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Gonorrhea is the second most commonly reported notifiable disease (A disease that must be reported to public health authorities at the time it is diagnosed because it is potentially dangerous to human or animal health); it is also called the “clap” or “drip”. Both men and women can get gonorrhea. Infections due to Neisseria gonorrhea, like those resulting from Chlamydia trachomatis, are a major cause of pelvic inflammatory disease (PID).

PID can lead to serious outcomes in women, such as tubal(Of, relating to, or occurring in a tube, such as the fallopian tube) infertility, ectopic (Out of place, as of an organ not in its proper position, or of a pregnancy occurring elsewhere than in the cavity of the uterus), pregnancy, and chronic pelvic pain.


  • Gonorrhea is a sexually transmitted infection caused by the bacteria called Neisseria Gonorrhea. The bacteria target the cells of the mucous membranes including: the surfaces of the urethra, vagina, cervix and endometrium, fallopian tubes (A pair of highly specialized muscular canals extending from the Uterus to its corresponding ovary. They provide the means for ovum collection, and the site for the final maturation of gametes and fertilization. The fallopian tube consists of an interstitium, an isthmus, an ampulla, an infundibulum, and fimbriae. Its wall consists of three histologic layers: serous, muscular, and an internal mucosal layer lined with both ciliated and secretory cells), anus and rectum, lining of the eyelid and throat.
  • Gonorrhea is passed during vaginal sex, oral sex (performing or receiving), or anal sex. It can be passed when the mucous membrane, the soft skin covering all the openings of the body, comes into contact with the mucous membrane secretions or semen of an infected person.
  • Gonorrhea can be passed even if the penis or tongue does not go all the way into the vagina or anus. If the vagina, cervix, anus, penis or mouth come in contact with infected secretions or fluids; then transmission is possible.
  • The bacteria cannot survive outside the human body. It will only stay alive as long as it is wet, which is usually only seconds to minutes.

How common

According to the Centers for Disease Control and Prevention, in 2014, a total of 350,062 cases of gonorrhea were reported in the United States, yielding a rate of 110.7 cases per 100,000 populations.

In 2008, Gonorrhea infected 9.6 million women and 11.6 million men in Africa, 7.5 million and 18 million women and men in Asia. While in Europe, the number is relatively small compared with other regions, 1.9 million women and 1.6 million men were infected by Gonorrhea.

Chances of being infected

The risk of transmission of gonorrhea from an infected female to her male partner is estimated to be about 20% for a single act of sexual intercourse, while the risk of infection from an infected male to his female partner is estimated to be 40%.

How to detect if someone has it

Gonorrhea - Detect

In men, symptoms usually appear two to 14 days after infection where usually there would be greenish yellow or whitish discharge from the penis. The symptoms are unfortunately more difficult to see in women. Over 50% of infected women show no symptoms, especially in the early stages of the infection. Some have greenish yellow or whitish discharge from the vagina, which is often misinterpreted because they think they have a yeast infection and self-treat with over-the-counter yeast infection drug.


Unfortunately, until now, there’s no vaccine to prevent us from getting Gonorrhea. The use of condom has proven effective in the prevention of gonorrhea.

Condom Effectiveness

A study published in the June issue of Archives of Pediatric and Adolescent Medicine evaluates the relationship between consistent and correct condom use and infection with gonorrhea and Chlamydia. They concluded that correct and consistent use of condoms resulted in a 90% reduction in the risk of gonorrhea. This applies only for consistent and correct use of condom. They found no difference in risk reduction between inconsistent condom use and no condom use in this study.


Doctor may suggest for the following prescriptions:

  • Cefixime (Suprax), 400 milligram (mg) taken orally
  • Ceftriaxone (Rocephin), 125 mg injected into a muscle as a single dose
  • Ciprofloxacin (Cipro), 500 mg taken orally
  • Ofloxacin (Floxin), 400 mg taken orally as a single dose
  • Spectinomycin (Trobicin), 2 grams injected into a muscle in a single dose

Best sources for more information


  • Gonorrhea – Health Condition


  • Gonorrhea Statistics                                                       



  • ‘Live vaccine’ for gonorrhea prevents reinfection


  • Do condoms work?


  • Gonococcal Infections


The risk chart is the heart of this guide, and it can be found here

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