Gonorrhea: Symptoms, Treatment, and Aftermath

Gonorrhea, may I ask?

Due to previous unprotected intercourse and subsequent infection, I went to a large hospital to see a doctor.
I had blood tests and took medication, and it was ultimately discovered that I had gonorrhea.
However, the report I received that day was from the previous week, indicating that I had gonorrhea at that time.
The doctor mentioned that the medication had suppressed the infection, but warned that there could be long-term effects.
He advised me to return if I experienced any issues.
Recently, although I have had unprotected sexual experiences, I am uncertain whether my current symptoms are due to the unprotected encounters or the potential long-term effects.
I have noticed a sticky discharge on the glans, and my underwear has a yellowish stain after being dried in the sun, but there is no pain in the glans.
I would like to know the possible causes of these symptoms and whether I should return to see the doctor to determine if it is a long-term effect or something else.
I also engage in daily masturbation and have researched online but remain unsure about the situation, so I seek your advice.

Dearr, 20~29 year old female. Ask Date: 2019/02/17

Dr. Du Mingyi reply Urology

It is recommended to follow up with a urologist, as the gonorrhea may not be fully resolved yet.

Reply Date: 2019/02/17

More Info

Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that can affect both men and women. Understanding its symptoms, treatment, and potential aftermath is crucial for anyone who has been diagnosed or suspects they may have this infection.

Symptoms of Gonorrhea
Gonorrhea can manifest differently in individuals. Many people may not exhibit symptoms, especially women, which can lead to delayed diagnosis and treatment. When symptoms do occur, they may include:
- In Men:
- A burning sensation during urination
- A white, yellow, or green discharge from the penis
- Painful or swollen testicles
- Frequent urination
- In Women:
- Increased vaginal discharge
- Painful urination
- Vaginal bleeding between periods
- Pelvic pain
In some cases, gonorrhea can also infect the throat (pharyngeal gonorrhea) or rectum (rectal gonorrhea), leading to sore throat or rectal pain, respectively.

Treatment of Gonorrhea
The standard treatment for gonorrhea typically involves antibiotics. Due to rising antibiotic resistance, the Centers for Disease Control and Prevention (CDC) recommends a dual therapy approach, usually consisting of:
- Ceftriaxone (an injectable antibiotic)
- Azithromycin (an oral antibiotic)
It is essential to complete the entire course of antibiotics as prescribed, even if symptoms resolve before finishing the medication. Additionally, sexual partners should also be treated to prevent reinfection.

Aftermath and Potential Complications
After treatment, some individuals may experience lingering symptoms or complications. In your case, you mentioned experiencing a sticky discharge from the glans (head of the penis) and discoloration of your underwear. While these symptoms could be related to a variety of factors, including:
- Residual Infection: If the gonorrhea was not completely eradicated, or if there is a co-infection with another STI, symptoms may persist.

- Post-Gonococcal Urethritis: This condition can occur after treatment for gonorrhea, leading to inflammation of the urethra that may cause discharge and discomfort.

- Other Infections: Engaging in unprotected sexual activity increases the risk of other STIs, which could explain your symptoms.

When to Seek Medical Attention
Given your symptoms and history of gonorrhea, it is advisable to return to your healthcare provider for further evaluation. They may perform tests to determine if the infection has cleared or if there are other underlying issues. It’s important to communicate openly with your doctor about your symptoms, sexual history, and any concerns you have regarding potential complications or reinfection.

Conclusion
Gonorrhea is a treatable infection, but it can lead to serious health issues if left untreated. Regular check-ups and open communication with healthcare providers are vital for sexual health. If you experience any unusual symptoms, especially after a diagnosis of gonorrhea, it is crucial to seek medical advice promptly. Remember, practicing safe sex, including the use of condoms, can significantly reduce the risk of STIs in the future.

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