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Chapters
0:00 Introduction
1:25 Causes of Gonorrhoea
1:56 Symptoms of Gonorrhoea
3:11 Diagnosis of Gonorrhoea
3:46 Treatment of Gonorrhoea
Gonorrhea, colloquially known as the clap, is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae.[1] Infection may involve the genitals, mouth, and/or rectum.[7] Infected men may experience pain or burning with urination, discharge from the penis, or testicular pain.[1] Infected women may experience burning with urination, vaginal discharge, vaginal bleeding between periods, or pelvic pain.[1] Complications in women include pelvic inflammatory disease and in men include inflammation of the epididymis.[1] Many of those infected, however, have no symptoms.[1] If untreated, gonorrhea can spread to joints or heart valves.[1][2]
Gonorrhea is spread through sexual contact with an infected person.[1] This includes oral, anal, and vaginal sex.[1] It can also spread from a mother to a child during birth.[1] Diagnosis is by testing the urine, urethra in males, or cervix in females.[1] Testing all women who are sexually active and less than 25 years of age each year as well as those with new sexual partners is recommended;[3] the same recommendation applies in men who have sex with men (MSM).[3]
Gonorrhea can be prevented with the use of condoms, having sex with only one person who is uninfected, and by not having sex.[1][3] Treatment is usually with ceftriaxone by injection and azithromycin by mouth.[4][5] Resistance has developed to many previously used antibiotics and higher doses of ceftriaxone are occasionally required.[4][5] Retesting is recommended three months after treatment.[3] Sexual partners from the last two months should also be treated.[1]