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Gonorrhea

A sexually transmitted infection caused by Neisseria gonorrhoeae.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Gonorrhea?

Gonorrhea is a major public health problem worldwide with rising antibiotic resistance. In women it causes cervicitis and PID; in men it causes urethritis and epididymitis. The throat and rectum may be involved in either sex.

About half of women are asymptomatic, leading to delayed diagnosis and ascending spread. Gonococcal PID may result in chronic pelvic pain, ectopic pregnancy, and infertility.

Due to antibiotic resistance, first-line therapy has changed; today the only accepted option is intramuscular ceftriaxone. Oral cephalosporins are no longer recommended.

Symptoms

Yellow-green vaginal discharge
Burning during urination
Intermenstrual or post-coital bleeding
Pelvic pain and fever (PID signs)
Sore throat (pharyngeal involvement)
Rectal discharge or pain (rectal involvement)

Risk Factors

Sexually active women under 25
Multiple sex partners
Not using barrier methods
Prior history of gonorrhea
HIV positivity
Commercial sex work

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When abnormal discharge or pelvic pain begins
  • If a sexual partner is diagnosed with gonorrhea
  • Annual screening recommended in sexually active women under 25
  • Urgent evaluation when fever and pelvic pain coexist

Treatment Methods

01
Ceftriaxone 500 mg IM single dose (≥150 kg: 1 g)
02
Adding azithromycin or doxycycline for chlamydia co-treatment
03
Concurrent partner treatment is mandatory
04
Test-of-cure (NAAT) within 1-2 weeks after treatment
05
Culture and susceptibility testing if resistance is suspected
06
Annual gonorrhea/chlamydia screening (under 25 or in risk groups)

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.