WHAT IS IT?
Gonorrhea is a Sexually Transmitted Disease caused by a bacterium called Neisseria gonorrhoeae that mainly affects:
Its transmission is direct, that is, genital with genital, ano-rectal genital, oral-rectal, oral-genital or from mother to fetus.
In Europe, it is the second most diagnosed STD behind Chlamydia in sexually active people between 15 and 29 years of age. The probability that you have been infected with Gonorrhea whether it has been vaginal, oral or anal sex is up to 60%.
In men the most common are purulent discharge (more than 80% of cases) and alterations when urinating, such as pain, itching, more desire to go to the bathroom … (not all urinary problems are related to any STD ).
In women, the symptoms in their genitals are related to endocervical and urethral infection and include increased or altered vaginal discharge, lower abdominal pain, dysuria and rarely intermenstrual hemorrhage or menorrhagia.
Both in women and men Gonorrhea in throat or anus, are usually asymptomatic, so if you have any symptoms in them the first option we will treat will not be the specific treatment.
The symptoms do not have to appear immediately after the sexual act, so if you do not have any symptoms, it is not advisable to perform this test within a week, it is called the window period. Currently there are techniques such as PCR, which thanks to its high sensitivity, can detect any remaining bacteria even at 48-72h after risk contact, but, in case of having a negative result, it can never be considered as definitive and therefore, the test should always be repeated once the window period has elapsed, as established by international guidelines.
WHAT RELIABILITY DOES OUR TESTS HAVE?
Genital sample: The urine test (in men) or a vaginal sample (in women) the detection is 99%.
Throat samples: Samples in pharynx reaches a detection around 90%.
Rectal samples: The rectal samples have a very similar detection to the samples taken from the pharynx, that is, 90%.
In case of having tested positive, the treatment, like any other bacterial disease, is a combination of antibiotics that are easy to obtain and with a high efficacy index.
Sometimes we see, and this is what the International Institutions say, that this bacterium can create resistance to certain antibiotics, but do not worry, if this is your case, we will proceed to perform a culture to determine what exactly the appropriate antibiotic is.
It is always advisable to follow the patient to verify that the disease has been completely eradicated.