Gonorrhea in Males

Gonorrhea is an infection caused by Neisseria gonorrhoeae bacteria. The infection is usually acquired through sexual contact.

What is going on in the body?

Humans are the only host for Neisseria gonorrhoeae. It is spread from person to person through sexual contact. It can spread through vaginal, anal, or oral sex. The bacteria can also be transmitted on contaminated fingers or sex toys.

The infection can affect any mucuous membrane, but it is most common in the following locations:

Gonorrhea in males may spread to the testicles or the epididymis, which produces sperm. Sometimes the bacteria can spread through the bloodstream to other areas of the body. The infection may spread to the abdomen, heart, joints, spinal cord, brain, and liver.

What are the causes and risks of the disease?

Gonorrhea is caused by Neisseria gonorrhoeae bacteria. It is spread through sexual contact or during childbirth. Gonococcal infections are 1.5 times more common in men than in women. They are seen most often in teens and young adults. Risk factors for gonococcal infections include the following:

What are the signs and symptoms of the infection?

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Gonorrhea that has spread to other parts of the body may cause a rash and fever. The person may have painful, swollen joints. Other symptoms are specific to the body part that is infected. An infection in the heart, for example, may cause heart valve problems and impaired blood flow.

How is the infection diagnosed?

Diagnosis of a gonococcal infection starts with a medical history and physical exam. The Neisseria gonorrhoeae bacteria can be cultured from infected body sites.

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What can be done to prevent the infection?

Many cases of gonorrhea can be prevented by following safer sex guidelines. Prompt treatment of the infected person and any sexual partners will prevent further spread.

What are the long-term effects of the infection?

Gonorrhea can cause serious long-term effects if it is not treated effectively. These effects include the following:

What are the risks to others?

Gonorrhea is very contagious. It is spread from person to person during sexual contact.

What are the treatments for the infection?

Gonorrhea is treated with antibiotics, such as cefixime, ceftriaxone, ciprofloxacin, or ofloxacin. Doxycycline might be added to treat Chlamydia trachomatis, a disease which commonly occurs along with gonorrhea. Pain medications can be used as needed. Infected individuals should avoid sexual contact until the infection is completely gone. Gonococcal infections that involve other body organs will also need treatment.

What are the side effects of the treatments?

Antibiotics may cause rash, stomach upset, and allergic reactions.

What happens after treatment for the infection?

The discharge and discomfort of gonorrhea may take a while to stop, even with treatment. A man can quickly be reinfected if he engages in sex with an infected partner. Sexual partners should be tested and treated as needed.

How is the infection monitored?

Any new or worsening symptoms should be reported to the healthcare provider.

Author:Stuart Wolf, MD
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:05/31/01
Reviewer:Barbara Mallari, RN, BSN, PHN
Date Reviewed:09/25/01