The discharge from gonorrhea is what color?

Written by Zhai Yu Juan
Dermatology Department
Updated on September 13, 2024
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Gonorrhea is a sexually transmitted disease caused by the infection of Neisseria gonorrhoeae, also known as gonococcus, primarily manifesting as purulent infections of the urinary and reproductive organs. The main route of transmission for gonorrhea is through sexual contact, but it can also be transmitted through close living contact and from mother to child. The clinical symptoms of gonorrhea vary; symptoms in males are typically more pronounced, including frequent urination, urgent urination, painful urination, and redness and swelling at the urinary opening, which may exude yellow purulent discharge. In females, the symptoms of gonorrhea are generally milder, commonly affecting the cervix and vagina with mucous secretions initially, which may later become purulent, often without significant noticeable symptoms.

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Written by Chen Feng
Urology
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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 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 Zhu Zhu
Dermatology
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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 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 Liu Jian Wei
Obstetrics and Gynecology
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Is vestibular adenitis the same as gonorrhea?

Bartholin's gland inflammation is not limited to gonorrhea; these are two different diseases. Bartholin's gland inflammation refers to the condition where pathogenic microorganisms enter the Bartholin's glands through their external openings, causing inflammation of these glands. Gonorrhea, on the other hand, is a sexually transmitted disease caused by a specific pathogenic microorganism, primarily transmitted through sexual contact. These two are not equivalent; therefore, they require different treatments.