Gonorrhea: Can You Get It from a Monogamous Partner? - Urology

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Having a steady partner but contracting gonorrhea?


Hello doctor, I have a girlfriend and we have had sexual relations several times.
However, last week I noticed a discharge resembling pus from my urethral opening.
Does this mean that my girlfriend has cheated on me and had sexual intercourse with someone who has gonorrhea, which then indirectly transmitted it to me? Or are there other reasons, aside from sexual intercourse, that could lead to contracting gonorrhea?

H, 20~29 year old female. Ask Date: 2016/01/17

Dr. Chen Wenming reply Urology


Hello, 1.
It is recommended that urethral discharge be tested to confirm whether there is a gonococcal infection.
2.
A single test cannot definitively prove infidelity.
3.
Gonorrhea is a sexually transmitted infection.

Reply Date: 2016/01/17

More Info


Gonorrhea is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae. It is primarily transmitted through sexual contact, including vaginal, anal, and oral sex. If you are experiencing symptoms such as pus-like discharge from the urethra, it is important to seek medical attention promptly, as this could indicate a gonorrhea infection or another sexually transmitted infection.

Regarding your question about whether you can contract gonorrhea from a monogamous partner, it is essential to understand a few key points:
1. Monogamous Relationships and STIs: In a monogamous relationship, both partners are expected to be faithful to each other. However, if one partner has had sexual contact with someone who is infected with gonorrhea, even if it was before the relationship began, they can transmit the infection to their current partner. It is also possible for someone to be asymptomatic, meaning they carry the infection without showing any symptoms, and unknowingly pass it on to their partner.

2. Transmission Routes: Gonorrhea is primarily transmitted through sexual activity. However, it is important to note that it is not spread through casual contact, such as hugging, kissing, or sharing utensils. The bacterium requires direct mucous membrane contact, which typically occurs during sexual intercourse.
3. Other Potential Sources of Infection: While gonorrhea is mainly transmitted through sexual contact, there are rare cases where it can be transmitted through non-sexual means, such as from mother to child during childbirth. However, this is not applicable in your situation.
4. Testing and Diagnosis: If you suspect that you may have contracted gonorrhea, it is crucial to get tested. A healthcare provider can perform a urine test or a swab of the affected area to confirm the presence of the bacteria. Early diagnosis and treatment are vital to prevent complications, such as pelvic inflammatory disease (PID) in women or epididymitis in men.

5. Treatment: Gonorrhea is typically treated with antibiotics. However, due to the emergence of antibiotic-resistant strains of Neisseria gonorrhoeae, it is essential to follow the treatment regimen prescribed by your healthcare provider and to inform any sexual partners so they can also be tested and treated if necessary.

6. Prevention: To reduce the risk of contracting gonorrhea and other STIs, consider using condoms during sexual activity, even in a monogamous relationship. Regular STI screenings for both partners can also help ensure that any infections are caught early and treated appropriately.

In conclusion, while it is possible to contract gonorrhea from a monogamous partner if they have been exposed to the infection, it is essential to seek medical advice for proper testing and treatment. Open communication with your partner about sexual health and STI testing is also crucial in maintaining a healthy relationship. If you have any further concerns or questions, do not hesitate to reach out to a healthcare professional.

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