Gonorrhea
Gonorrhea
Definition
Gonorrhea, a highly contagious sexually transmitted disease (STD), is one of the most
common STDs in the United States.
Sometimes referred to as "the clap," gonorrhea may produce signs and symptoms
such as a burning sensation when urinating or a thick discharge from the penis or
vagina. Many people experience mild or no signs or symptoms. Left untreated,
gonorrhea can cause serious complications, especially in women.
The cause of gonorrhea is a bacterium that spreads through sexual contact. The
disease can also be passed from a mother to her child during birth.
Symptoms
The first gonorrhea symptoms generally appear within two to 10 days after exposure
to the bacterium. However, some people may be infected for months before signs or
symptoms occur.
Causes
The bacterium Neisseria gonorrhoeae, also referred to as gonococcus, causes
gonorrhea. The bacterium is spread through semen or vaginal fluids during
unprotected sexual contact, heterosexual or homosexual, with an infected partner.
Risk factors
The more sexual partners you have, the greater your risk. Casual contact, such as
kissing, doesn't spread the disease.
About three out of four reported cases of gonorrhea in the United States occur in
people younger than 30. The highest rates of infection often are present in 15- to 19-
year-old women and 20- to 24-year-old men.
Have a discharge from your vagina or penis or have other signs or symptoms
of gonorrhea
Are concerned that a partner may have been exposed to the infection
Know gonorrhea has been diagnosed in a partner
Are pregnant and have multiple sexual partners
Testing for sexually transmitted diseases (STDs) isn't part of a routine gynecologic
exam for women or a regular physical exam for men. Talk to your doctor if you're
concerned that you may have gonorrhea or another STD.
Complications
Not receiving adequate treatment for gonorrhea may lead to complications. These
may include:
Babies born to mothers with gonorrhea are treated with antibiotics, as well. The
application of silver nitrate or another medication to the baby's eyes immediately after
birth can prevent infection of the baby's eyes.
Prevention
To prevent the spread of gonorrhea, use latex condoms and avoid oral sex. Gonorrhea
is highly contagious, and yet may cause no signs or symptoms.
If you have gonorrhea, avoid sexual contact until a course of antibiotics completely
eliminates your infection. Having had gonorrhea once doesn't provide you immunity
from getting it again. Consider alerting your sexual partner or partners so that they
may be tested for the infection, as well, and help prevent further spread of the disease.
Your state health department can work with you to accomplish this.
Schedule a follow-up examination with your doctor after you've completed the course
of antibiotics. Your doctor can check to see if your infection has been completely
eliminated.