Gonorrhea: Concerns and Questions for Patients

Q: Gonorrhea: Concerns and Questions for Patients

Hello： The physician does not encourage this type of sexual relationship, but also does not want to instill fear. <br>Given the circumstances at that time, there should be no issues; it is more important to avoid this behavior. <br>1. <br>No, 2. <br>No, thank you for your inquiry

Panic about Gonorrhea (2)

Subject: Inquiry Regarding Gonorrhea Concerns
Dear Dr.
Du,
I recently came across a newspaper article about gonorrhea, which has caused me to feel anxious.
Eighteen years ago, I had a single instance of hand-to-genital contact with a sex worker, during which I ejaculated, but there was no direct contact between our genitalia.
To my recollection, over the past ten years, including the three weeks following that encounter (the incubation period?), I have not experienced any symptoms of gonorrhea (such as urethral discharge, swelling, pain, or burning during urination).
However, I have had a couple of instances over the years where I felt some discomfort in my lower abdomen and urethra, with increased frequency of urination but low volume, and no discharge.
At that time, I did not associate these symptoms with gonorrhea, and after taking anti-inflammatory medication and drinking plenty of water, the symptoms resolved by the next day.
I would like to ask you the following questions:
1.
What is the likelihood of contracting gonorrhea from hand-to-genital contact without direct genital contact?
2.
If I were to have contracted the infection, how obvious would the symptoms such as discharge and pain be? I am concerned that I may have overlooked something.
3.
Should I tell myself to stop worrying, or should I pursue further testing? (It has been eighteen years.)
4.
I currently have no symptoms related to gonorrhea as listed in the Q&A history.
Is there a need for me to undergo a urine test? Can bacteria still be cultured from urine in the absence of symptoms?
Thank you for taking the time to respond.
Best regards,
Doctor Q&A Teams
Response from Dr.
Du, Urology Department, Miaoli Hospital, February 11, 2017:
Hello,
To confirm a diagnosis of gonorrhea, a sufficient quantity of Neisseria gonorrhoeae is required, so there is no need to worry excessively.
However, since you are now 50 years old and have reached the age for prostate check-ups, please ask your doctor to include a urine test at that time.
1.
The likelihood is almost negligible.
2.
Symptoms are usually quite pronounced.
3.
There is no need for you to make a special trip for this.
4.
If there is a possibility, just have your doctor take note of it, and try to relax.
Thank you for your quick response, Dr.
Du! Additionally, I would like to clarify a couple of points:
1.
Regarding the previously mentioned hand-to-genital contact, I forgot to mention that I also touched the sex worker's genital area.
I am unsure if I inadvertently touched my own penis afterward.
If that were the case, would that be considered serious? Does this information affect your original response?
2.
Given my contact history and the absence of symptoms, based on your clinical experience, do you believe I have not been infected?
Thank you once again!

Konglinzhe, 50~59 year old female. Ask Date: 2017/02/11

Dr. Du Shixi reply Urology

Hello: The physician does not encourage this type of sexual relationship, but also does not want to instill fear.
Given the circumstances at that time, there should be no issues; it is more important to avoid this behavior.
1.
No, 2.
No, thank you for your inquiry.

Reply Date: 2017/02/11

More Info

Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that can affect both men and women. Understanding the risks, symptoms, and testing options is crucial for anyone who may be concerned about potential exposure. Based on your inquiry, let’s address your concerns regarding gonorrhea and provide some clarity on the matter.

1. Risk of Infection from Hand Jobs: You mentioned that your only sexual encounter involved manual stimulation (hand job) and that there was no direct genital contact. The risk of contracting gonorrhea through hand-to-genital contact is significantly lower than through vaginal, anal, or oral sex. Gonorrhea is primarily transmitted through mucous membranes, which are present in the genital area. If your hands were not contaminated with infected bodily fluids and there was no direct contact with the urethra or vaginal secretions, the likelihood of infection is minimal. However, if there was any transfer of infected fluid from your hands to your genitals, there is a theoretical risk, albeit low.

2. Symptoms of Gonorrhea: Gonorrhea symptoms can vary widely. In men, the most common symptoms include a burning sensation during urination, discharge from the penis (often yellow or green), and swollen or painful testicles. However, many men may remain asymptomatic, meaning they do not exhibit noticeable symptoms. The symptoms you described, such as mild discomfort and increased urination without significant discharge, could be attributed to various other conditions, including urinary tract infections or prostatitis, rather than gonorrhea. If gonorrhea were present, the symptoms would typically be more pronounced.

3. Should You Get Tested?: Given that it has been 18 years since your potential exposure and you have not experienced any significant symptoms, it is understandable to feel conflicted about whether to pursue testing. However, if you are experiencing any new or unusual symptoms, or if you have concerns about your sexual health, it is advisable to consult a healthcare provider for an evaluation. Regular STI screenings are recommended for sexually active individuals, especially if you have had multiple partners or unprotected sex.
4. Testing Without Symptoms: You asked whether it is possible to detect gonorrhea in urine without symptoms. Yes, it is possible to test for gonorrhea even if you are asymptomatic. A urine test can be performed to check for the presence of the bacteria. If you are concerned about your sexual health, it is better to err on the side of caution and get tested.
In conclusion, while your risk of contracting gonorrhea from the described encounter appears low, it is always wise to stay informed and proactive about your sexual health. If you have any lingering doubts or symptoms, seeking medical advice and testing can provide peace of mind. Remember, open communication with your healthcare provider is key to addressing any concerns you may have regarding STIs or other health issues.

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