In men, if left untreated complications like inflammation of the epididymis (epididymitis) prostate gland (prostatitis) and urethral structure (urethritis) may occur. Left untreated, infertility and pelvic inflammatory disease can occur in women with gonorrhoea infection. The condition in new-borns who have acquired the infection from their mothers is called ophthalmia neonatarum and begins in less than 48 hours after birth.The eye lids are swollen and the eyes are suffused with blood vessels and appear red.There is usually a pus filled discharge from both the eyes.Acute inflammation of the conjunctiva (acute conjunctivitis) is a common finding.In over 90% infected women with gonococcal infection of the pharynx, there are no symptoms.It occurs due to spread of the vaginal secretions to the rectum or due to anal intercourse with an infected partner
Rectal infections usually show no symptoms in women. This is a symptom seen in urinary tract infections. However, there is no urgency to urinate frequently. In 12% of women with the infection there is pain on urination or dysuria. The bleeding from the cervix is easily induced. Some women experience bleeding between periods or heavy menstrual bleeding due to the infection. A quarter of patients experience lower abdominal pain. The discharge may be clear, watery or may be yellowish pus filled. In the rest the most common symptom is discharge from the vagina. Around 50% of women with a cervix infection may have no symptoms. Infection of the cervix or endocervical infection. Gonorrhea bacteria may have driven the evolution of gene variants that protect older adults against dementia. Early 2022 monkeypox virus spread among sexual networks of bisexual and gay males in England. Researchers review sexual well-being during the SARS-CoV-2 pandemic. This is called gonococccal conjunctivitis. Infection of the eyes can cause pain, swelling, irritation and discharge. In case of an infection of the pharynx or back of the throat more than 90% do not show any symptoms. 7% individuals with infection may experience bleeding In case of a rectal infection 12% may experience discharge from the anus and pain and itching around the anus. There is pain or tenderness of the epididymis, testes and genitals in case of inflammation. In over 50% of men with the infection there is pain on urination or dysuria. In more than 80% men there is discharge from the urethra. Symptoms of gonorrhoea infectionĪround 50% women and 10% men may show no symptoms of the infection. Incubation period is the time taken from exposure to the infection and appearance of the symptoms. The incubation period is usually taken as being between 2 and 5 days but may be up to 10 days. Gonococcus can be transmitted from a pregnant woman to her baby. It can also be transmitted by sharing sex toys and vibrators with an infected individual without washing or covering them with a condom at each use. It can be passed from person to person by having unprotected vaginal, oral or anal sex. Routes of transmission of infection include: Gonococcus is present in the discharge from the penis and vaginal fluid of the infected men and women. Gonorrhoea has been referred to as the “clap” in history. 
It is a sexually transmitted infection (STI). Gonorrhea is caused by Gram negative bacteria Neisseria gonorrhoeae, also known as gonococcus. Ananya Mandal, MD Reviewed by April Cashin-Garbutt, MA (Editor)
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