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Symptoms

By Mayo Clinic staff

Gonorrhea infection can affect multiple sites in your body, but it most commonly appears in the genital tract.

Gonorrhea affecting the genital tract
Signs and symptoms of gonorrhea infection 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 infection in women include:

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

Gonorrhea at other sites in the body
Gonorrhea can also affect these parts of the body:

  • Rectum. Signs and symptoms include anal itching, pus-like discharge from the rectum, spots of bright red blood on toilet tissue and having to strain during bowel movements.
  • Eyes. Gonorrhea that affects your eyes may cause eye pain, sensitivity to light, and pus-like discharge from one or both eyes.
  • Throat. Signs and symptoms of a throat infection may include a sore throat and swollen lymph nodes in the neck.
  • Joints. If one or more joints become infected by bacteria (septic arthritis), the affected joints may be warm, red, swollen and extremely painful, especially when you move an affected joint.

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.

References
  1. Marrazzo JM, et al. Neisseria gonorrhoeae. In: Mandell JE, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2010. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-443-06839-3..X0001-X--TOP&isbn=978-0-443-06839-3&uniq=208746819. Accessed Nov. 22, 2010.
  2. CDC fact sheet: Gonorrhea. Centers for Disease Control and Prevention. http://www.cdc.gov/std/gonorrhea/gonorrhea-fact-sheet.pdf. Accessed Nov. 22, 2010.
  3. Del Rio C, et al. Update to CDC's "Sexually transmitted diseases treatment guidelines, 2006:" Fluoroquinolones no longer recommended for treatment of gonococcal infections. Morbidity & Mortality Weekly Report. 2007;56:332.
  4. Swygard H, et al. Neisseria gonorrhoeae infections in women. http://www.uptodate.com/home/index.html. Accessed Nov. 23, 2010.
  5. Workowski KA, et al. Emerging antimicrobial resistance in Neisseria gonorrhoeae: Urgent need to strengthen prevention strategies. Annals of Internal Medicine. 2008;148:606.
  6. Holder NA. Gonococcal infections. Pediatrics in Review. 2008;29:228.
  7. Screening for gonorrhea: Recommendation statement. U.S. Preventive Services Task Force. http://www.uspreventiveservicestaskforce.org/uspstf05/gonorrhea/gonrs.htm. Accessed Nov. 23, 2010.
  8. Swygard H, et al. Neisseria gonorrhoeae infections in men. http://www.uptodate.com/home/index.html. Accessed Nov. 23, 2010.
  9. CDC no longer recommends oral drug for gonorrhea treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/nchhstp/newsroom/2012/GCTx-Guidelines-PressRelease.html. Accessed Aug. 10, 2012.
DS00180 Aug. 18, 2012

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