Ggonorrhea
What is gonorrhea?
Gonorrhea is a sexually transmitted disease
(STD). Gonorrhea is caused by
Neisseria gonorrhoeae, a bacterium that can grow and multiply
easily in the warm, moist areas of the
reproductive tract, including the cervix
(opening to the womb), uterus (womb), and
fallopian tubes (egg canals) in women, and in
the urethra (urine canal) in women and men. The
bacterium can also grow in the mouth, throat,
eyes, and anus.
How common is
gonorrhea?
Gonorrhea is a very common infectious disease.
CDC estimates that more than 700,000 persons in
the U.S. get new gonorrheal infections each
year. Only about half of these infections are
reported to CDC. In 2002, 351,852 cases of
gonorrhea were reported to CDC. In the period
from 1975 to 1997, the national gonorrhea rate
declined, following the implementation of the
national gonorrhea control program in the
mid-1970s. After a small increase in 1998, the
gonorrhea rate has decreased slightly since
1999. In 2002, the rate of reported gonorrheal
infections was 125.0 per 100,000 persons.
How do people get
gonorrhea?
Gonorrhea is spread through contact with the
penis, vagina, mouth, or anus. Ejaculation does
not have to occur for gonorrhea to be
transmitted or acquired. Gonorrhea can also be
spread from mother to baby during delivery.
People who have had gonorrhea and received
treatment may get infected again if they have
sexual contact with a person infected with
gonorrhea.
What are the
signs and symptoms of gonorrhea?
Although many men with gonorrhea may have no
symptoms at all, some men have some signs or
symptoms that appear two to five days after
infection; symptoms can take as long as 30 days
to appear. Symptoms and signs include a burning
sensation when urinating, or a white, yellow, or
green discharge from the penis. Sometimes men
with gonorrhea get painful or swollen testicles.
In women, the symptoms of gonorrhea are often
mild, but most women who are infected have no
symptoms. Even when a woman has symptoms, they
can be so non-specific as to be mistaken for a
bladder or vaginal infection. The initial
symptoms and signs in women include a painful or
burning sensation when urinating, increased
vaginal discharge, or vaginal bleeding between
periods. Women with gonorrhea are at risk of
developing serious complications from the
infection, regardless of the presence or
severity of symptoms.
Symptoms of rectal infection in both men and
women may include discharge, anal itching,
soreness, bleeding, or painful bowel movements.
Rectal infection also may cause no symptoms.
Infections in the throat may cause a sore throat
but usually causes no symptoms.
How can gonorrhea
be prevented?
Although
many men with gonorrhea may have no symptoms at
all, some men have some signs or symptoms that
appear two to five days after infection;
symptoms can take as long as 30 days to appear.
Symptoms and signs include a burning sensation
when urinating, or a white, yellow, or green
discharge from the penis. Sometimes men with
gonorrhea get painful or swollen testicles.
In women, the symptoms of gonorrhea are often
mild, but most women who are infected have no
symptoms. Even when a woman has symptoms, they
can be so non-specific as to be mistaken for a
bladder or vaginal infection. The initial
symptoms and signs in women include a painful or
burning sensation when urinating, increased
vaginal discharge, or vaginal bleeding between
periods. Women with gonorrhea are at risk of
developing serious complications from the
infection, regardless of the presence or
severity of symptoms.
Symptoms of rectal infection in both men and
women may include discharge, anal itching,
soreness, bleeding, or painful bowel movements.
Rectal infection also may cause no symptoms.
Infections in the throat may cause a sore throat
but usually causes no symptoms.
What is the treatment for gonorrhea?
Several antibiotics can successfully cure
gonorrhea in adolescents and adults. However,
drug-resistant strains of gonorrhea are
increasing in many areas of the world, including
the United States, and successful treatment of
gonorrhea is becoming more difficult. Because
many people with gonorrhea also have chlamydia,
another sexually transmitted disease,
antibiotics for both infections are usually
given together. Persons with gonorrhea should be
tested for other STDs.
It is important to take all of the medication
prescribed to cure gonorrhea. Although
medication will stop the infection, it will not
repair any permanent damage done by the disease.
People who have had gonorrhea and have been
treated can get the disease again if they have
sexual contact with persons infected with
gonorrhea. If a person's symptoms continue even
after receiving treatment, he or she should
return to a doctor to be re-evaluated