Gonorrhea is a disease of the young

Gonorrhea is a disease of the young – 15 to 25 years as defined by the CDC. It is more common in urban blacks of low socioeconomic status. This is somewhat interesting. We see a lot more gonorrhea in people in lower socioeconomic groups and more chlamydia in people of upper socioeconomic groups – college students, for example. Females who develop gonorrhea are usually asymptomatic and males are usually symptomatic. As a matter of fact, the figure is that after contracting the gonococcus, over ninety percent of males will become symptomatic within five days; the others will not become symptomatic at all, ever. Rectal infection is common in women and in male homosexuals. Twenty percent of male homosexuals who practice anal receptive intercourse develop gonorrhea. Rectal infection is usually asymptomatic. Pharyngeal infection is common in women practicing fellatio – the figure if twenty percent – and male homosexuals. Pharyngeal infection is usually asymptomatic. They can produce symptomatic infection, but it serves as a mucosal site from which dissemination can occur and certainly from which spread of infection can occur to another individual.

Females are less effective transmitters of gonorrhea than male. One-third of males will be infected by one exposure, sixty percent by three exposures and in males it is fifty percent of females who will be affected by one exposure and ninety percent of females will be affected by three exposures. Female viagra at cheap canadian pharmacy. So males are far more effective in terms of transmission; it is thirty-three percent with one exposure versus fifty percent and sixty percent with one exposure versus ninety. This is a repetitive theme that you will see with HIV infection, with chlamydia infection and probably, if the studies were done appropriately, with virtually any sexually transmitted disease. Males are more effective in transmission.

With regard to gonorrhea, you must treat the partners because of not, the partner will re-infect the individual you are treating in the first place and is free to go around infecting other people in the community. Much of the approach to sexually transmitted diseases is to prevent further spread of infection, not only to treat the patient that you are dealing with but also to prevent further spread. With melas there is urethritis, dysuria, discharge. Spread can occur to the prostate, seminal vesicles and epididymis and produce epididymitis. With epididymitis, you usually have unilateral pain and swelling of the testicle. I want to point out that much of what was attributed to gonococcal prostatitis in the past and to gonococcal epididymitis was not caused by the gonococcus. Epididymitis is caused by Enterobacteriaceae as well as by chlamydia and prostatitis is usually not a gonococcal infection. As a matter of fact, it is really quite uncommon to get symptomatic gonococcal prostatitis.

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