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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 gonorrhoeae, 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. In the U.S. each
year, about 700,000 people are infected with
gonorrhea, and about 75% of all reported
gonorrhea is found in younger persons aged 15 to
29. The highest rates of infection are usually
found in 15- to 19-year-old women and 20- to
24-year-old men.
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
2-10 days after exposure, but can take up to 30
days and include the following:
Symptoms
in women
- Greenish yellow or
whitish discharge from the vagina
- Lower abdominal or
pelvic pain
- Burning when
urinating
- Conjunctivitis
(red, itchy eyes)
- Bleeding between
periods
- Spotting after
intercourse
- Swelling of the
vulva (vulvitis)
- Burning in the
throat (due to oral sex)
- Swollen glands in
the throat (due to oral sex)
In some
women symptoms are so mild that they escape
unnoticed.
Many
women with gonorrhea discharge think they have a
yeast infection and self-treat with yeast
infection medications purchased
over-the-counter. Because vaginal discharge can
be a sign of a number of different problems, it
is best to always seek the advice of a doctor to
ensure proper diagnosis and
treatment.
Symptoms
in men
- Greenish yellow or
whitish discharge from the penis
- Burning when
urinating
- Burning in the
throat (due to oral sex)
- Painful or swollen
testicles
- Swollen glands in
the throat (due to oral sex)
In men,
symptoms usually appear two to fourteen days
after infection.
How Is Gonorrhea
Diagnosed?
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 laboratory 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
STD, 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
the 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.
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