Gonorrhea Symptoms: What You Need to Know - Urology

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I'm really worried?


Symptoms of gonorrhea include painful urination, frequent urination, urgency to urinate, difficulty urinating, and yellowish, thick discharge from the urethra.
If a culture of the discharge is performed, it may show an infection with Neisseria gonorrhoeae.
I found this information online, but I am a first-year student and have not engaged in sexual intercourse, only kissed! Can it be transmitted that way? I sometimes experience pain while urinating, but the frequency of urination is manageable.
What does urgency to urinate mean? I also have some difficulty urinating, but it’s okay; I can only urinate when I’m not talking.
Is that normal? I don’t have any yellowish, thick discharge! I’m really worried! I hope it’s not gonorrhea.

Nai Cha, 10~19 year old female. Ask Date: 2011/05/13

Dr. Tu Xiuhong reply Urology


Dear student, if you are concerned about a possible gonorrhea infection, it is best to visit a hospital for testing to obtain a definitive answer.

Reply Date: 2011/05/13

More Info


Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that primarily affects the mucous membranes of the reproductive tract, but it can also infect the throat and rectum. Understanding the symptoms and transmission routes of gonorrhea is crucial, especially for individuals who may be concerned about their health.

The common symptoms of gonorrhea include painful urination, increased frequency of urination, urgency to urinate, and the presence of a thick, yellowish discharge from the urethra. In some cases, individuals may experience discomfort in the lower abdomen or during sexual intercourse. However, it is important to note that many people, especially women, may be asymptomatic, meaning they do not exhibit noticeable symptoms despite being infected.

In your case, you mentioned experiencing occasional pain during urination, which can be a symptom of gonorrhea, but it is not definitive on its own. The absence of a thick, yellow discharge is also a positive sign, as this symptom is more characteristic of gonorrhea. The feeling of urgency to urinate refers to a sudden, compelling need to urinate, which can be distressing and may occur frequently. If you find that you have to rush to the bathroom or feel an overwhelming need to urinate, this could be related to an infection or irritation in the urinary tract.

Regarding your concerns about transmission, gonorrhea is primarily spread through sexual contact, including vaginal, anal, and oral sex. Kissing, while it can transmit other infections, is not a typical route for gonorrhea transmission. However, if oral sex is involved, there is a risk of transmitting the infection to the throat. Since you mentioned that you have not engaged in sexual intercourse, the likelihood of having contracted gonorrhea through kissing alone is very low.

If you are experiencing symptoms that concern you, it is essential to consult a healthcare professional for a proper evaluation. They may recommend a urine test or a swab of the urethra to check for gonorrhea and other STIs. Early diagnosis and treatment are vital to prevent complications, such as pelvic inflammatory disease in women, which can lead to long-term reproductive health issues.

In summary, while some of your symptoms could be related to gonorrhea, the absence of a thick discharge and your lack of sexual activity significantly reduce the likelihood of infection. However, it is crucial to seek medical advice to rule out any potential infections and to address your symptoms appropriately. Remember, taking care of your health and seeking professional guidance is always the best course of action when you have concerns about your body.

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