Gonorrhea Risks in Male-Male Sexual Relationships - Urology

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Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that can affect anyone who is sexually active, particularly in male-male sexual relationships. Understanding the risks associated with gonorrhea is crucial, especially given your history of infection and your current sexual practices.

Firstly, it is important to note that gonorrhea can be transmitted through unprotected anal or oral sex. If you have engaged in unprotected sexual activities with your current boyfriend, there is a risk of contracting gonorrhea again, especially if he has had sexual encounters with other partners who may be carriers of the infection. Even if your boyfriend has been tested and shows no signs of infection, it is still possible for him to be a carrier, particularly if he has not been tested recently or if he has had sexual contact with individuals who have not disclosed their STI status.

Regarding your concern about rectal infections, it is indeed possible to contract gonorrhea in the rectum, which may not always present symptoms. Many individuals with rectal gonorrhea may remain asymptomatic, which can lead to confusion about the source of the infection. If you have had anal intercourse without protection, it is advisable to get tested for gonorrhea and other STIs, regardless of whether you or your partner show symptoms.

As for your worry about military service and potential testing, if you have been treated for gonorrhea and have completed the course of antibiotics, it is likely that the infection has cleared. However, testing for gonorrhea typically looks for the presence of the bacteria rather than antibodies, as the body does not develop long-lasting immunity to gonorrhea. Therefore, if you have been successfully treated, a subsequent test should not show a positive result for gonorrhea.

If you are concerned about the possibility of being found out during military testing, it is essential to prioritize your health. Regular STI screenings are crucial for sexually active individuals, especially those with multiple partners. If you are experiencing any symptoms such as unusual discharge, pain during urination, or discomfort in the genital area, you should seek medical attention promptly.

In summary, while your previous infections and your current relationship dynamics may raise concerns about the risk of contracting gonorrhea again, the best course of action is to get tested regularly and maintain open communication with your partners about STI status. If you have any further questions or need clarification, do not hesitate to consult with a healthcare professional who can provide personalized advice based on your situation. Remember, taking proactive steps in managing your sexual health is vital for your well-being and peace of mind.