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Gonorrhea: Signs And Symptoms

Gonorrhea is a very common sexually transmitted infection (STI) that you may hear referred to as "the clap" or "the drip." An infected person can pass it to a partner during vaginal, anal, and/or oral sex. It can also be spread via contaminated sex toys and close genital-to-genital contact, even if there's no penetration. You can also get it if the infection touches your eyes. If left untreated, it can cause serious complications, including:

  • Joint problems
  • Inflammation of your liver
  • Damage to your heart valves
  • Brain damage
  • Infertility
  • Gonorrhea symptoms normally show up within 14 days after you get the infection. Some people don't experience any symptoms until after they've had the infection for months. Many people with gonorrhea — usually people with vaginas — never have symptoms at all.

    Know the signs of this common STI so you'll have a better chance of recognizing and curing it quickly.

    You get gonorrhea from a bacterium. This germ infects you when someone who has it passes it to you during sexual contact. The most common symptoms show up in the mucous membranes (the linings of certain openings in your body) involved in these types of intercourse. These include your genital tract, rectum, and throat.

    Gonorrhea can also cause problems with other parts of your body, such as your joints, or even your eyes.

    Often, gonorrhea has no symptoms. Symptoms typically don't start immediately, because the infection may not trigger your immune system for up to several weeks. Most people who contract gonorrhea will begin to have symptoms within 14 days.

    It's possible for people with penises not to have any symptoms. But when they do have symptoms, they commonly include:

  • A burning feeling, potentially severe, when you pee
  • Yellow, white, or green discharge from the tip of your penis
  • Painful, swollen testicles
  • Peeing more often than usual
  • Redness or swelling near the opening of your penis, which is the end of your urethra
  • Pain around your bladder, groin, or rectum
  • People with vaginas are more likely to not have symptoms of gonorrhea than people with penises. People with vaginas also tend to have milder symptoms. Its symptoms can be mistaken for those of a bladder infection. The symptoms include:

  • More vaginal discharge than usual
  • Yellow or white vaginal discharge
  • Pain when you pee
  • Vaginal bleeding between your periods
  • Bleeding after vaginal intercourse
  • Pain during intercourse
  • Lower abdominal or pelvic pain, which can be severe and signals the infection has spread to the fallopian tubes or uterus
  • Fever, another sign that the infection might have spread to the fallopian tubes or uterus
  • Chills
  • Vomiting
  • Pelvic pain can be a symptom of gonorrhea for women and those assigned female at birth. (Photo Credit: Moment/Getty Images)

    Symptoms of gonorrhea can affect any infected area. It generally depends on what type of sex has spread the infection. You may experience symptoms in the following areas of your body:

    Rectum

    Gonorrhea in your rectum typically occurs following unprotected anal sex. However, if you have gonorrhea, you can spread the infection from your genitals to your rectum. For example, if you touch your rectum with infected toilet paper after wiping your vagina, you may spread the infection. Most of the time, you won't have any symptoms. Possible symptoms include:

  • An itchy anus or rectum
  • Discharge from your rectum
  • Bright spots of blood when you wipe
  • Having to strain when you poop
  • Pain when pooping
  • Throat

    Unprotected oral sex can lead to gonorrhea infection in your mouth and throat. Such infections usually don't cause symptoms. When symptoms do occur, they can include:

  • Itchy, scratchy, or sore throat as well as redness in your throat
  • Soreness and redness in your mouth
  • Swollen lymph nodes in your neck
  • Trouble swallowing
  • Eyes

    If you touch your eyes after touching bodily fluids infected with gonorrhea, you could get gonococcal conjunctivitis, a contagious eye infection sometimes referred to as pink eye. Symptoms include:

  • Eye pain
  • Sensitivity to light
  • Discharge from your eyes
  • Pink coloring on the conjunctiva, a thin layer, or membrane, that covers the whites of your eyes and the lining of your eyelids
  • Joints

    If the bacteria that cause gonorrhea infect your joints, it's called septic arthritis. You'll notice the affected joints are painful, red, swollen, and warm to the touch. It'll hurt to move them.

    Gonorrhea infections can lead to many complications if they go untreated. Some complications can be quite serious, even life-threatening. These complications and their symptoms include:

    Pelvic inflammatory disease (PID)

    PID is a serious infection that develops in your uterus, fallopian tubes, and/or your ovaries. It can lead to infertility, chronic pelvic pain, ectopic pregnancy, and potentially life-threatening abscesses called tubo-ovarian abscesses (TOA). Symptoms of PID include:

  • Mild to severe pain in your pelvis and lower abdomen
  • Heavy or abnormal vaginal discharge with an unusual and/or unpleasant odor
  • Unexpected vaginal bleeding, particularly during or after sex, as well as between periods
  • Pain during intercourse
  • Pain and burning when you pee
  • Having to pee more often than usual
  • Difficulty peeing
  • Fever, possibly accompanied by chills
  • Nausea and vomiting
  • Epididymitis

    This is inflammation of the epididymis, a tube that leads from each testicle to another tube called the vas deferens. Both the epididymis and the vas deferens are parts of male reproductive organs. The epididymis stores sperm as it matures, while the vas deferens moves that sperm along shortly before you ejaculate. If left untreated, epididymitis can become chronic. It can also lead to infertility and cause the death of tissue in your testicles. The symptoms of epididymitis include:

  • Swelling, discoloration, or a feeling of warmth in your scrotum
  • Pain or tenderness that often develops gradually and affects just one side of a testicle
  • Pain when you pee
  • Needing to pee frequently and/or urgently
  • Discharge from your penis
  • Discomfort or pain around your pelvis or your lower abdomen
  • Blood in your semen
  • Fever (though this is uncommon)
  • Prostatitis

    This is an often painful swelling of the prostate gland, a part of the male reproductive system that helps make semen. It can lead to sexual dysfunction, inflammation in other parts of your reproductive system near your prostate, an abscess in your prostate, and dangerous bacterial infections of your bloodstream, called bacteremia, which can cause sepsis. The symptoms include:

  • Needing to pee frequently and/or urgently
  • Being unable to fully empty your bladder, called urinary retention
  • Difficulty starting to pee
  • An interrupted or weak stream when you pee
  • A burning sensation or pain when you pee
  • Being unable to pee at all (this is a medical emergency)
  • Pain around your genitals, groin, lower back, and lower abdomen
  • Frequent need to pee while you sleep, called nocturia
  • Nausea and vomiting
  • Fever and chills
  • Urethritis

    This is swelling of the urethra, the tube that carries pee from your bladder to the outside of your body. If left untreated, it can cause blockages of the urethra, boosting your risk of infections in your bladder and kidneys. Urethritis may not cause symptoms, but if it does, they can include:

  • Needing to pee frequently and/or urgently
  • Pain when you pee
  • Pain around your pelvis
  • Pain during intercourse
  • Itching at the end, or tip, of your urethra
  • In people with a penis, thick yellowish-green discharge and/or blood from the penis
  • Sepsis

    This is a life-threatening medical emergency. It occurs when your immune system goes haywire in response to an infection. Rather than continuing to fight that infection, your immune system begins to attack your organs and other parts of your body. This causes damaging inflammation. Sepsis can also trigger blood clots that can block the flow of blood to essential organs, leading to damage or organ failure. Gonorrhea infections, as well as infections that can occur when gonorrhea goes untreated, can result in sepsis. It requires immediate treatment and can be quickly fatal. Sepsis has many potential symptoms because it can affect many parts of the body. These symptoms include:

  • An urgent need to pee, peeing less than usual, or other issues with urination
  • Reduced energy
  • Feeling weak
  • A fast heartbeat
  • Low blood pressure (hypotension)
  • Fever
  • Very low body temperature (hypothermia)
  • Body shakes
  • Chills
  • Warm skin or skin that feels sweaty or clammy
  • Feeling confused or agitated
  • Breathing rapidly (hyperventilation)
  • Shortness of breath
  • Overwhelming pain or discomfort
  • If you notice any of the symptoms listed above, get tested for gonorrhea. You should also be tested if you're having sex with someone who has symptoms.

    At your appointment, your doctor will ask about your sex life to get a better idea of your risk for this STI. They'll also ask what symptoms you are having and when they started.

    To test you for the infection, they'll take a sample from or swab one or more of the following places:

  • Urine
  • Throat (if you've had oral sex)
  • Rectum (if you've had anal sex)
  • Cervix (in women and people assigned female at birth)
  • Urethra (in men and people assigned male at birth)
  • Your doctor will send the sample to a lab, where it'll be tested for the bacterium that causes gonorrhea. Having it increases your chances of getting other STIs (such as chlamydia), so your doctor may recommend that the lab test your sample for those, too.

    If you're a woman or AFAB, there are also home test kits that you can use to check for gonorrhea. These come with swabs you use on your vagina to collect a sample. You mail the sample to a lab. The lab will contact you with your results.

    Gonorrhea is a common and serious sexually transmitted infection (STI). For many people, it does not cause symptoms. When symptoms do occur, some of those will depend on whether you have a penis or vagina. If you have symptoms or think that you may have gonorrhea, see a doctor right away. The infection usually can be treated with a single dose of antibiotics. Without treatment, it can cause potentially life-threatening complications, such as sepsis.

    How serious is gonorrhea?

    It can be very serious. If untreated, gonorrhea can lead to a long list of complications, including infertility, liver, heart, and brain damage, and sepsis.

    Can gonorrhea be cured?

    Most of the time, gonorrhea can be cured by a single injection of antibiotics. However, antibiotic-resistant gonorrhea is becoming more common. That makes it even more important to avoid the infection in the first place. Practice safe sex and avoid sex with people who have gonorrhea or symptoms of gonorrhea.

    What is the 7-day antibiotic for gonorrhea?

    The antibiotic is called ceftriaxone. It's given once, by injection. You should avoid sex for at least 7 days after your injection to keep the infection from spreading. The CDC recommends that you get tested for gonorrhea 3 months after treatment to be sure you have not been reinfected. Your sexual partner or partners also should be treated.

    How transmissible is gonorrhea from women to men?

    There's about a 1 in 5, or 20%, chance of an infected woman passing gonorrhea to a male partner if they did not use a condom during sex.


    What STD Does Loren From '90 Day Fiance: Before The 90 Days' Have? Gonorrhea Diagnosis Details

    After traveling thousands of miles to meet his online girlfriend, Faith Gatoc, in the Philippines on season 6 of 90 Day Fiancé: Before the 90 Days, Loren Allen was diagnosed with a sexually transmitted disease.

    How Did '90 Day Fiance' Star Loren Allen Get an STD?

    Loren learned he contracted gonorrhea after receiving a text during his overseas trip. "So, about a week ago, I was out partying with one of my friends. You know, she spends the night, it's great, and then in the middle of the night, she was … she went to f--k me," he explained to producers during the September 22, 2024, episode. "And I got a text from her this morning, turns out she has gonorrhea of the throat, which means I most likely have gonorrhea of the penis."

    He told producers that his "penis was upset," and was experiencing "a little discharge."

    "I'm really nervous to tell Faith about this. I don't know if she fully understands that I haven't been monogamous," he said in a confessional interview. "I always planned on talking to Faith about having an open relationship once I got to the Philippines, but this probably isn't the best way."

    What Is Gonorrhea?

    Gonorrhea is a sexually transmitted disease caused by bacteria and is an "infection spread mainly by contact with genitals or bodily fluids," according to the Mayo Clinic. In many individuals, the infection often presents no symptoms, but when it does, it typically affects the genital tract.

    Symptoms for males include painful urination, pus-like discharge from the tip of the penis or pain or swelling in one testicle. Meanwhile, for women, symptoms include increased vaginal discharge, abdominal or pelvic pain and painful urination.

    Gonorrhea is typically treated with an antibiotic injection, but it can still be contagious for up to seven days after treatment.

    How Did 90 Day Fiance's Loren Tell Faith About His STD Diagnosis?

    Loren and Faith spent a day exploring the Wawa Dam, enjoying the sun while swimming and bonding as a couple. However, at the end of the day, Loren dropped that bomb on his girlfriend that they couldn't "kiss."

    "Well, I have gonorrhea. It's a sexually transmitted disease," the U.S. Native replied when Faith asked why they couldn't lock lips.

    Loren dropped more details about his diagnosis, telling Faith that it happened around Halloween after a girl from Thailand spent the night at his home.

    What STD Does Loren From 90 Day Fiance Have Gonorrhea Diagnosis Details 00

    "They said, 'I have gonorrhea … and that means maybe you have it too,'" he explained during the September 29, 2024, episode. "So you need to get checked before I give it to somebody. And I said, 'Oh my gosh.'"

    Loren said it "didn't count" as cheating as they were only dating online and had yet to meet in person. "This is still cheating because we are talking about you go here to meet and that part is cheating," Faith clapped back. In a private confessional, Faith explained her disappointment with Loren's infidelity.

    "Six months of chatting together with Loren, I thought that, you know, he is so faithful of me and our relationship," the Philippines native told the cameras. "I know that he sleep at other houses, but he never told me that I'm sex with other girls. And I was never suspicious because I trusted him. That really hurts."

    Are '90 Day Fiance' Stars Loren and Faith Still Together?

    After learning about Loren's gonorrhea diagnosis, the hotel employee was furious, accusing him of being a cheater and a liar, and said she needed time to process everything.

    Encouraged by her friends to talk things over with Loren, Faith eventually decided to give him a second chance.

    The 90 Day Fiancé: Before the 90 Days couple is seemingly not together after their time on the spinoff. Loren — who originally planned on moving overseas indefinitely — is seemingly back in the United States. He was spotted working at TJ Maxx, a clothing retailer, in Las Vegas in October 2024, according to footage shared by 90 Day Fiancé blogger Shabooty.

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