Also called the "clap" or "drip,"
gonorrhea is a contagious disease transmitted most often through sexual
contact with an infected person. Gonorrhea may also be spread by contact
with infected bodily fluids, so that a mother could pass on the
infection to her newborn during childbirth.
Both men and women can get gonorrhea. The infection is easily spread and occurs most often in people who have many sex partners.
What Causes Gonorrhea?
Gonorrhea is caused by Neisseria gonorrhoea, a bacterium that can grow and multiply easily in mucus membranes of the body.
Gonorrhea bacteria can grow in the warm, moist areas of the
reproductive tract, including the cervix (opening to the womb), uterus
(womb), and fallopian tubes (egg canals) in women, and in the urethra
(the tube that carries urine from the bladder to outside the body) in
women and men. The bacteria can also grow in the mouth, throat, and anus.
How Common Is Gonorrhea?
Gonorrhea is a very common infectious disease Sexually active teenagers have one of the highest rates of reported infections.
How Do I Know If I Have Gonorrhea?
Not all people infected with gonorrhea have
symptoms, so knowing when to seek treatment can be tricky. When
symptoms do occur, they are often within two to 10 days after exposure,
but they can take up to 30 days to develop and include the following:
History of unprotected sex few days ago.
In men, symptoms usually appear two to 14 days after infection.
How Is Gonorrhea Diagnosed?
To diagnose gonorrhea, your doctor will use a swab to take a sample of fluid from the urethra in men or from the cervix in women. The specimen will then be sent to a lab to be analyzed. You also may be given a throat or anal culture to see if the
infection is in your throat or anus. There are other tests which check a
urine sample for the presence of the bacteria. You may need to wait for
several days for your tests to come back from the lab. Gonorrhea and
chlamydia, another common sexually transmitted disease, often occur
together, so you may be tested and treated for both.
Can Gonorrhea Be Cured?
Yes. Gonorrhea can be treated and cured.
How Is Gonorrhea Treated?
To cure a gonorrhea infection, your doctor will give you either an oral
or injectable antibiotic. Your partner should also be treated at the
same time to prevent reinfection and further spread of
the disease.
It is important to take all of your antibiotics even if you feel better.
Also, never take someone else's medication to treat your illness. By
doing so, you may make the infection more difficult to treat. In addition, Tell anyone you have had sex with recently that you are
infected. This is important because gonorrhea may have no symptoms.
Women, especially, may not have symptoms and may not seek testing or
treatment unless alerted by their sex partners. Don't have sex until you
have completed taking all of your medicine. Always use condoms when having sex.
What Happens if I Don't Treat Gonorrhea?
Untreated gonorrhea can cause serious and
permanent problems in both women and men. In women, if left untreated,
the infection can cause pelvic inflammatory disease, which may damage
the fallopian tubes (the tubes connecting the ovaries to the uterus) or
even lead to infertility. And untreated gonorrhea infection could
increase the risk of ectopic pregnancy, a condition in which the
fertilized egg develops outside the uterus. This is a dangerous
condition for both mother and baby. In men, gonorrhea can cause epididymitis, a
painful condition of the testicles that can sometimes lead to infertility if left untreated. Without prompt
treatment, gonorrhea can also affect the prostate and can lead to
scarring inside the urethra, making urination difficult. Gonorrhea can
spread to the blood or joints. This condition can be life-threatening.
Also, people with gonorrhea can more easily contract HIV, the virus that causes AIDS. People with HIV infection and gonorrhea are more likely than people with HIV infection alone to transmit HIV to someone else.
How Does Gonorrhea Affect Pregnancy and Childbirth?
Gonorrhea in a pregnant woman can cause premature delivery or spontaneous abortion. The infected mother may
give the infection to her infant as the baby passes through the birth
canal during delivery. This can cause blindness, joint infection, or a
life- threatening blood infection in the baby.
Treatment of
gonorrhea as soon as it is detected in pregnant women will lessen the
risk of these complications. Pregnant women should consult a doctor for
appropriate medications.
How Can I Prevent Gonorrhea Infection?
To reduce your risk of gonorrhea infection: Use condoms correctly every time you have sex. Limit the number of sex partners, and do not go back and forth between partners. Practice sexual abstinence, or limit sexual contact to one uninfected
partner. If you think you are infected, avoid sexual contact and see
a doctor. Any genital symptoms such as discharge or burning during
urination or an unusual sore or rash should be a signal to stop having
sex and to consult a doctor immediately. If you are told you have
gonorrhea or any other STD and receive treatment, you should notify all
of your recent sex partners so that they can see a doctor and be treated.