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Gonorrhoea is a sexually transmitted infection (STI) caused by a bacteria called Neisseria gonorrhoea

Gonorrhoea

Introduction

What is Gonorrhoea?

Gonorrhoea is a sexually transmitted infection (STI) caused by a bacteria called Neisseria gonorrhoeae. It is spread through unprotected sexual contact, including vaginal, anal, or oral sex. In babies, it can be passed from mother to child during childbirth, often affecting the eyes.

Gonorrhoea mostly affects the urinary and reproductive tracts, but it can also infect the rectum, throat, eyes, and joints. If not treated early, it can lead to serious problems such as infertility, pelvic inflammatory disease (PID), eye infections, and joint damage.

This infection is common worldwide, including in Africa. Due to limited awareness and healthcare access in some areas, many people may not know they are infected, especially since women often do not show symptoms.

Discussion

Who is at Risk?

Anyone who is sexually active can get gonorrhoea, but the risk is higher if:

  • You have sex without using condoms.
  • You have multiple sexual partners.
  • You’ve had other STIs in the past.
  • You are a young adult (under 25).
  • You or your partner have not been tested.

Signs and Symptoms

In Men:

  • Painful urination (burning or stinging).
  • White, yellow, or green discharge from the penis.
  • Pain or swelling in one testicle.

In Women:

  • Pain when urinating.
  • Increased vaginal discharge.
  • Vaginal bleeding between periods or after sex.
  • Lower abdominal or pelvic pain.

Other Areas Affected:

  • Rectum: Anal itching, discharge, or bleeding.
  • Throat: Sore throat or swollen neck glands.
  • Eyes: Red, painful eyes with pus discharge.
  • Joints: Swollen, warm joints that hurt when moved (septic arthritis).

⚠️Note: Many people, especially women, may have no symptoms at all. Regular testing is important.

When to Seek Medical Help

See a healthcare provider if:

  • You or your partner have symptoms listed above.
  • You’ve had unprotected sex or multiple partners.
  • You are pregnant or planning to get pregnant.
  • Your eyes become red, painful, or sticky.
  • You have painful or swollen joints, or unexplained rash.
  • You suspect exposure to gonorrhoea.

How is Gonorrhoea Diagnosed?

Doctors may:

  • Take a urine sample.
  • Use a swab to collect fluid from the penis, cervix, throat, rectum, or eyes.
  • Ask questions about your sexual history and symptoms.

Test results are often available within a few days.

Treatment

Gonorrhoea is curable with antibiotics. Contact your medical doctor for the correct prescription of antibiotics.

Both you and your partner(s) must be treated, even if there are no symptoms.

Do not have sex until the full course of treatment is completed, and symptoms have gone away.

Self-Care Tips

  • Take all the medications exactly as prescribed.
  • Drink plenty of clean water.
  • Avoid sex until cleared by your doctor.
  • Return to the clinic for follow-up tests if asked.

Prevention

  • Always use condoms (male or female) during sex.
  • Use dental dams for oral sex.
  • Avoid multiple sexual partners.
  • Get regular STI screenings at your local clinic.
  • Avoid sex with anyone showing signs of STIs.
  • If you are pregnant, get tested to protect your baby.

Why Early Treatment Matters

Untreated gonorrhoea can lead to:

  • Infertility in both men and women.
  • Ectopic pregnancy (pregnancy outside the womb) or miscarriage.
  • Blindness in newborns.
  • Long-term pelvic or abdominal pain.
  • Increased risk of HIV transmission.

Key Takeaway

Gonorrhoea is common but treatable. Safe sex, regular testing, and early treatment protect your health and your partner’s health.

References
  1. World Health Organization (WHO). “Sexually transmitted infections (STIs)”. https://www.who.int  [Accessed April 2025]
  2. Centers for Disease Control and Prevention (CDC). “Gonorrhea – CDC Fact Sheet.” https://www.cdc.gov [Acccessed April 2025]
  3. Unemo M. et al., “Gonorrhoea.” Nature Reviews Disease Primers, 2019.
  4. Africa CDC. “STI Prevention and Management in Africa.” https://africacdc.org
  5. Morgan, M.K. and Decker, C.F., 2016. Gonorrhea. Disease-a-Month, 62(8), pp.260-268.
  6. Burke, D. (2023) Systemic gonococcal infection, Healthline. Available at: https://www.healthline.com/health/gonococcemia-disseminated#symptoms (Accessed: 11 April 2025).