Historical perspective. Differentiating Gonorrhea from other Diseases. Epidemiology and Demographics. Natural History, Complications, and Prognosis. History and Symptoms. Physical Examination. Laboratory Findings. Other Diagnostic Studies. Medical Therapy. Antibiotic Resistance. Primary Prevention. Secondary Prevention. Cost-Effectiveness of Therapy. Often, women with gonorrhoea experience no symptoms. This can lead to gonorrhoea going undetected for longer in women if they are not tested regularly.
If left untreated, gonorrhoea can lead to pelvic inflammatory disease PID in women, which can cause infertility. Symptoms of PID include:. Women who have had PID need to be especially careful about gonorrhoea and chlamydia. The risk of infertility increases with each bout of inflammation, especially if left untreated for long periods. Sexual health check-ups are recommended for anyone who is sexually active. If you are sexually active, get a full sexual health check including tests for syphilis, HIV, gonorrhoea and chlamydia at least once a year.
Having a regular sexual health check-up with your local GP doctor or sexual health centre can detect gonorrhoea. The doctor or nurse will ask you for a:. Symptoms resolve quickly — usually within a week. Tell your doctor or nurse if you still have symptoms.
Avoid having any type of sex not even with condoms or internal protection such as dams until treatment is finished. Your GP doctor will know what antibiotic to prescribe based on the current treatment guidelines. Tell your GP if you have been travelling overseas because many of the new resistant strains have originated outside Australia. Having gonorrhoea once does not protect you from getting it again.
It is important to let your sexual partner or partners know that you have gonorrhoea. Most people will appreciate being told they may have an infection and it is an important step in preventing further infection in the community. If your partner is treated it will also prevent you from getting the infection again. Your local GP and sexual health centre can help you inform your partners and let them know that they need a test. It can be done anonymously, and your confidentiality is always respected.
Letting your partners know will also prevent you from getting the infection again. You can also anonymously notify your sexual partners of the need to get tested and treated for gonorrhoea via the Let Them Know website if you feel unable to speak to them personally. There are also nurses called partner notification officers who can help you anonymously notify your partners. It is becoming harder to treat some gonorrhea, as drug-resistant strains of gonorrhea are increasing.
If your symptoms continue for more than a few days after receiving treatment, you should return to a health care provider to be checked again. You should wait seven days after finishing all medications before having sex. To avoid getting infected with gonorrhea again or spreading gonorrhea to your partner s , you and your sex partner s should avoid having sex until you have each completed treatment. Untreated gonorrhea can cause serious and permanent health problems in both women and men.
In women, untreated gonorrhea can cause pelvic inflammatory disease PID. Some of the complications of PID are. In men, gonorrhea can cause a painful condition in the tubes attached to the testicles. In rare cases, this may cause a man to be sterile, or prevent him from being able to father a child. Rarely, untreated gonorrhea can also spread to your blood or joints. This condition can be life-threatening. Skip directly to site content Skip directly to page options Skip directly to A-Z link.
Section Navigation. Facebook Twitter LinkedIn Syndicate. What is gonorrhea? How common is gonorrhea?
How do people get gonorrhea? Who is at risk for gonorrhea? What are the signs and symptoms of gonorrhea? What are the complications of gonorrhea? Untreated gonorrhea can cause serious and permanent health problems in both women and men. What about gonorrhea and HIV? How does gonorrhea affect a pregnant woman and her baby? Who should be tested for gonorrhea? People who have gonorrhea should also be tested for other STDs. How is gonorrhea diagnosed? What is the treatment for gonorrhea? What about partners?
How can gonorrhea be prevented? Where can I get more information? Sexually transmitted infections among US women and men: Prevalence and incidence estimates, Sex Transm Dis ; in press. Sexually Transmitted Disease Surveillance, Asymptomatic gonorrhea in men. N Engl J Med , 3 , — High incidence of new sexually transmitted infections in the year following a sexually transmitted infection: a case for rescreening. Ann Intern Med , 8 , — A trial of minocycline given after exposure to prevent gonorrhea.
N Engl J Med , 19 , — Wallin J. Gonorrhea in a 1-year study of patients attending the VD unit in Uppsala. Brit J Vener Dis , 51, 41—47 Risk of acquiring gonorrhea and prevalence of abnormal adnexal findings among women recently exposed to gonorrhea. JAMA , 23 , — Clinical spectrum of gonococcal infection in women. Lancet , 1 , —
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