Pathology
Pathology is caused by Neisseria gonorrhoeae bacteria, with an incubation period of 2-30 days and symptoms typically occurring after 4-6 days.
Aetiology
The cause of this pathology is typically sexual contact.
Symptoms
- Women: Around half of affected women are asymptomatic, while the other half experience vaginal discharge.
- Men: Penile discharge is common among men.
Signs
On examination, discharge may be noted.
Investigations
- MSU (Mid-Stream Urine): Nucleic acid amplification test.
- Microbiology: Males should undergo swabbing of the discharge, with nucleic acid amplification tests on the swabs.
Treatment
- Antibiotics: Treatment should be conducted according to local policy due to differing resistance patterns.
- Follow-up: Contact tracing should be conducted.
- Education: Barrier contraceptive use should be strongly advised.
Complications
- Arthritis
- Pelvic inflammatory disease
- Prostatitis
- Epididymitis
Prognosis
The prognosis is usually good if treatment is received.
