STD Gonorrhea Last updated: May 05, 2008

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  STD Gonorrhea  
 

 
Signs, symptoms and indicators | Conditions that suggest it | Contributing risk factors | It can lead to... | Recommendations

 
 

Gonorrhea is one of the most well known STDs. Commonly referred to as 'the clap', gonorrhea is thought to infect over one million people in the US each year. Perhaps half of these cases are never reported. The disease is caused by the bacteria Neisseria gonorrhea which causes inflammation of the glands. The bacteria grows and multiples in the warm moist areas of the body. It primarily affects the urethra in men and the cervix in women. Gonorrhea of the rectum is also possible.

The symptoms of gonorrhea depend on what part of the genital area is infected. There may, however, be no symptoms present and some individuals may unknowingly infect others. Most women experience no symptoms if gonorrhea infects the cervix. Consequently, many women will experience complications before being aware of their infection.

Gonorrhea is an easily contractible disease. Any form of unprotected sexual penetration (oral, anal and vaginal) can transmit gonorrhea if it is present. If a man has vaginal intercourse with an infected woman, his chances of catching gonorrhea are from 30 to 50%. A woman's risk from an infected man is much higher (60-90%). If gonorrhea is not treated quickly complications may occur.

Other means of catching the disease exist but are not as common. A person with gonorrhea can infect another area of their body by touching the infected area and transferring the excretions. Gonorrhea may also spread in clothing or wash cloths. If a washcloth is used on an infected area and then soon after used by another, infection may occur. Anal infection can occur in women not only from anal intercourse but also from vaginal intercourse. Sometimes infected secretions from the vagina drip down around the anus causing infection.

 
 

Signs, symptoms & indicators of STD Gonorrhea:
 
 
Symptoms - Gas-Int - General  (Slight) rectal discharge or rectal discharge with blood
 Gonorrhea may cause an infection of the anus. Like the oral infection, the anal infection often causes no observable symptoms. The infection may, however, cause anal discomfort or itching as well as an anal discharge of pus or blood.

Symptoms - Glandular

  Painful inguinal nodes
 The groin will sometimes feel swollen and tender.

Symptoms - Metabolic

  Frequent 'chills' or having chills from an illness
  Having a slight/having a moderate/having a high fever

Symptoms - Reproductive - General

  Genital sores

Symptoms - Urinary

  (Very) painful urination
 If gonorrhea has infected the urethra, a man or woman may experience a burning sensation while urinating and additional discharge from the urethra. The burning may be extremely or mildly painful, and is complicated by the fact the patient may feel the need to urinate more often.

  Urinary discharge
 If gonorrhea has infected the urethra, there may be a discharge which is clear or milky and ranges in color from white to yellow-green.
 
 

Conditions that suggest STD Gonorrhea:
 
 
Infections  Epididymitis
 Men may suffer from infertility following gonorrhea if the epididymis is scarred.

  Pharyngitis
 Gonorrhea may cause an infection of the mouth. An oral infection normally produces no symptoms, but in some cases a sore throat will be experienced.

Organ Health

  Prostatitis
 In men the bacteria can spread up the urethra and affect the prostate, seminal vesicles, Cowper's glands and the epididymis. An abscess will form causing pain, fever and chills. This abscess will eventually drain which releases pus into the urethra or anus.

Skin-Hair-Nails

  Pruritus Ani

Uro-Genital

  Male Infertility (Low Sperm Count)
 Men may suffer from infertility following gonorrhea if the epididymis is scarred.

  Increased Urinary Frequency
  Vaginitis/Vaginal Infection
 Women who do experience symptoms notice an increased vaginal discharge and some irritation of the vulva. Women may have problems with infected Bartholin's glands. If swelling blocks the duct, a sore will form. The lower part of the vulva will become red on the infected side.

  Female Infertility
 Gonorrhea can spread into the womb and fallopian tubes, resulting in pelvic inflammatory disease (PID). PID affects more than 1 million women in the United States every year and can cause infertility and tubal pregnancy.
 
 

Risk factors for STD Gonorrhea:
 
 
Symptoms - Urinary  History of urinary discharge
 If gonorrhea has infected the urethra, there may be a discharge which is clear or milky and ranges in color from white to yellow-green.
 
 

STD Gonorrhea can lead to:
 
 
Uro-Genital  Increased Urinary Frequency
  Vaginitis/Vaginal Infection
 Women who do experience symptoms notice an increased vaginal discharge and some irritation of the vulva. Women may have problems with infected Bartholin's glands. If swelling blocks the duct, a sore will form. The lower part of the vulva will become red on the infected side.

  Female Infertility
 Gonorrhea can spread into the womb and fallopian tubes, resulting in pelvic inflammatory disease (PID). PID affects more than 1 million women in the United States every year and can cause infertility and tubal pregnancy.
 
 

Recommendations for STD Gonorrhea:
 
 
Drug  Antibiotics
 Treatment with antibiotics is effective against gonorrhea. Penicillin and tetracycline are commonly used, however some strains of gonorrhea have developed resistance to these treatments and other drugs such as ceftriaxone or spectinomycin may also be used. Often Chlamydia and gonorrhea occur simultaneously and are treated together. Always consult your physician about the treatments best for you.
 
 


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GLOSSARY

Bacteria:  Microscopic germs. Some bacteria are "harmful" and can cause disease, while other "friendly" bacteria protect the body from harmful invading organisms.

Cervix:  The lower part of the uterus that opens into the vagina.

Gonorrhea:  A sexually-transmitted disease that is often without symptoms. If there are symptoms in the female, they include frequent and painful urination, cloudy vaginal discharge, vaginal itching, inflammation of the pelvic area, and abnormal uterine bleeding. If the male has a purulent (pus-like) urethral discharge, he should assume he has gonorrhea until proven otherwise.

Prostate:  The prostate gland in men that surrounds the neck of the bladder and the urethra and produces a secretion that liquefies coagulated semen.