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What is gonorrhea?

What causes it and what you can do about it

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What is gonorrhea?

Gonorrhea is one of the earliest recorded STDs in humans. It is most often seen in young adults, with the majority of cases in the US  occurring in 15 to 30 year olds, the bulk of which are aged 15-19. The key symptoms of gonorrhea are pus-like (purulent) or milky discharge in men, abnormally colored discharge in women, and painful urination. This makes it quite difficult for the untrained eye to tell it apart from chlamydia. If you suspect that you’ve got either of them, it’s a very good idea to get tested for both.

What causes gonorrhea?

It’s caused by a bacterial infection of Neisseria gonorrhoeae. You can get infected through unprotected oral, anal or vaginal sex. In men, it’s an infection of the urethra, while in women, it’s an infection of the cavity of the cervix. However, rectal infections and infections of the throat are also possible. While it’s not unheard of, it’s possible to get gonococcal conjunctivitis (pink eye associated with gonorrhea). In these last three cases, the symptoms will be different.

Gonorrhea is more prevalent among men, e — 202.5 cases per 100,000 men vs 141.8 cases per 100,000 women— however,  it’s underdiagnosed in women, most likely because about half of female gonorrhea patients are asymptomatic.

Treating gonorrhea

Strains of gonorrhea are developing resistance to the classic antibiotics. Nevertheless, the best way to get treated for gonorrhea is to go to a sexual health clinic, and get a single dose injection of Ceftriaxone to treat it.

Preventing gonorrhea

Using condoms is a good method to protect yourself and your partner from gonorrhea. Condoms are also effective for preventing oral and anal gonorrhea. 

References

  1. Centers for Disease Control and Prevention . Sexually Transmitted Disease Surveillance 2017. Atlanta: US Department of Health and Human Services; 2017
  2. Dunleavy B, New Insights into Ceftriaxone-Resistant Gonorrhea ContagionOnline 2018
  3. Garnett GP, Mertz KJ, Finelli L, Levine WC, St Louis ME. The transmission dynamics of gonorrhoea: modelling the reported behaviour of infected patients from Newark, New Jersey. Philos Trans R Soc Lond B Biol Sci. 1999;354(1384):787-97.
  4. Hook EW III, Handsfield HH. Gonococcal infections in the adults. In: Holmes KK, Sparling PF, Stamm WE, Piot P, Wasserheit J, Corey L, et al., editors. Sexually transmitted diseases. 4th ed. New York: McGraw-Hill Education; 2007. p. 627–645
  5. Walker CK, Sweet RL. Gonorrhea infection in women: prevalence, effects, screening, and management. Int J Womens Health. 2011;3:197-206.
  6. Xiong M, Lan L, Feng T, et al. Analysis of the sex ratio of reported gonorrhoea incidence in Shenzhen, China. BMJ Open. 2016;6(3):e009629. Published 2016 Mar 14

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