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Gonorrhea

Professionally updated: February 24, 2024

Gonorrhea is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae. The infection mainly affects the mucous membranes of the urethra, rectum and throat, but can also affect the genitals. Gonorrhea can affect anyone who is sexually active and it is important to seek medical attention to get the right treatment.

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Jakob Fraes
Specialist in General Medicine, PhD
Read more about Gonorrhea. Everything you need to know.

Symptoms of gonorrhea

Gonorrhea can manifest differently depending on gender and the infected area, but some symptoms are common to both men and women. It is important to note that not everyone who is infected will necessarily experience symptoms.

Symptoms in men

  • Pain or burning sensation when urinating
  • Yellowish or greenish discharge from the penis
  • Swollen and painful testicles
  • Symptoms typically appear within the first two weeks after infection

Symptoms in women

  • Increased discharge that may be yellowish or greenish
  • Pain when urinating
  • Painful and irritated genitals
  • Irregular periods and abdominal pain
  • Symptoms can be confused with bladder or yeast infection, need for correct diagnosis

Asymptomatic cases

A significant proportion of both men and women infected with gonorrhea experience no visible or noticeable symptoms - they are asymptomatic. This allows the infection to spread unknowingly, which is why regular testing is essential, especially if you are sexually active with multiple partners or have unprotected sex.

Diagnosis and testing

Diagnosing and testing for gonorrhea is essential for effective treatment and control of the disease. Below you will find a detailed description of the process:

Urine test

For men, a urine sample is often sufficient to diagnose gonorrhea. It's important to provide a "first-stream" urine sample, meaning the sample is taken from the first few seconds of urine.

Grafting

For women and some men, a swab from the infected areas may be necessary. This can include the throat, rectum, urethra or cervix. The swab is done with a cotton swab and the procedure is generally quick and causes minimal discomfort.

Blood test

In rare cases, a blood test may be necessary, especially if there is a suspicion that the infection has spread to the blood.

Treatment of gonorrhoea

Effective treatment of gonorrhea is essential to prevent its spread and complications. Here's an in-depth look at the treatment pathway for gonorrhea.

Antibiotic treatment

Treatment of gonorrhea relies predominantly on the use of antibiotics, which are both simple and effective. A combination of two different antibiotics is most commonly used. This combination not only helps to address the infection broadly, but also prevents the development of resistance to the medication. It is of utmost importance to complete the full course of treatment, even if symptoms seem to disappear early on. This ensures complete elimination of the gonorrhea bacteria and prevents a later relapse. The doctor's instructions should be strictly followed throughout the course of treatment to optimize the effectiveness of the treatment and minimize potential side effects.

Inform sexual partners

If you are diagnosed with gonorrhea, inform all current and former partners. This ensures they can be tested and treated to avoid spreading it. Healthcare professionals can guide you on how to communicate the information tactfully and clearly to your partners.

Follow-up and control

Furthermore, a follow-up check-up is necessary after the end of the course of treatment. The follow-up test, also known as a test of cure, is usually performed two weeks after you have completed your antibiotic treatment. This test is essential to confirm that the infection has been completely cured. If you experience persistent or recurring symptoms, contact your doctor immediately for further advice and possible additional treatment.

Gonorrhea prevention

Prevention of gonorrhea primarily includes safe sexual practices and regular health checks.

Safe Sex

Safe sex, including consistent and correct use of condoms and dental dams during all forms of intercourse, is fundamental to preventing gonorrhea and other STIs.

Regular Testing

Regular STI testing is essential for prevention, especially for individuals with multiple partners, those who practice unprotected sex, or are in high-risk groups. Early diagnosis facilitates effective treatment and prevents the unknowing spread of infection.

Communication with Partner(s)

Open communication about STI status with partners is essential for informed and responsible sexual practices, promoting an environment of safe sex.

    Book a doctor's appointment

    If you recognize any of the symptoms mentioned or just want to get tested for gonorrhoea, you can easily and quickly book an appointment with one of our experienced doctors here on the website. We guarantee discretion and professional advice, so you can feel safe and secure in the process. Book an appointment today and take the step towards healthier and safer sexual health!

    Frequently asked questions about ECG

    How is gonorrhoea transmitted?

    Gonorrhea is primarily transmitted through unprotected sex, including vaginal, anal and oral intercourse. It can also be passed from mother to child during birth.

    Can gonorrhea be cured?

    Yes, gonorrhea can be effectively treated and cured with antibiotics. However, it is important to complete the full course of treatment as instructed by your healthcare professional.

    How do I know if I have gonorrhoea?

    Many people with gonorrhea experience no symptoms. Symptoms when they do occur can include pain with urination, discharge and abdominal pain. The surest way to know is through a test for sexually transmitted infections.

    What happens if gonorrhea is not treated?

    Untreated gonorrhea can lead to serious complications such as infertility, pelvic inflammatory disease and it can increase the risk of picking up other STIs, including HIV.