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