Women's Health Specialists

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Gonorrhea
Gonorrhea is one type of Venereal Disease (VD) or Sexually Transmitted Infection (STI). People contract it by having sex (vaginal, oral, or anal) with someone who has the disease. In women, gonorrhea can enter the anus not only during anal sex but also if infected vaginal secretions are carried toward the anus.

Most women (80%) have no signs of gonorrhea. Some women experience symptoms that include a greenish-yellow discharge of pus from the vagina or cervix; burning with urination; mushroom-like odor from the genital area; lower back pain or abdominal pain. These are the symptoms of cervical gonorrhea. Gonorrhea of the throat may be characterized by a sore throat. Gonorrhea of the anus includes a mucous discharge from the anus or itching in that area.

Men may also have no symptoms, but usually they notice burning while urinating or a clear or creamy discharge from the penis that can be white, yellow or yellowish-green. In addition, a male's lymph nodes in the groin may be slightly swollen and tender.

Because women and men often have no symptoms, either one can unknowingly infect the other. If your partner is being treated for gonorrhea, you should be treated also.

If you have been exposed to gonorrhea, it takes from two to ten days for possible symptoms to develop, or for a gonorrhea test to have a positive result. Once a person has gonorrhea they can infect another part of their own body. A woman with gonorrhea can transmit the disease to her child during birth causing an eye infection that if not treated, can cause blindness.

If untreated, gonorrhea can develop into a more complicated infection. In women it can cause PID Pelvic Inflammatory Disease, spreading from the cervix to the lining of the uterus and the fallopian tubes and thus causing scar tissue. Symptoms of PID include lower abdominal pain, pain with intercourse, pain during menstruation and irregular periods. The scarring of the tubes can possibly cause infertility and put a woman at higher risk for developing an ectopic pregnancy (a pregnancy that implants outside of the uterus).

If women remain untreated, their symptoms will go away but the disease does not.

In both women and men, if the infection remains untreated, the bacteria can enter the blood stream and be disseminated throughout the body.

Using condoms and barrier methods of birth control (diaphragm, cervical cap) is an excellent way to reduce the chance of getting gonorrhea. Women who use Birth Control Pills or use an IUD are more susceptible to contracting gonorrhea.