Gonorrhea is one of the most commonly occurring sexually transmitted diseases (STDs) caused by a bacteria. It is popularly known by its slang names of the clap or the drip.
The disease is caused by the Neisseria gonorrhea bacterium. This microorganism loves to live in the warm, moist areas of the body's reproductive organs and mucous membranes. Both men and women can experience infection in the urine canal, but also outside the genitalia in the mouth, throat, anus, and even eyes. In women, genital infection areas also include the cervix, fallopian tubes, and uterus. Vertical infection, or the transmission from a pregnant mother to an unborn child, is also possible.
Statistically, men have a 20% chance of contracting gonorrhea during sex with an infected partner. Women have a 50% chance of infection during sex.
Symptoms of Gonorrhea
In men a burning sensation during urination, and/or a green, white, or yellow discharge from the penis are the most common and noticeable symptoms of gonorrhea. Less frequently, men may develop a painful swelling in the testicles. Men typically develop symptoms of gonorrhea shortly after infection usually within two to five days. In rarer cases symptoms have been known to take as long as a month to appear.
In women the difficulty arises because of the fact that symptoms of gonorrhea infection may not be evident at all. Even when symptoms are noticeable, they are so generalized that they are frequently mistaken for a bladder or vaginal infection. Such symptoms would include burning on urination (as with men), an increase in vaginal discharge, and possibly bleeding between periods.
Anal infections may also result in no direct symptoms. Throat infections usually result in a sore throat and no other symptoms. Studies vary, the estimate is that between 30-60% of all cases either develop no symptoms of gonorrhea, or the symptoms are so mild that treatment is never sought.
Gonorrhea Treatment
As with all sexually transmitted diseases caused by a bacterial pathogen, gonorrhea can be treated with antibiotics. A wide range of these drugs can be used including the well-known Ciprofloxacin and Amoxicillin. Gonorrhea treatment can be as simple as a single dose of the right antibiotic.
Penicillin cannot be used to treat anal infections, since other bacteria naturally present in the rectum produce substances that destroy Penicillin. Also, treatments of throat infections are not especially effective, requiring a follow-up check inside of 3 days.
Like many bacterium, Neisseria gonorrhea is developing immunity to some antibiotics. Most or all strains of the disease are now completely immune to the Tetracycline, and some strains that are immune to most antibiotics in general are starting to appear. Antibiotic resistance would appear to be an emerging problem for gonorrhea treatment in the future.
Complications
With or without the typical gonorrhea symptoms, severe complications may eventually result from the infection. Much like other sexually transmitted diseases like chlamydia, if left untreated, gonorrhea can lead to infertility.
In women, the infection can travel upwards into the female reproductive tract causing pelvic inflammatory disease. PID symptoms can include abdominal pain and fever, and lead to internal abscesses and chronic pelvic pain. PID can also damage the fallopian tubes, causing infertility or an ectopic pregnancy. This is a hazardous, potentially fatal condition where a fertilized egg grows not in the uterus, but in a fallopian tube (ectopic pregnancy).
Complications for men are less hazardous, but still severe. Untreated cases can lead to a painful case of epididymitis, which is an infection of the ducts attached to the testicles. This type of infection can affect male fertility.
Those people who are already infected with gonorrhea also become more vulnerable to other STDs, such as HIV/AIDS.
Prevention
The most direct means of preventing infection with Neisseria gonorrhea is to abstain from sexual intercourse. This is followed by being in a sexually monogamous relationship with a previously tested partner, and then by requiring all sexual partners to be tested for the presence of the Neisseria gonorrhea bacteria. Condoms (both male and female varieties) when used properly, greatly reduce the chance of infection, but cannot eliminate it completely.
Gonorrhea - This Sexually Transmitted Disease Has Not Gone Away
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