There are several ways to transmit gonorrhea.

Written by Zhai Yu Juan

Dermatology Department

Updated on September 03, 2024

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Gonorrhea is a sexually transmitted disease caused by the infection of Neisseria gonorrhoeae, primarily characterized by acute purulent infections of the urogenital tract. The main transmission route of gonorrhea is through sexual contact, followed by mother-to-child transmission, blood transmission, and close living contact transmission, which can also spread gonorrhea. Since Neisseria gonorrhoeae has very poor viability outside the human body, common disinfectants can deactivate it, and the main transmission mode of gonorrhea is still primarily through the classic route of sexual contact.

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Written by Luo Hong

Dermatology Department

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Can gonorrhea relapse?

Gonorrhea (gonococcus) is caused by a bacterial infection. If it is an initial infection of gonococcus, it can be completely cured using sensitive antibiotics in the prescribed treatment course at a standard hospital. However, if the medication is used irregularly or intermittently by oneself, this can easily lead to drug resistance in gonococcus. Therefore, if drug resistance in gonococcus occurs, the effectiveness of the treatment is relatively poor. Hence, it is crucial to receive treatment at a standard hospital through formal medical procedures. Of course, if it is recurrent gonococcal infection, repeated infections may require a longer treatment course.

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Written by Chen Feng

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Painful urination without discharge, is it gonorrhea?

Pain during urination without discharge is generally not gonorrhea; clinically, it is more commonly a urinary tract infection, such as cystitis. Patients with cystitis, due to the inflammation irritating the bladder mucosa, generally exhibit signs of bladder irritation, characterized by frequent urination, urgency, and painful urination. The pain during urination is usually felt as a stabbing or burning sensation in the urethra, but those with cystitis generally do not have any discharge. Clinically, to confirm whether it is gonorrhea, one must first consider the patient's medical history, since gonorrhea is a sexually transmitted disease. Typically, there is a history of unprotected sexual activity before the onset of symptoms, which primarily include redness and swelling of the urethral mucosa, discomfort and itching in the urethra, and painful urination. There would also be a significant amount of white discharge from the urethral opening, consisting of pus. Therefore, the absence of discharge generally rules out gonorrhea. A urine culture can also be done to determine the type of bacterial infection.

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Written by Zhai Yu Juan

Dermatology Department

58sec

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Can gonorrhea and AIDS occur at the same time?

Gonorrhea and AIDS are both sexually transmitted diseases, and their transmission routes can be through sexual contact, mother-to-child transmission, and close living contact. The pathogens are different; gonorrhea is mainly caused by an infection of Neisseria gonorrhoeae leading to acute inflammation of the urogenital tract, while AIDS is a sexually transmitted disease caused by an HIV infection, which can affect various organs throughout the body. When infected with one sexually transmitted disease, other pathogens can also infect simultaneously. Therefore, after diagnosing one sexually transmitted disease, it is important to check for the presence of other sexually transmitted diseases such as AIDS, genital warts, syphilis, etc., to see if there is a co-infection.

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Written by Zhu Zhu

Dermatology

29sec

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Can gonorrhea be detected during the incubation period?

Gonorrhea can be detected during the incubation period, and the probability is relatively high. The incubation period of gonorrhea refers to a period without symptoms before clinical symptoms appear. During the incubation period, it is possible to perform a culture for gonococci by taking cultures from the urogenital tract, where the sensitivity generally exceeds 95%.

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Written by Qu Jing

Dermatology

1min 51sec

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Has gonorrhea gotten better if there is no more pus discharge?

Gonorrhea no longer discharging pus does not necessarily indicate improvement. True improvement can only be confirmed by testing negative. The standard treatment for gonorrhea involves an intramuscular injection of cephalosporin-class medication. Symptoms must be completely controlled, and follow-up checks should be conducted two to three times subsequently. Only if all tests are negative can it be declared cured. If the disease is still detected, further treatment is necessary, and avoiding sexual activity during treatment is crucial. Sexual partners must also be examined. Common complications of gonorrhea include, in males, gonococcal urethritis, which due to improper treatment, alcohol abuse, or sexual activity, may develop further, spreading to the posterior urethra and causing complications such as posterior urethritis, prostatitis, seminal vesiculitis, and epididymitis. These conditions can cause repeated inflammation, leading to scars, urethral stricture, or even blockage of the vas deferens, potentially resulting in infertility. In females, the main complication is gonococcal pelvic inflammatory disease, including acute salpingitis, endometritis, secondary tubo-ovarian abscess and complications from rupture like pelvic cysts and peritonitis. Misdiagnosis or mistreatment can easily advance to pelvic and adnexal infections. Recurring episodes may cause fallopian tube constriction, leading to ectopic pregnancy, infertility, or chronic lower abdominal pain.