By Apollo 24|7, Published on- 15 December 2022 & Updated on - 23 February 2023
Gonorrhea is a sexually transmitted infection (STI) caused by the Neisseria Gonorrheae virus. Also referred to as "drip" or "the clap", it spreads via bodily fluids such as semen and vaginal fluid. An individual can contract the STI through vaginal sex, oral sex, anal sex, or sex toys shared with an STI-infected person.
Sexually active individuals need to be wary of this ailment since there are possibilities that it might not show any symptoms. The individual might unknowingly have no knowledge of contracting the disease and pass it on to their partner. Hence, it is essential to get tested regularly.
The condition usually targets the penis, vagina, eyes, urethra, anus, and parts of the female reproductive tract like the uterus, cervix, and fallopian tubes.
The disease is more common among young adults and teens in the age bracket of 15-24. If the condition is ignored and goes untreated for long time, the individual might face heavy consequences like infertility.
However, detecting the condition on time and consuming antibiotics to eliminate the infection will reduce the chances of health complications. The oral variant of gonorrhoea might even transmit via kissing; however, not enough research has been done to back this claim. The individual is at a higher risk of contracting the ailment again if they have already had it in the past.
Gonorrhea can also be transmitted to a baby if the mother tests positive for it during childbirth.
Whenever the patient starts noticing mild symptoms of gonorrhea, he/she should consult a doctor. For men, this is a pus-like discharge from the tip of the penis, and for women, it is a greenish, creamy vaginal discharge.
An individual should also get checked for STI if any of his/her previous sexual partners have recently contracted STI. Patients might not experience symptoms, but STI might progress without apparent signs. Moreover, an individual must also get himself/herself tested if he/she is in sexual contact with multiple partners at once. The risk of contracting gonorrhea in this situation is relatively high.
The doctor will ask the patient preliminary questions about the symptoms he/she is experiencing and a complete medical and sexual history. The doctor will require swabs from the throat, cervix, urine, urethra, eyelid, and rectum.
The collected samples will then be sent to the lab, where these will be tested for the presence of the bacterium. The tests will also assess whether the patient is at risk of exposure to other STIs, such as chlamydia.
Lab Tests: The lab tests for gonorrhea use swab samples to test the bacteria's presence. For female patients, the sample will primarily be extracted from the cervix. The doctor will ask them to lie on their back on the examination table. Their knees will be bent, and their feet will rest on stirrups.
The doctor will then use a speculum and a plastic spatula or soft brush to extract the sample. For male patients, the doctor will extract a sample from their urethra.
In some instances, the sample may also be taken from the infected area. For example, if an individual has oral gonorrhea, doctors will extract a sample from their mouth.
Lastly, there are certain test preparations an individual must keep in mind before heading to the test. Female patients should avoid using vaginal creams or douching for 24 hours before the test.
Home Tests: Women can also perform home tests with home testing kits. These kits contain vaginal swabs, which they need to use to get a sample. These swabs are then sent to a lab for testing, and the individuals will be notified of the results.
Women can choose whether they want these results sent via text or email. They can view the results online or obtain them via the toll-free hotline.
The treatment for gonorrhea will proceed with antibiotics. These antibiotics help kill the bacteria in a gonorrhoeae-infected patient's bloodstream. There is a possibility that he/she might be immune to certain kinds of antibiotics. In this case, the individual will have to consume certain other drugs or take an injection. Patients must take all their medication on time, and in the correct dosage, since treatment depends heavily on medication.
For gonorrhea, typically, a patient will have to consume a single dosage of 500 mg IM of 3rd generation Ceftriaxone. If the patient weighs above 150kg, he/she must consume 1000 mg. Furthermore, he/she might be recommended to consume the antibiotic Azithromycin as a precautionary measure against chlamydia.
If an individual is allergic to Ceftriaxone, he/she can either consume an oral or injectable dose of Gemifloxacin. This class of drugs is referred to as Cephalosporin antibiotics.
The patient will have to mention any drug allergies he/she might have. These are potent dosages of antibiotics, and non-disclosure of such information can have adverse impacts.
Once the treatment has been completed, the individual must wait for at least seven days before indulging in sexual activity again. He/she might need a follow-up test to ensure that the infection has subsided completely.
If the symptoms do not recede after treatment, the patient might have antibiotic resistance. This happens because certain types of gonorrhoeae bacteria do not respond to antibiotics. In such cases, the patient will require a higher dosage of different antibiotics for longer durations.
Female patients have a greater chance of experiencing untreated gonorrhea complications as it might move to their reproductive tract and impact their reproductive parts, such as ovaries, fallopian tubes, and uterus.
Furthermore, this can pave the way for a disease called Pelvic Inflammatory Disease (PID) causing chronic pain in the reproductive system. Their fallopian tubes might get scarred or blocked, which might lead to the following:
Male patients with untreated gonorrhea will have to deal with the following symptoms:
In severe cases, the infection might also enter their bloodstream, causing significant complications like heart valve damage and arthritis.
Here are certain practices individuals can adopt to reduce the risk of contracting gonorrhea:
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What is the most common complication of untreated gonorrhea?
If gonorrhea is left untreated, it might cause serious health implications such as disseminated gonococcal infection (DGI). This condition comes paired with tenosynovitis, dermatitis, and/or arthritis. Contracting this condition might prove to be fatal.
What are the various signs and symptoms of gonorrhea an individual must watch out for?
The telltale signs of gonorrhea include blood in excreta, anal itching, strain during bowel movements, and so on. Some other signs and symptoms include sensitivity to light, eye pain, and pus discharge from the eyes.
What age group is most affected by STI gonorrhea?
The age group most affected by gonorrhea includes young adults and teens (15-24 years).
Can using condoms eliminate the risk of gonorrhea?
Using condoms to engage in vaginal, anal, and oral sex will reduce the chance of contracting the STI. But keep in mind that it must be used correctly and consistently.
Is gonorrhea more common in men or women?
According to a survey by the Centers for Disease Control and Prevention (CDC), common STDs such as gonorrhea, syphilis and chlamydia have been more commonly known to affect women.