Gonorrhea

HealthLinkBC File Number: 
08a
Last Updated: 
December 2016
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What is gonorrhea?

Gonorrhea is a sexually transmitted infection (STI) caused by bacteria. In women, the infection may occur in the opening of the uterus, also known as the cervix, and fallopian tubes. In both men and women, the infection may occur in the rectum (the part of your intestine that ends at the anus), throat, and the urethra (the tube that carries urine from the bladder).

To find out if you have gonorrhea, you need to see a health care provider and have lab tests done.

How is it spread?

Gonorrhea is passed from one person to another by contact with body fluids containing the bacteria during unprotected oral, anal, and vaginal sex.

Sometimes a person with gonorrhea will have no symptoms. Even without symptoms, the infection passes easily to another person.

A person with a gonorrhea infection will be able to pass the infection on to others until antibiotic treatment has been completed.

Pregnant women may pass the infection to their baby's eyes during childbirth. This may lead to blindness if the baby is not treated.

Gonorrhea treatment does not protect you from getting it again. If you are treated and your sex partner(s) are not, the bacteria will be able to pass back to you again.

What are the symptoms?

Some people with gonorrhea will have no symptoms and will not know that they have the infection.

For men, symptoms can include:

  • creamy white or yellow fluid from the penis;
  • pain or a burning feeling when urinating; or
  • itching or irritation in the urethra – the tube that urine passes through.

For women, symptoms can include:

  • change in the amount and colour of fluid from the vagina;
  • pain or a burning feeling while urinating;
  • abnormal vaginal bleeding or spotting between periods;
  • pain in the lower abdomen; or
  • pain during vaginal sex.

In women, the early symptoms are sometimes so mild that they are mistaken for a bladder infection or dismissed as a mild vaginal infection.

In both men and women, a gonorrhea infection in the rectum may cause discharge from the anus, rectal pain, mucous with stools, painful bowel movements, and redness in the anal area.

Gonorrhea infection may occur in the throat but, does not usually cause symptoms.

Symptoms may appear 2 to 7 days after being exposed to the bacteria.

What are the complications?

If treated in time, gonorrhea causes no lasting concerns. Untreated gonorrhea can lead to complications as the infection spreads to other areas of the body.

In women, complications may include difficulty getting pregnant, ectopic or tubal pregnancy, or pelvic inflammatory disease (PID). See HealthLinkBC File #08c Pelvic Inflammatory Disease (PID) for more information.

In men, complications may include an infection in the testicles, which can lead to infertility.

In both men and women, if left untreated, gonorrhea may cause reactive arthritis which includes skin, eye and joint problems. It is also associated with an increased risk of getting HIV.

What is the treatment?

Gonorrhea is treated with antibiotics. In order to effectively treat the infection, if you were given pills, it is important to follow the instructions for taking the treatment carefully and finish all of them. Sexual partners from the last 2 months need to be tested and treated. If you have not had a sexual partner in the last 2 months, then your last sexual partner will need to be tested and treated. It takes time for the infection to be cleared from the body, so it is important that you do not have any oral, vaginal or anal sex for 7 days after you and your partner(s) start the antibiotic treatment.

Because re-infection is common, a follow-up test is recommended 6 months after treatment. Pregnant women and breastfeeding women should have a follow-up test 3 to 4 weeks after completing treatment.

Will my birth control work if I am taking antibiotics?

There is very little evidence to show that antibiotics make hormonal forms of birth control not work very well. Examples of hormonal birth control include the pill, the patch, the ring, or the shot. If you are being treated with antibiotics, it is important to keep using your birth control as you normally would. If you have concerns, use condoms until your next period comes after completing the antibiotics, or speak to your health care provider for more information.

How can I reduce my chance of getting a sexually transmitted infection (STI)?

Practice safer sex by using a condom
When used correctly, male and female condoms help prevent the spread of many STIs during vaginal, anal and oral sex. Condoms are less effective at protecting against STIs transmitted by skin-to-skin contact, such as herpes simplex, genital warts (human papillomavirus (HPV)), and syphilis (when sores are present).

Important things to remember when using condoms:

  • Check the condom package for damage. Do not use a condom that has been damaged.
  • Check the expiry date. Do not use a condom that is outdated.
  • Carefully open the package so that the condom does not tear. Do not use a condom that has been torn.
  • Keep condoms away from sharp objects such as rings, studs, or piercings.
  • Store condoms at room temperature.
  • A new condom should be used every time you have sex. Do not reuse condoms.
  • Do not use 2 condoms at once.
  • Use only water-based lubricants with male latex condoms. Oil-based lubricants, such as petroleum jelly, lotion, or baby oil can weaken and destroy latex.
  • Water or oil-based lubricant may be used with polyurethane condoms.
  • Use only condoms that are made of latex or polyurethane (plastic). Latex condoms and polyurethane condoms are the best types of condoms to use to help prevent pregnancy and STIs. (Animal skin condoms can help prevent pregnancy but don’t work as well as latex or polyurethane condoms to prevent STIs.)

Get vaccinated
Some STIs, such as hepatitis A, B and human papillomavirus (HPV) can be prevented with vaccines. Talk to your health care provider about how to get these vaccinations.

Know your sexual health status
If you have recently changed sexual partners, or have multiple sex partners, getting regularly tested for STIs will tell you if you have an infection. Some people can have an STI and not have any symptoms. Finding and treating an STI reduces the chances of passing infections on to your partner(s).

The more partners you have, the more likely you are to be exposed to STIs.

Talk about prevention
Talk to your partner(s) about STIs and how you would like to prevent them before having sex. If you are having trouble discussing safer sex with your partner(s), talk about it with your health care provider or a counselor.

For tips on how to talk to your partner(s), visit the BC Centre for Disease Control (BCCDC) Smart Sex Resource https://smartsexresource.com/sextalk/talk-about-it.

Informing Partners
If you have a sexually transmitted infection and are sexually active, it is important to tell your sexual partner(s). This will enable them to make decisions about their health and getting tested.

For More Information

For more information on how you can reduce your chance of getting an STI, see HealthLinkBC File #08o Preventing Sexually Transmitted Infections (STIs).

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Is it an emergency?

If you or someone in your care has chest pains, difficulty breathing, or severe bleeding, it could be a life-threatening emergency. Call 9-1-1 or the local emergency number immediately.
If you are concerned about a possible poisoning or exposure to a toxic substance, call Poison Control now at 1-800-567-8911.

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