What Is Usually the First Sign of Gonorrhea?

Reviewed on 2/8/2021

What Is Gonorrhea?

Pain or burning during urination is usually the first sign of gonorrhea, a bacterial infection transmitted sexually.
Pain or burning during urination is usually the first sign of gonorrhea, a bacterial infection transmitted sexually.

Gonorrhea is a sexually transmitted disease (STD) (also called a sexually transmitted infection, or STI) that affects both men and women. 

About 700,000 people are infected with gonorrhea each year in the U.S., and it is especially common among people aged 15 to 24 years.

What Are Symptoms of Gonorrhea?

Many people, especially women, have no symptoms at all. Many people do not know they have gonorrhea, so it is important to see a doctor for diagnosis at the first sign of gonorrhea. 

Symptoms of gonorrhea in both men and women include: 

If the urethra is infected:

If the throat or mouth is infected:

Symptoms of gonorrhea in women include: 

Symptoms of gonorrhea in men include: 

  • Milky, yellow, or green discharge from the penis
  • Pain and swelling in one testicle (less common)

What Causes Gonorrhea?

Gonorrhea is caused by the Neisseria gonorrhoeae bacteria. Gonorrhea is spread from person to person during oral, vaginal, or anal sex.

Pregnant women with gonorrhea can pass the infection to their babies during childbirth.

The risk of getting gonorrhea is increased in people who have a new sexual partner, more than one sexual partner, or who have other sexually transmitted infections.

How Is Gonorrhea Diagnosed?

Gonorrhea is diagnosed with: 

  • A swab of the vagina or cervix (in women)
  • A urine sample (in men)
  • A swab of the mouth or rectum

What Is the Treatment for Gonorrhea?

Treatment for gonorrhea is the same for women and men and involves a one-time antibiotic treatment with ceftriaxone given as a shot into the muscle.

Sexual partners should also receive treatment because it is possible to be reinfected with gonorrhea. Re-infection is common, and patients should be retested for gonorrhea three months after treatment of the initial infection. Sex should be avoided until both the patient and partner have been treated.

What Are Complications of Gonorrhea?

If untreated, gonorrhea can lead to serious complications, including:

QUESTION

Condoms are the best protection from sexually transmitted diseases (STDs). See Answer

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Reviewed on 2/8/2021
References
https://www.uptodate.com/contents/gonorrhea-beyond-the-basics

https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea.htmb