Ministry of Health    


STD Series
BC HealthFile #08a, April 2007

Gonorrhea



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What is gonorrhea?

Gonorrhea is a disease caused by germs or bacteria. The infection is usually found at the opening of the uterus, or in the tube that carries urine from the bladder. It can also infect the rectum, throat, and pelvic organs. To find out if you have gonorrhea, you must be examined by a doctor or nurse and have tests taken.

How is it spread?

Gonorrhea can be spread easily from one infected person to another by having unprotected sex - not using a condom - with someone who has this disease. Gonorrhea can be spread at any time while a person is infected, whether or not he or she has symptoms. A person can still become infected again in the future even if the person and infection are treated.

What are the symptoms?

In some cases there are no symptoms, and a person can have gonorrhea and not know it. When symptoms develop, they usually occur two to five days after the person becomes infected, but may not appear for up to thirty days.

Women may notice a change in the amount and colour of fluid from the vagina, pain while urinating, and/or unusual menstrual bleeding. Men may notice a creamy white or yellow fluid from the penis and a burning feeling while urinating. In both men and women, a gonorrhea infection in the rectum may cause itching, pain, bleeding, or a stringy white fluid when having a bowel movement. Gonorrhea infections in the throat may cause a sore throat.

What are the complications?

If treated early before any complications begin, gonorrhea causes no lasting problems. Untreated gonorrhea can lead to many complications. If this infection is left untreated, it can spread and damage organs in the body.

Women may have difficulty getting pregnant. Men may develop an infection in the testicles, which can make it difficult to make a woman pregnant. Pregnant women may pass the infection to their baby's eyes during childbirth. This may lead to blindness if the baby is untreated. In both men and women, untreated gonorrhea can cause joint, skin and eye problems.

What is the treatment?

Both the person diagnosed with gonorrhea, and their sexual partner(s) within the last sixty days, must take antibiotic pills. Any sexual partner(s) of the person diagnosed with gonorrhea must be treated, regardless of their test results. Follow up tests are recommended six months after treatment.

Important: Do not have sex until you and your sexual partner(s) have finished all the medication. Take all of the medication exactly as instructed.

Should I be tested for other sexually transmitted diseases (STDs)?

If you have different sexual partners, or if your partner has different partners, you should also be tested for other STDs including chlamydia, syphilis and HIV (the virus linked to AIDS). You should also consider getting vaccine shots to prevent hepatitis B infection.

Please remember: The more sexual partners you have, the higher your risk of getting a STD.

Birth control pills

Birth control pills may not work very well when you are taking some antibiotic medicines. Keep taking your birth control pills while taking any medication, and also use a second form of birth control, such as a condom, until your next period after completing the antibiotics.

Ways to reduce your risk of getting a sexually transmitted disease

Important facts about condoms

Putting on a male condom

Putting on a female condom

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