a mutually monogamous relationship are the best ways to prevent sexually transmitted infections.
Symptoms
Gonorrhea infection can affect multiple sites in your body, but it most commonly appears in the genital tract.
Gonorrhea affecting the genital tract
Signs and symptoms of gonorrhea infection in men include:
Painful urination
Pus-like discharge from the tip of the penis
Pain or swelling in one testicle
Signs and symptoms of gonorrhea infection in women include:
Increased vaginal discharge
Painful urination
Vaginal bleeding between periods, such as after vaginal intercourse
Abdominal pain
Pelvic pain
Gonorrhea at other sites in the body
Gonorrhea can also affect these parts of the body:
Rectum. Signs and symptoms include anal itching, pus-like discharge from the rectum, spots of bright red blood on toilet tissue and having to strain during bowel movements.
Eyes. Gonorrhea that affects your eyes may cause eye pain, sensitivity to light, and pus-like discharge from one or both eyes.
Throat. Signs and symptoms of a throat infection may include a sore throat and swollen lymph nodes in the neck.
Joints. If one or more joints become infected by bacteria (septic arthritis), the affected joints may be warm, red, swollen and extremely painful, especially when you move an affected joint
Causes
Gonorrhea is caused by the bacterium Neisseria gonorrhoeae. The gonorrhea bacteria are most often passed from one person to another during sexual contact, including oral, anal or vaginal intercourse.
Complication
Untreated gonorrhea can lead to significant complications, such as:
Infertility in women. Untreated gonorrhea can spread into the uterus and fallopian tubes, causing pelvic inflammatory disease (PID), which may result in scarring of the tubes, greater risk of pregnancy complications and infertility. PID is a serious infection that requires immediate treatment.
Infertility in men. Men with untreated gonorrhea can experience epididymitis — inflammation of the rear portion of the testicles where the sperm ducts are located (epididymis). Epididymitis is treatable, but if left untreated, it may lead to infertility.
Infection that spreads to the joints and other areas of your body. The bacterium that causes gonorrhea can spread through the bloodstream and infect other parts of your body, including your joints. Fever, rash, skin sores, joint pain, swelling and stiffness are possible results.
Increased risk of HIV/AIDS. Having gonorrhea makes you more susceptible to infection with human immunodeficiency virus (HIV), the virus that leads to AIDS. People who have both gonorrhea and HIV are able to pass both diseases more readily to their partners.
Complications in babies. Babies who contract gonorrhea from their mothers during birth can develop blindness, sores on the scalp and infections
Treatments
Gonorrhea treatment in adults
Adults with gonorrhea are treated with antibiotics. Due to emerging strains of drug-resistant Neisseria gonorrhoeae, the Centers for Disease Control and Prevention recommends that uncomplicated gonorrhea be treated only with the antibiotic ceftriaxone — given as an injection — in combination with either azithromycin or doxycycline — two antibiotics that are taken orally.
Gonorrhea treatment for partners
Your partner also should undergo testing and treatment for gonorrhea, even if he or she has no signs or symptoms. Your partner receives the same treatment you do. Even if you’ve been treated for gonorrhea, you can be reinfected if your partner isn’t treated.
Gonorrhea treatment for babies
Babies born to mothers with gonorrhea receive a medication in their eyes soon after birth to prevent infection. If an eye infection develops, babies can be treated with antibiotics.
Prevention
Take steps to reduce your risk of gonorrhea:
Use a condom if you choose to have sex. Abstaining from sex is the surest way to prevent gonorrhea. But if you choose to have sex, use a condom during any type of sexual contact, including anal sex, oral sex or vaginal sex.
Ask your partner to be tested for sexually transmitted infections. Find out whether your partner has been tested for sexually transmitted infections, including gonorrhea. If not, ask whether he or she would be willing to undergo testing.
Don’t have sex with someone who has any unusual symptoms. If your partner has signs or symptoms of a sexually transmitted infection, such as burning during urination or a genital rash or sore, don’t have sex with that person.
Consider regular gonorrhea screening if you have an increased risk. Talk to your doctor about regular gonorrhea screening if you have an increased risk of infection. You may be at increased risk of gonorrhea if you have had gonorrhea or other sexually transmitted infections in the past, if you have a new sex partner, or if you have multiple sex partners.
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