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Gonorrhea is one of the most common sexually transmitted infections (STIs) that I see in my practice. As a bacterial STI, it spreads through various sexual activities such as oral, vaginal, and anal sex.
Surprisingly, it can even be transmitted through kissing, as gonorrhea can infect the throat, alongside other areas like the penis, anus, vagina, and, in rare cases, the eyes.
Water sports can also transmit Gonorrhea.
Symptoms and Transmission
When gonorrhea infects the penis or vagina, the symptoms are typically hard to miss. You'll likely notice discomfort and a noticeable discharge that's often creamy, green, or grey. However, gonorrhea infections in the throat or anus are frequently asymptomatic, meaning many people won’t know they have it unless tested.
This is why regular sexual health screenings are so important—especially for those who are sexually active. It's critical to check all possible infection sites, including the throat, urine, and anus, to ensure thorough testing.
Screening and Testing for Gonorrhea
When I screen for gonorrhea, I recommend swabbing the throat, taking a urine sample, and, where applicable, swabbing the anus. Even if you've not engaged in anal play, it's worth considering an anal swab if spit was used as lube, as it can transfer gonorrhea from the throat to the anus.
Here’s how each test works:
- Throat swab: Be sure to reach the very back of the throat, including both sides and the uvula (the "punching bag" in the back of the throat).
- Bum swab: Insert the swab at least one inch into the anus to reach the cells where gonorrhea typically grows.
- Urine test: Collect the first part of the urine stream to detect any infection in the urinary tract.
Treatment of Gonorrhea
In Australia, treating gonorrhea is straightforward. Treatment usually involves an injection and a course of antibiotics. If you're using DoxyPEP—a preventive measure against bacterial STIs—inform your doctor. This is important as it may require additional testing to ensure you aren’t harbouring a resistant strain of gonorrhea.
Multi-Resistant Gonorrhea: Should You Worry?
There’s a lot of concern about multi-resistant gonorrhea, and while it’s something to be aware of, the alarm around it can be exaggerated. Treatment is available, and if you continue to experience symptoms like pain or discharge after treatment, it’s vital to follow up with your doctor. A test of cure (a follow-up test 1-2 weeks after treatment) may be necessary to ensure the infection has cleared.
Stay Safe
Gonorrhea is treatable, but prevention and regular testing are key. Stay on top of your sexual health, and if you have any questions, don't hesitate to ask. I’m here to help keep you safe and healthy.
Stay safe, and if you have any questions, drop them below!
Dr. George
