What causes asymptomatic gonorrhea?

Written by Qu Jing
Dermatology
Updated on March 26, 2025
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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 Luo Hong
Dermatology Department
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What should you avoid eating if you have gonorrhea?

Actually, the dietary restrictions for gonorrhea are not very special and are quite similar to those of general diseases. For gonorrhea, one should not drink alcohol, try to avoid staying up late, and avoid overly spicy and stimulating foods, such as extremely spicy dishes, hot pots, and fried foods. The diet should be as bland as possible. Of course, if we consider one's own resistance, it is possible to make some soup and eat some good chicken soup, which can also improve one's resistance.

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Written by Zhai Yu Juan
Dermatology Department
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There are several ways to transmit gonorrhea.

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 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 Li Shun Hua
Obstetrics and Gynecology
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How is gonorrhea tested in women?

For female gonorrhea testing, the main areas examined are the cervical canal and urinary meatus. This involves using a speculum to open the cervix, and then taking secretion samples for laboratory testing. The lab tests can detect Neisseria gonorrhoeae, the bacterium that indicates a gonococcal infection. This type of infection commonly affects the cervix and urethra, leading to symptoms in the urinary system and abnormal vaginal discharge. This disease is mostly transmitted through sexual activity, and it is necessary for both partners to be treated simultaneously.

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Written by Zou De Bo
Urology
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Is urethritis gonorrhea?

Urethritis is not necessarily gonorrhea. Gonorrhea is a sexually transmitted disease primarily characterized by pus-forming infections of the urinary and reproductive systems caused by Neisseria gonorrhoeae. Acute urethritis can be divided into bacterial urethritis, gonococcal urethritis, and non-gonococcal urethritis, which are a broad category of diseases. Therefore, gonorrhea can have the clinical symptoms of acute urethritis and is a type of acute urethritis. If it is gonococcal urethritis, it should be treated as such, while non-specific urethritis should be treated as non-specific urethritis.