Gonorrhea history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Gonorrhea (gonorrhoea in British English) is amongst the most common sexually transmitted diseases in the world and is caused by Gram-negative bacterium Neisseria gonorrheae. The term comes from Ancient Greek γονόρροια (gonórrhoia), literally "flow of seed"; in ancient times it was incorrectly believed that the pus discharge associated with the disease contained semen.

Symptoms

• The incubation time varies from 2 to 14 days with most symptoms occurring between days 2 and 5 after being infected from an infected partner.
• A small number of people may be asymptomatic for up to a year. They may be completely unaware that they have caught the disease, and therefore do not seek treatment. This increases the risk of complications and the chances of passing the infection on to another person.
• Between 30–60% of women with gonorrhea are asymptomatic or have subclinical disease.

Male

• Thick, copious, penis pus discharge (also known as gleet) is the most common presentation. Discharge from the penis (white, yellow, or green in color)
• Burning and pain while urinating
• Increased urinary frequency or urgency
• Painful or swollen testicles
• scrotal pain or swelling.

Female

Symptoms in women can be very mild or nonspecific, and may be mistaken for another type of infection. They include:

• Vaginal discharge
• Burning and pain while urinating
• Increased urination
• Off-cycle menstrual bleeding, or bleeding after sexual intercourse.
• Painful sexual intercourse
• Severe pain in lower abdomen (if the infection spreads to the fallopian tubes and stomach area)
• Fever (if the infection spreads to the fallopian tubes and stomach area)

If the infection spreads to the bloodstream, fever, rash, and arthritis-like symptoms may occur.

• Bleeding between [[menstruation|menstrual periods
• Vomiting,

Rectal gonorrhea/Gonococcal proctitis

• It is usually contracted from having rough anal sex. It can be avoided by using toys instead. It may affect both men and women
• Often asymptomatic
• Anal discharge
• Pain on defecating
• Rectal bleeding.

Gonococcal pharyngitis

• Caused by oral sex with a partner infected with gonorrhea.
• Usually asymptomatic
• Sore throat.

• 
  Skin lesion on foot in a patient with Gonorrhea
• 
  Gonococcal infection of the conjunctiva in a neonate
• 
  Penile discharge in a patient with Gonorrhea
• 
  Swollen testes consistent with epididymitis in a patient with Gonorrhea

References

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