Overview
Gonorrhea is a bacterial STI caused by Neisseria gonorrhoeae. It can infect the genital tract, rectum and throat. Some infections cause discharge or pain, while others are asymptomatic.
Causes and transmission
- Transmitted through sexual contact with infected genital, rectal or throat sites.
- Can also be transmitted from mother to child during delivery.
How it is assessed
- NAAT on urine or swab samples is commonly used.
- Site-specific testing may be needed depending on exposure.
Management considerations
- Antibiotic treatment is used, with attention to resistance patterns.
- Partner evaluation and test-of-cure may be recommended in some cases.
Prevention
- Condoms reduce transmission risk.
- Testing and treating partners helps prevent reinfection.
Key points
- May cause discharge or pain
- Can be asymptomatic
- Co-infection with chlamydia is common
- Antimicrobial resistance matters
When to seek care
- Penile or vaginal discharge
- Painful urination
- Rectal or throat symptoms after exposure