the Increased Risk of HIV After Gonorrhea Infection - Urology

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The likelihood of contracting other sexually transmitted infections (STIs) after being diagnosed with gonorrhea?


Hello, doctor.
I am 152631 and 152671.
I read some articles stating that the risk of contracting HIV increases after being infected with gonorrhea.
Does this mean that the likelihood of contracting HIV increases if one is infected with gonorrhea at the same time, or does it mean that even after successfully treating gonorrhea, the risk of contracting HIV remains elevated? Also, is it normal to have a small amount of clear discharge today?

Xiao Yan, 20~29 year old female. Ask Date: 2020/02/11

Dr. Du Shixi reply Urology


Hello: The results of statistical analysis indicate that the likelihood of co-infection with multiple sexually transmitted infections (STIs) is higher.
Therefore, individuals with STIs are advised to get tested for HIV due to unsafe sexual practices.
Engaging in safe sex throughout can reduce this risk.
As for any abnormal discharge, if there are concerns, a urine test can be conducted.
Wishing you good health.

Reply Date: 2020/02/11

More Info


The relationship between gonorrhea infection and an increased risk of HIV transmission is a significant concern in the field of sexual health. When an individual is infected with gonorrhea, the mucosal surfaces of the genital tract can become inflamed and damaged. This inflammation can create a more conducive environment for the HIV virus to enter the body, thereby increasing the risk of HIV transmission during sexual encounters.

To clarify your question: the increased risk of HIV infection associated with gonorrhea does not only apply when both infections are present simultaneously. Research indicates that even after the gonorrhea infection has been treated and resolved, the risk of acquiring HIV can remain elevated for some time. This is primarily due to the residual effects of inflammation and the potential for ongoing susceptibility in the mucosal tissues. Therefore, while treating gonorrhea is crucial for your health and the health of your partners, it does not eliminate the increased risk of HIV that may have been established during the period of infection.

Moreover, the presence of transparent discharge can be normal, especially if it is not accompanied by other symptoms such as pain, itching, or a strong odor. However, any changes in discharge, especially after a sexually transmitted infection (STI) like gonorrhea, should be monitored closely. If you notice any unusual symptoms or if the discharge persists, it is advisable to consult a healthcare provider for further evaluation.

In summary, the risk of HIV infection can indeed be heightened following a gonorrhea infection, and this risk may persist even after the gonorrhea has been treated. It is essential to practice safe sex, including the use of condoms, to reduce the risk of both gonorrhea and HIV transmission. Regular STI screenings and open communication with sexual partners about STI status are also critical components of maintaining sexual health. If you have further concerns or symptoms, seeking medical advice is always the best course of action.

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