Gonorrhoea is a sexually transmitted disease caused by infection with a bacterium called Neisseria gonorrhoea.

This infection can also be transmitted by non-sexual route to the eyes from contaminated items or fingers or even during child birth from an infected mother onto the eyes of her new born baby.

Gonorrhoeal infection is the second most common sexually transmitted disease after Chlamydia. Unlike most other infections, this disease occurs only in humans. It can thus not be transmitted to animals.

The bacteria that cause this sexuallt transmitted disease (STD) shows a strong likening for the cells that line the wall of the genital tracts, urinary tract, lower large intestine and rectum, as well as the eyes and throat of humans. Thus one could have gonorrhoeal infection affecting these areas.

This is a disease mostly found in the sexually active young adults between the ages of 14 and 25. Gonorrhoea does affect most females than males, with a quarter of all female infection occurring between the ages of 14 and 19, and male from 20 – 25 years of age.

Over 60,000 new cases of gonorrhoea are reported in the UK annually, and according to the UK health protection agency, 25 % of the 15,878 cases diagnosed in males in 2004 were transmitted in same sex relationship. In the United States, over 600,000 new cases are reported yearly. The approximate cost of gonorrhoea treatment has been put at about $1.1 billion.

About the Bacteria

Neisseria gonorrhoea is rather unique in that it has developed to master the human body and clever at evading the body’s defence system. It is a gram negative diplococcus with hair-like structures called pili with which it comfortably attaches to the columnar epithelia (linings or covering) of the genital, urinary, throat, eyes or rectal walls.

Its ability to bind to special forms of iron found in humans called transferrin and lactoferrin required for growth also gives it a unique survival edge in the human body.

Sometimes, the organism produces a special form of chemical against a chemical called IgA1 produced by the body’s defence system. When this happens, the bacteria can spread from the genital tract into the blood stream, causing a generalised gonorrhoea infection called disseminated Gonorrhoea Infection (DGI). This is a potentially life threatening disease.

Signs and Symptoms of Gonorrhoea

The signs and symptoms of gonorrhoea are slightly different between males and females.

Infection in males usually affects the penile urethra. This results in pain and discharge of pus-like material from the penis (penile urethra)). It takes about 2 – 10 days from when the infection was contacted to symptoms showing up.

You can see a gonorrhoea picture below in a young man with two days old infection.

In men who have sex with men, rectal infection is common, but may not show up with any symptom. In a few however, they may have continuous itching of the anus, discharges or even bleeding. They may have an urge to go to pass faeces, but passes nothing when they go to the toilet.

Gonorrhoea of the throat is increasingly seen in those who perform oral sex. It may present as sore throat not responding to common antibiotics.

Other sites of infection with this organism in males include the prostate gland, the testicles and epididymis. Gonorrhoea of the joints has also been described.

In women, gonorrhoea usually does not cause any symptom. This makes it a more serious infection in women, since the disease can remain in the female reproductive tract for a long time and cause damages both from toxic substances released by the organism to and the bacteria having more time to penetrate into the cells of the genital tract.

In those with symptoms, the usual complaints are stinging sensation on passing urine (or burning sensation on passing urine), passing small amount of urine several times a day (frequent passing of urine), lower abdominal pain during sex or just after sex, and pus-like vaginal discharge.

Infection seriously affecting the female cervix will cause vaginal bleeding after sex.

If the organism stays inside the woman long enough, it could move upwards into the womb, and then the fallopian tubes to cause infections called pelvic inflammatory disease (PID). PID from gonorrhoeal infection would cause right or left lower abdominal pain in women to.

This could lead to infertility.

The glands around the vagina called Bartholin’s gland can also become infected with gonorrhoea and cause swollen red gland at the wall of the vulva or vagina.

You can see more gonorrhoea pictures and gonorrhoea images of men and women at answers.com .

Diagnosis of Gonorrhoea

Gonorrhoea should be suspected in any one with pus – like discharge from the penis or vulva following intercourse. In males, the time from sexual contact to symptoms could be within 2 – 10 days, and in females, the disease may not be noticed until several days or months. This in conjunction with other symptoms of gonorrhoea like pain on passing urine, singly or together should prompt the sufferer to seek medical advice.

A sample of the discharge is stained and looked under the microscope, demonstrating the gonococcus. The organism may be cultured (grown) from the specimen, and this confirms the diagnosis.

As a rule, any specimen suspected of been a gonorrhoeal infection should also be tested for syphilis and Chlamydia. Syphilis and Chlamydia tends to co-exist with gonorrhoea in up to 60% of patients.

Gonorrhoeal infection makes it easier for one to contact HIV, since the gonorrhoeal organism destroys the body defence against the HIV virus.

Treatment of Gonorrhoea

Uncomplicated gonorrhoeal infection in men and non-pregnant women responds well to single dose treatment with ciprofloxacin 500mg tablet or ofloxacin, 400mg oral tablet. You can buy this medication online from ciprofloxacin for gonorrhoea online and delivered to your door from The Online Pharmacy .

For those allergic to ciprofloxacin, or where ciprofloxacin resistance exists, ceftriaxone (Rocephin) from Medications Direct. A single dose injection of ceftriaxone will clear gonorrhoea in over 90 % of cases.

Other medications you could use for gonorrhoea include

doxycycline , ofloxacin .

ampicillin . Spectinomycin 2g injection is also very effective as a single dose even in resistant gonorrhoeal infection.


The information presented on this site is strictly for educational purposes only. It by no means constitutes a recommendation of treatment or substitute for medical consultations.

Medical knowledge is dynamic. Whilst every care has been taken to ensure the accuracy and up-to- date-ness of the content of this site, abdopain.com or its owners or partners will not accept responsibility or liability of any sort for the use of information here-in in any manner.

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