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 Xiong Hong Hai

Infectious Disease

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How to diagnose and treat a patient with AIDS who also has gonorrhea?

Patients with AIDS who are also infected with gonorrhea need simultaneous treatment and management. If the AIDS is still in its early stage and the CD4 cells are in a high state, gonorrhea can be treated first, as its treatment is relatively straightforward, primarily involving the use of potent antibiotics. Usually, a course of treatment lasting about one to two weeks can essentially cure it. After curing gonorrhea, anti-HIV treatment can be administered, which tends to be more effective. Both gonorrhea and AIDS are sexually transmitted diseases and can easily co-infect.

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Written by Qu Jing

Dermatology

1min 21sec

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What causes asymptomatic gonorrhea?

Most patients with gonorrhea have clinical manifestations, and only a few with mild or chronic infections may not exhibit obvious symptoms. Gonorrhea is caused by an infection with Neisseria gonorrhoeae, commonly known as gonococcus. It primarily manifests as a purulent infection of the urinary and reproductive systems, and can also lead to pharyngeal, rectal, and disseminated gonococcal infections. It has a short incubation period, is highly contagious, and can lead to various complications and sequelae. Gonorrhea is mainly transmitted through sexual contact, with the patient being the source of infection. In rare cases, it can be contracted through contact with secretions containing gonococci or contaminated items, such as clothing, bedding, towels, bathtubs, and toilet seats. Females, including young girls, due to the short length of the urethra and genitalia, are easily infected. It is often through shared family use of bath items and towels that infection occurs. Newborns can be infected through the birth canal of a mother with gonorrhea, leading to neonatal gonococcal conjunctivitis. Pregnant women infected with gonorrhea may transmit the bacteria to the amniotic fluid, potentially infecting the fetus.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 12sec

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Is vestibular adenitis gonorrhea?

Bartholin's gland inflammation is not gonorrhea. Gonorrhea is a type of sexually transmitted disease, mainly caused by infection with streptococcus. Clinically, it presents with yellow-green vaginal discharge and itching of the vulva. This can generally be diagnosed by taking a secretion sample for testing at a hospital. Treatment for gonorrhea must also be conducted at a hospital after confirming the presence of streptococcus, typically through topical medications and intravenous anti-inflammatory drugs. Bartholin's gland inflammation occurs when the duct of the Bartholin's gland becomes blocked, forming a cyst that leads to inflammation and swelling at the site of the Bartholin's gland, as well as localized pain in the vulva. This condition can severely affect daily activities and walking for some patients. Treatment for Bartholin's gland inflammation generally starts with medication. If chronic inflammation leads to cyst formation, procedures such as fistulotomy or cyst excision may be performed as treatment. These two are not the same condition.

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Written by Qu Jing

Dermatology

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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.