Gonorrhea Health Article

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Reviewer Info: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. ; ADAM Health Illustrated Encyclopedia, 05/30/2009
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Definition

Gonorrhea is a common sexually transmitted disease (STD).

See also: Disseminated gonococcemia

Alternative Names

Clap; The drip

Causes, incidence, and risk factors

Gonorrhea is caused by the bacteria Neisseria gonorrhea. Anyone who has any type of sex can catch gonorrhea. The infection can be spread by contact with the mouth, vagina, penis, or anus.

The bacteria grow in warm, moist areas of the body, including the tube that carries urine out of the body (urethra). In women, the bacteria may be found in the reproductive tract (which includes the fallopian tubes, uterus, and cervix). The bacteria can even grow in the eyes.

Health care providers in every state in the U.S. are required by law to tell their State Board of Health about anyone diagnosed with gonorrhea. The goal of this law is make sure the patient gets proper follow-up care and that their sexual partners are found and tested.

More than 700,000 persons in the United States get gonorrhea every year, according to the Centers for Disease Control and Prevention (CDC).

Gonorrhea is more common in large cities, inner-city areas, populations with lower overall levels of education and people with lower socioeconomic status.

You are more likely to develop this infection if you:

  • Have multiple sexual partners
  • Have a partner with a past history of any sexually transmitted disease
  • Do not use a condom during sex
  • Are a man who has sexual contact with another man
  • Have a drug addiction

Symptoms

Symptoms of gonorrhea usually appear 2 - 5 days after infection, however, in men, symptoms may take up to a month to appear. Some people do not have symptoms. They may be completely unaware that they have caught the disease, and therefore do not seek treatment. This increases the risk of complications and the chances of passing the infection on to another person.

Symptoms in men include:

  • Burning and pain while urinating
  • Increased urinary frequency or urgency
  • Discharge from the penis (white, yellow, or green in color)
  • Red or swollen opening of penis (urethra)
  • Tender or swollen testicles
  • Sore throat (gonococcal pharyngitis)

Symptoms in women can be very mild or nonspecific, and may be mistaken for another type of infection. They include:

  • Vaginal discharge
  • Burning and pain while urinating
  • Increased urination
  • Sore throat
  • Painful sexual intercourse
  • Severe pain in lower abdomen (if the infection spreads to the fallopian tubes and stomach area)
  • Fever (if the infection spreads to the fallopian tubes and stomach area)

If the infection spreads to the bloodstream, fever, rash, and arthritis-like symptoms may occur. See: Disseminated gonococcemia

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