Signs and symptoms of gonorrhea that affects the urethra in men include:

• Painful urination
• Pus-like discharge from the tip of the penis
• Pain or swelling in one testicle

Signs and symptoms of gonorrhea that affects the cervix or urethra in women include:

• Increased vaginal discharge
• Painful urination
• Vaginal bleeding between periods, such as after vaginal intercourse
• Abdominal pain
• Pelvic pain

Signs and symptoms of gonorrhea that affects the rectum include:

• Anal itching
• Pus-like discharge from the rectum
• Spots of bright red blood on toilet tissue
• Straining to have a bowel movement

Signs and symptoms of gonorrhea that affects the eye include:

• Eye pain
• Pus-like discharge from the eye
• Sensitivity to light

Signs and symptoms of gonorrhea that affects the throat include:

• Sore throat
• Swollen lymph nodes in the neck

When to see your doctor
Make an appointment with your doctor if you notice any troubling signs or symptoms, such as a burning sensation when you urinate or a pus-like discharge from your penis, vagina or rectum.

Also make an appointment with your doctor if your partner has been diagnosed with gonorrhea. You may not experience signs or symptoms that prompt you to seek medical attention. But without treatment, you can reinfect your partner even after he or she has been treated for gonorrhea.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

Gonorrhea is caused by the bacterium Neisseria gonorrhoeae. The gonorrhea bacteria are most often passed from one person to another during sexual contact, including oral, anal or vaginal intercourse.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

Factors that may increase your risk of gonorrhea infection include:

• Younger age
• A new sex partner
• Multiple sex partners
• Previous gonorrhea diagnosis

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

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 may lead to abdominal pain, backache, irregular menstrual periods, pain during intercourse and foul-smelling vaginal discharge. It's a serious infection that requires immediate treatment.
• Infertility in men. Men with untreated gonorrhea can experience epididymitis — inflammation of 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, joint infections and other infections.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

If you think you have gonorrhea, you're likely to start by seeing your family doctor or a general practitioner. If your gonorrhea causes complications, you may be referred to specialists.

Because appointments can be brief and because there's often a lot of ground to cover, it's a good idea to be well prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.

What you can do

• Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
• Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
• Make a list of all medications, as well as any vitamins or supplements, that you're taking.
• Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. For gonorrhea, some basic questions to ask your doctor include:

• Is gonorrhea causing my symptoms?
• What kinds of tests do I need?
• Should I be tested for other sexually transmitted diseases?
• Should my partner be tested for gonorrhea?
• How long should I wait before resuming sexual activity?
• How can I prevent gonorrhea in the future?
• What gonorrhea complications should I be alert for?
• Is there a generic alternative to the medicine you're prescribing me?
• Are there any brochures or other printed material that I can take with me? What Web sites do you recommend?
• What will determine whether I should plan for a follow-up visit?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.

What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may allow more time later to cover other points you want to address. Your doctor may ask:

• When did you first begin experiencing symptoms?
• Have your symptoms been continuous, or occasional?
• How severe are your symptoms?

What you can do in the meantime
Abstain from sex until you see your doctor. Alert your sex partners that you're experiencing signs and symptoms, so they may consider seeing their doctors for testing.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

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.

Testing for other sexually transmitted diseases
People with gonorrhea have an increased risk of other sexually transmitted diseases, so your doctor may recommend testing for these. That way, your doctor may treat other infections at the same time as you receive gonorrhea treatment. For instance, chlamydia and gonorrhea often occur at the same time.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

Gonorrhea treatment in adults
Adults with gonorrhea are treated with antibiotics. You typically receive treatment as an injection or as a single tablet you take by mouth.

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 for gonorrhea. 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.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

Take steps to reduce your risk of gonorrhea. Try to:

• Use a condom if you choose to have sex. Abstaining from sex is the surest way to prevent gonorrhea. But if you choose to have sex, use a condom during any type of sexual contact, including anal sex, oral sex or vaginal sex.
• Ask your partner to be tested for sexually transmitted diseases. Ask your partner whether he or she has been tested for sexually transmitted diseases, including gonorrhea. If not, ask whether he or she would be willing to undergo testing.
• Don't have sex with someone who has any unusual symptoms. If your partner has signs or symptoms of a sexually transmitted disease, such as burning during urination or a rash on the genitals, don't have sexual contact with that person.
• Consider regular gonorrhea screening if you have an increased risk. Talk to your doctor about regular gonorrhea screening if you have an increased risk of infection. You may be at increased risk of gonorrhea if you have had gonorrhea or other sexually transmitted diseases in the past, if you have a new sex partner, or if you have multiple sex partners.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.