Could I Have Gonorrhea? Symptoms and Next Steps - Urology

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Questions about gonorrhea?


Hello, doctor.
Currently, I have a regular sexual partner, and about a week after having intercourse with him, my genitals started to discharge a yellowish-white fluid.
This has been ongoing for four days now.
I would like to know if it is possible that I have contracted gonorrhea.
If so, can I go directly to the hospital to consult a physician?

xuesheng, 10~19 year old female. Ask Date: 2015/12/25

Dr. Xu Weikai reply Urology


Student: Hello, the presence of yellow discharge could be due to gonorrhea or other bacterial infections.
It is recommended that both sexual partners seek medical attention and undergo treatment together.
Online responses should only be considered as a reference; it is essential to visit a healthcare facility for proper evaluation.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/25

More Info


Gonorrhea, caused by the bacterium Neisseria gonorrhoeae, is a sexually transmitted infection (STI) that can affect both men and women. The symptoms you are describing, particularly the yellowish-white discharge from the genital area, are indeed consistent with gonorrhea. Other common symptoms in men can include a burning sensation during urination, swollen or painful testicles, and sometimes sore throat if oral sex was involved. In women, symptoms may include increased vaginal discharge, painful urination, and pelvic pain, although many women may remain asymptomatic.

Given that you have a fixed sexual partner and are experiencing these symptoms, it is important to consider the possibility of gonorrhea or other STIs. The incubation period for gonorrhea can range from 1 to 14 days, but symptoms typically appear within 2 to 7 days after exposure. Since you mentioned that the discharge has persisted for four days, it is advisable to seek medical attention promptly.

You can indeed go directly to a hospital or clinic to consult with a healthcare provider. It is recommended to visit a healthcare facility that specializes in sexual health or an STI clinic, as they will have the necessary expertise to diagnose and treat STIs. When you visit, be prepared to provide information about your symptoms, sexual history, and any other relevant health information. This will help the healthcare provider make an accurate diagnosis.

Testing for gonorrhea typically involves a urine test or a swab from the affected area (urethra, cervix, throat, or rectum, depending on the sexual practices). If diagnosed with gonorrhea, it is usually treated with antibiotics. It is crucial to complete the full course of treatment and to inform your sexual partner(s) so they can also be tested and treated if necessary.
Additionally, it is important to refrain from sexual activity until you and your partner have completed treatment and are cleared of the infection to prevent further transmission. Regular STI screenings are also recommended for sexually active individuals, especially if you have multiple partners or engage in unprotected sex.

In summary, based on your symptoms, it is possible that you could have gonorrhea. Seeking medical attention is the best course of action to confirm the diagnosis and receive appropriate treatment. Remember that early detection and treatment are key to preventing complications associated with untreated gonorrhea, such as pelvic inflammatory disease in women and potential infertility in both men and women.

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