Gonorrhea: Symptoms, Transmission, and Testing Explained - Urology

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Regarding gonorrhea?


Hello, Dr.
Liu...
My boyfriend and I have a normal sex life and have been together for 2.5 years.
However, last November, the day after we had intercourse, my boyfriend developed blisters under his glans, which were itchy and painful.
A week later, after we had sex again, he experienced the same issue.
I was unsure if it was a sexually transmitted infection (STI).
My boyfriend only recently mentioned that he saw a doctor at that time and was diagnosed with gonorrhea.
Why did this happen? Neither of us has other sexual partners, yet we contracted an STI.
Is it true that gonorrhea transmission only occurs through improper sexual behavior? We are both suspicious of each other's fidelity, and I am worried about being infected.
Can it be detected through testing now?

Ga Ga, 20~29 year old female. Ask Date: 2003/03/29

Dr. Liu Jianting reply Urology


That's scary!!! The symptoms of gonorrhea don't seem to be like that; they actually resemble more like a fungal infection or dermatitis.
Don't be so paranoid; if you have concerns, please consult a urologist for an evaluation.

Reply Date: 2003/03/29

More Info


Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a common sexually transmitted infection (STI) that can affect both men and women. Understanding its symptoms, transmission, and testing is crucial for anyone who may be at risk or experiencing symptoms.


Symptoms of Gonorrhea
In many cases, gonorrhea can be asymptomatic, meaning that individuals may not show any signs of infection. However, when symptoms do occur, they can vary between men and women:
- In Men: Common symptoms include a burning sensation during urination, a white, yellow, or green discharge from the penis, and swollen or painful testicles. In some cases, men may also experience itching or irritation at the opening of the penis.


- In Women: Symptoms can be less specific and may include increased vaginal discharge, painful urination, vaginal bleeding between periods, and pelvic pain. Women are often more likely to be asymptomatic, which can lead to delayed diagnosis and treatment.


Transmission of Gonorrhea
Gonorrhea is primarily transmitted through sexual contact, including vaginal, anal, and oral sex. It is important to note that gonorrhea can be spread even when an infected person does not have symptoms. The infection can also be transmitted from mother to child during childbirth, potentially leading to serious complications for the newborn.

Your situation raises an important point about the nature of STIs and trust in relationships. Gonorrhea does not necessarily imply infidelity; it can be contracted from a previous partner who may not have been aware of their infection. It is also possible for one partner to be asymptomatic while the other exhibits symptoms, complicating the understanding of how the infection was acquired.


Testing for Gonorrhea
Testing for gonorrhea typically involves a urine test or a swab from the affected area (such as the urethra in men or the cervix in women). If you are concerned about potential exposure, it is advisable to get tested as soon as possible. Testing is crucial not only for your health but also for the health of your partner.
If you test positive for gonorrhea, it is important to inform your partner so they can also seek testing and treatment. Gonorrhea is treatable with antibiotics, but untreated infections can lead to serious health complications, including infertility in both men and women.


Conclusion
In summary, gonorrhea is a common STI that can be transmitted through sexual contact and may not always present symptoms. If you or your partner are experiencing symptoms or have concerns about potential exposure, it is essential to seek medical advice and get tested. Open communication with your partner about sexual health is vital in maintaining trust and ensuring both partners receive appropriate care. Remember, STIs are a public health issue, and seeking treatment is a responsible step towards safeguarding your health and that of your partner.

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