The Symptoms and Signs of Gonorrhoea including Treatment

Gonorrhea, colloquially known as ‘the clap’, is one of the most common and oldest sexually transmitted infection known to mankind.

It is caused by the bacterium Neisseria gonorrheae. It is spread during sexual intercourse and occasionally from mother to the newborn during delivery.

Gonorrhea primarily affects the cervix, urethra, rectum, and eyes. If untreated, it can spread to other parts of the body.

Highest among young adults between the ages of 15-24 years in females and 20-29 years in males.

Mode of spread

It can be contracted if someone has sexual intercourse (vaginal, oral, or anal) with an infected individual. It can also spread vertically from an infected mother to her newborn during child delivery. Rarely, it can also be transferred from the genitals to the eyes by contaminated fingers.

Spreads more effectively from males to females. The risk of transmission from an infected male to a female is about 50-70%, whereas it is just about 20% the other way round.

Risk factors

Unprotected sexual contact with an infected person

Multiple sexual partners

Male homosexuality

Coexisting sexually transmitted infections

Human immunodeficiency virus

Being a sex worker



Symptoms and Signs of Gonorrhea

Symptoms usually manifest within 2-10 days of infection. Females are often asymptomatic while males are commonly symptomatic.

In Females

Vaginal discharge

Burning sensation while urinating (dysuria)

Bleeding in between periods

When infection ascends, it may also produce dyspareunia (pain during sex), lower abdominal
pain or back pain.

Symptoms and Signs of Gonorrhoea
The Symptoms and Signs of Gonorrhoea -Male: discharge from penis, Female: vagina itching and discharge

In Males

Discharge from the penis tip which is initially scanty and thin but later becomes profuse and purulent over few days.

Burning sensation when passing urine

Occasionally, testicular pain in ascending infection.


Antibiotics in various combinations is the mainstay of treatment in uncomplicated gonorrhea. Spouses or sexual partners also need to be treated.

It is noteworthy to know that individuals who are being treated for gonorrhea should not engage in any form of sexual practice for 7 days after starting the antibiotics to avoid re-infection.


If left untreated or poorly treated, gonorrhea can cause other problems as the infection spreads to other areas of the body. Some of the problems that can arise include:

Chronic pelvic pain

Blocked fallopian tubes

Ectopic pregnancy (pregnancy outside the womb)

Testicular pain and infections


Rarely, the infection gets into the bloodstream and spreads to distant areas of the body such as the skin, eyes, and joints.

Untreated gonorrhea also increases the chance of contracting HIV.


Abstinence from sexual intercourse

Proper use of condoms

Having a committed sexual partner


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