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Gonorrhoea is highly prevalent in the UK, ranking as the second most common bacterial sexually transmitted infection (STI), following Chlamydia.
Historically known by the nickname ‘the clap’, the only way to diagnose this infection is through a quick and painless Gonorrhoea test.
Gonorrhoea is caused by the Neisseria Gonorrhoea bacteria. It primarily affects the mucous membranes of the urethra, cervix, rectum, throat, and eyes. Gonorrhoea is highly contagious and can be transmitted through sexual contact, including vaginal, anal, and oral sex.
The bacteria thrive in vaginal fluid and penile discharge and are also spread through sharing sex toys and during childbirth from an infected mother, risking newborn blindness.
Common symptoms for men include painful urination, pus-like discharge from the penis, and swelling or pain in one testicle. Symptoms in women include increased vaginal discharge, painful urination, vaginal bleeding between periods, pain during intercourse, and abdominal or pelvic pain.
Rectal infections (in both sexes) include discharge, anal itching, soreness, bleeding, and painful bowel movements. Additionally, throat infections include a sore throat and swollen lymph nodes in the neck (less common).
Symptoms typically emerge 2 – 10 days after exposure.
Gonorrhoea is diagnosed through laboratory tests, which may include urine test to detect the presence of the bacteria, or swabs taken from the affected areas (cervix, urethra, rectum, throat) and analysed for the bacteria.
Early diagnosis reduces complications. Get tested if you suspect an STI, see symptoms, or after unprotected intercourse. Peace-of-mind testing has no consultation fee, but symptomatic cases may incur charges.
Preventing Gonorrhoea involves using condoms every time you have vaginal, anal, or oral sex and getting regular screenings to help detect the disease early.
It also involves encouraging your sexual partners to get tested and share their results. Limiting the number of sexual partners can decrease exposure risk. Avoid sharing sex toys, and always avoid excessive alcohol or drug use, which can impair judgment and lead to risky sexual behaviour.
Treating Gonorrhoea involves using antibiotics, typically Ceftriaxone and Azithromycin, to eliminate the infection and address potential antibiotic resistance.
Take the full course of antibiotics as prescribed, even if symptoms disappear. Follow up with your healthcare provider a few weeks after treatment to ensure the infection is cured.
Avoid all sexual activity until both you and your partner have completed treatment and your healthcare provider confirms the infection is gone. If symptoms persist or recur, contact your healthcare provider for additional testing or a different treatment regimen.
In 2022, there were 82 592 cases of Gonorrhoea in the UK. Globally, the World Health Organisation (WHO) estimates that 82.4 million people were newly infected with Gonorrhoea in 2020.
Gonorrhoea rates remain highest among individuals aged 20 – 24, followed by those aged 25 – 29. The increase in cases underscores the importance of regular screening and early detection to manage and prevent further spread of the infection.
Untreated Gonorrhoea can lead to severe and long-lasting health complications in both men and women. Here are the primary complications associated with untreated Gonorrhoea:
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