Gonorrhoea is a common bacterial sexually transmitted disease. The most common groups affected are young people – young men aged between 20 and 24 years and young women aged between 16 and 19 years. Gonorrhoea symptoms will vary depending on which part of your body is affected and if you are male or female.
Gonorrhoea is highly infectious but can’t be caught through casual contact such as hugging, kissing or holding hands, sharing food, utensils, cups or toilet seats.
It can be caught through unprotected vaginal, anal or oral sex. It is present in semen (or pre-cum), vaginal and anal secretions. You can also catch it from touching your eye if you have infected fluids on your finger.
In females the inside part of the cervix – called the endocervix – may be infected without symptoms in around 50% of cases. This is particularly important because undiagnosed infection in this area may cause damage and scarring to reproductive organs and cause difficulty with conception later.
Increased vaginal discharge is the most common symptom with it occurring in around 50% of cases. Low abdominal pain may occur in around 25% of women with gonorrhoea. Infection of the urethra will cause symptoms in around 12% of women.
Infection of the tube you pee through – the urethra – will give a discharge in up to 80% of men with another 50% or so having pain when they pee. It is possible not to have any symptoms at all.
Rectal infection in men is usually due to anal sexual activity. It usually does not cause symptoms, although when it does discharge and pain are the commonest.
Infection in the throat is usually without symptoms – in over 90%.
We use the most advanced testing methods in partnership with The Doctors Laboratory for all our analysis. Wherever possible we will take urine samples instead of urethral swabs. We will try to combine detection with determining the antibiotic sensitivity of the gonorrhoea species.
There are two testing options:
Gonorrhoea is very quick to become resistant to different antibiotics and so we make sure we are fully acquainted with local and global resistance patterns before formulating our treatment strategy. Our current treatment of choice is to use ceftriaxone 1g injection.
Given the relatively high degree of antibiotic-resistant gonorrhoea species in the community, it is recommended that you have a test of cure 4 weeks after having received treatment. To encourage you to do this, we will not charge for a consult for this, just for the test.
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