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Gonorrhea-A burning sensation when you pee

Gonorrhea, also known as gonnococcal infection, gonococcal urethritis, gonorrhoea and the clap, is a sexually transmitted infection. The usual symptoms in men are a burning sensation with urination and discharge from the penis. Women have no symptoms about half the time or have vaginal discharge and pelvic pain.

What causes gonorrhoea?
Gonorrhoea is caused by Neisseria gonorrhoeae, a bacterium that can grow and multiply easily in the mucus membranes of the body. Gonorrhoea bacteria can grow in the warm, moist areas of the reproductive tract, including the cervix (opening of the womb), uterus (womb) and fallopian tubes (egg canals) in women, and in the urethra (the tube that carries urine from the bladder to outside the body) in women and men. The bacteria can also grow in the mouth, throat and anus.

Gonorrhoea symptoms in women
• Greenish yellow or whitish discharge from the vagina
• Lower abdominal or pelvic pain
• Burning when urinating
• Conjunctivitis (red, itchy eyes)
• Bleeding between periods
• Spotting after intercourse
• Swelling of the vulva (vulvitis)
• Burning in the throat (due to oral sex)
• Swollen glands in the throat (due to oral sex)

In some women, symptoms are so mild that they go unnoticed. Many women with gonorrhoea discharge think they have a yeast infection and self-treat with medications purchased over-the-counter. Because vaginal discharge can be a sign of a number of different problems, it is best to always seek the advice of a doctor to ensure proper diagnosis and treatment.

Gonorrhoea symptoms in men
• Greenish yellow or whitish discharge from the penis
• Burning when urinating
• Burning in the throat (due to oral sex)
• Painful or swollen testicles
• Swollen glands in the throat (due to oral sex)
In men, symptoms usually appear five to seven days after infection.


Risk factors
Factors that may increase your risk of gonorrhea infection include:
• Younger age
• A new sex partner
• Multiple sex partners
• Previous gonorrhea diagnosis
• Having other sexually transmitted infections

Untreated gonorrhea can lead to significant complications, such as:
• Infertility in women. Untreated gonorrhea can spread into the uterus and fallopian tubes, causing pelvic inflammatory disease (PID), which may result in scarring of the tubes, greater risk of pregnancy complications and infertility. PID is a serious infection that requires immediate treatment.
• Infertility in men. Men with untreated gonorrhea can experience epididymitis — inflammation of a small, coiled tube in the rear portion of the testicles where the sperm ducts are located (epididymis). Epididymitis is treatable, but if left untreated, it may lead to infertility.
• Infection that spreads to the joints and other areas of your body. The bacterium that causes gonorrhea can spread through the bloodstream and infect other parts of your body, including your joints. Fever, rash, skin sores, joint pain, swelling and stiffness are possible results.
• Increased risk of HIV/AIDS. Having gonorrhea makes you more susceptible to infection with human immunodeficiency virus (HIV), the virus that leads to AIDS. People who have both gonorrhea and HIV are able to pass both diseases more readily to their partners.
• Complications in babies. Babies who contract gonorrhea from their mothers during birth can develop blindness, sores on the scalp and infections.

What are the social consequences of gonorrhea?
Yes, there are. But there are social consequences to everything that we do in society. The social consequences for gonorrhea are that if you have and STD, people that know become afraid that you are contagious. It can also make you very awkward in public, because you know that there is something wrong with your body, and can become paranoid that others will find out.

Can gonorrhea be cured?
Yes, gonorrhea can be cured with the right treatment. It is important that you take all of the medication your doctor prescribes to cure your infection. Medication for gonorrhea should not be shared with anyone. Although medication will stop the infection, it will not undo any permanent damage caused by the disease. 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.

Tests and diagnosis
To determine whether the gonorrhea bacterium is present in your body, your doctor will analyze a sample of cells. Samples can be collected by:
• Urine test. This may help identify bacteria in your urethra.
• Swab of affected area. A swab of your throat, urethra, vagina or rectum may collect bacteria that can be identified in a laboratory.
For women, home testing kits are available for gonorrhea. Home testing kits include vaginal swabs for self-testing that are sent to a specified lab for testing.

Treatments and drugs
Gonorrhea treatment in adults
Adults with gonorrhea are treated with antibiotics. Due to emerging strains of drug-resistant Neisseria gonorrhoeae, the Centers for Disease Control and Prevention recommends that uncomplicated gonorrhea be treated only with the antibiotic ceftriaxone (Rocephin) — given as an injection — in combination with either azithromycin (Zithromax, Zmax) or doxycycline (Monodox, Oracea,Vibramycin) — two antibiotics that are taken orally. Some research indicates that oral gemifloxacin (Factive) or injectable gentamicin, combined with oral azithromycin, is highly successful in treating gonorrhea. This treatment may be helpful in treating people who are allergic to cephalosporin antibiotics, such as ceftriaxone.

Gonorrhea treatment for partners
Your partner also should undergo testing and treatment for gonorrhea, even if he or she has no signs or symptoms. Your partner receives the same treatment you do. Even if you’ve been treated for gonorrhea, you can be reinfected if your partner isn’t treated.

Gonorrhea treatment for babies
Babies born to mothers with gonorrhea receive a medication in their eyes soon after birth to prevent infection. If an eye infection develops, babies can be treated with antibiotics.

• Practice safer sex.
• No sex until antibiotic treatment is completed and your usual sexual partner has completed treatment.
• A follow-up test must be done to make sure that treatment has cleared the infection.
• All sexual partners need to be contacted, tested and treated, if indicated. Even if partners have no symptoms they may be able to transmit infection to other sexual partners.
• Testing to exclude other sexually transmitted infections is advisable.


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M A Samad

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