Gonorrhea

Gonorrhea information

Gonorrhea is a sexually transmitted disease, caused by the Neisseria Gonorrhea bacterium. Every year, approximately 11.4 million people are infected by this disease in Africa.

Gonorrhea is transmitted through any form of unprotected sexual intercourse – vaginal, anal, or oral. In addition to unprotected sex, a study in Ghana found that alcohol usage can also increase your chances of getting infected.

Read More: Gonorrhea in Ghana

Symptoms of Gonorrhea

Symptoms of a gonococcal infection begin to appear after two to seven days. It’s essential to note that symptoms of this infection can differ between men ad women.

While most men do experience symptoms of the disease, a significant portion of women does not. This can lead to late diagnosis in women.

Thus, it’s vital to keep a lookout for symptoms of the disease, especially after unprotected sex.

Here are some of the symptoms of Gonorrhea:

  • Yellow-green discharge
  • Burning sensation or pain when urinating
  • Abdominal pain

Women may also experience some irregular bleeding between their periods. Similarly, men may experience swelling of the testicles or a sore penis.

Read More: Gonorrhea symptoms

Read More: Signs and symptoms of Gonorrhea

Complications

As we mentioned before, symptoms of Gonorrhea are less obvious in women. This makes the infection harder to detect and means that it can go untreated. If Gonorrhea in women is not treated in time, it can put women at risk of developing Pelvic Inflammatory Disease (PID).

PID occurs in around 15% of cases when the infection spreads to the fallopian tubes, uterus, and ovaries. PID itself is a painful condition that requires separate treatment. However, it can also lead to more severe complications such as infertility and ectopic pregnancies.

Hence, it’s vital for women to take precautions when they have unprotected sex or switch sexual partners frequently. Having protected sex is the safest way to ensure you’re not at risk of catching an STD.

Read more: All you need to know about STD’s in Africa

In men, complications of Gonorrhea are uncommon. Primarily this is because it’s easy to detect the infection in men, who can then seek treatment in time.

In case the infection goes untreated, it can spread to the prostate and testicles, which is quite painful. The spread of the infection can also block the urine passageway, causing damage to the kidneys.

Diagnosis

Luckily, the procedure of diagnosing Gonorrhea is easy. Once you book a doctor’s appointment, your doctor will take a sample to test for the infection. It’s also common for your doctor to take extra precautions and test for chlamydia as well. This is because chlamydia is often transmitted alongside Gonorrhea.

Product: Right Sign Gonorrhea Test

Product: One Step Gonorrhea Test

If you don’t have the time to go to your doctor, you can also take at-home tests for both Gonorrhea and chlamydia. These are easy to use, and you can get results quickly, no need to anxiously wait for hospital results!

Product: 4-in-1 STD Test Bundle

Read More: Testing and Diagnosis of Gonorrhea

Treatment

If you are diagnosed with Gonorrhea, you can treat it through medicine prescribed to you by your doctor. It is essential that you don’t self-prescribe any medicine, especially because there are new strains of antibiotic-resistant gonorrhea in regions such as Ghana.

While Gonorrhea is treatable, it can be tricky to detect. If left untreated, it can cause some complications as well. Thus, it’s important to take the necessary precautions and practice safe sex.

Read More: Gonorrhea Treatment 

References:

https://bit.ly/2CSNUCM

https://www.who.int/news-room/detail/07-07-2017-antibiotic-resistant-gonorrhoea-on-the-rise-new-drugs-needed

Gonorrhea in the Anus and Rectum

Gonorrhea information

The prevalence of sexually transmitted diseases globally is high. Generally, the conditions are diverse according to the geographical regions in question. Likewise, they differ in symptoms and modes of transmission. Recently, there is a new rise in rectal sexual transmission of diseases.

Mostly, bacteria pass from the secretion of the infected penis into the rectum. The risk is open to men who have anal sex with their women partners, but the prevalence is higher in homosexuals. This is due to constant engagement in anal sex. Though gonorrhea is most common in the heterosexual organs, the emergence of anal Gonorrhea is raising medical concerns.

Read More: Gonorrhea Symptoms

Analysis

The gonococcus bacterium is dangerous in many parts of the body. In preference, it infects the parts that are close in contact with sexual fluids. These include the oral, vaginal, and anal organs. In women, the infection is less since most of them contract the disease through the vagina. In some cases, the vaginal discharge may find its way to the anus due to the two organs’ proximity. The argument is different in men since the only way of sex between two men is through the anus.

Read More: Gonorrhea in Ghana

On average, the incubation window period after infection is about 2 to 7 days. Depending on individuals, some clinical manifestations can take more days than a week, but not more than two weeks. The indications are homogeneous in both men and women. Some of those include painful itching in and around the rectum opening, blood, and pus discharge. This makes it difficult for the victim to have proper functionalities in the bowels.

Testing

In the first place, anyone who suspects any risky of exposure to gonorrhea should go for medical testing. At the clinic, the doctor may opt for a sigmoidoscopic examination. A little camera goes into the rectum to detect any sore ulcers. The doctor can take samples from the anal fluids for testing. And lastly, you can have a self-examination at home using a specialized medical kit.

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Product: One Step Gonorrhea Test

Treatment

It is wise for both partners to seek screening and treatment at the earliest convenient time. This helps contain the spread of the bacteria from further damage. If there is a delay in medication, several conditions may occur. In both men and women, the spread can cause damage to the reproductive organs and fertility.

When the infecting bacteria get to the bloodstream, it spreads to other parts of the body. Fatal brain and nervous complications like meningitis and arthritis may manifest.

The regular medication of anal gonorrhea is by antibiotics. But any delay for treatment complicates the treatment procedure. Doctors recommend that you have screening after the medication period. This ensures a medical confirmation that the disease is over.

Read More: Gonorrhea Diagnosis and Testing

References

https://sti.bmj.com/content/81/4/287

https://www.avert.org/sex-stis/sexually-transmitted-infections/gonorrhoea

https://wellcomeopenresearch.org/articles/4-79

The Use of Home Tests for Gonorrhea

Gonorrhea information

Each year, there are more and more Gonorrhea cases, and even worse, there are more cases where Gonorrhea has led to terrifying health issues. And yet, practicing safe sex and getting tested for Gonorrhea and any other STDs seem to be a lot difficult for the people of Ghana.

Because this is a topic like many others that people do not like to talk about, people lack the knowledge that they need to protect themselves against these difficult diseases or even get tested and treated in time. Today, we explore the importance of home tests as an alternative to the tests that are done at the medical facilities. Are the home tests an effective way to get your condition diagnosed?

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Product: One Step Test Kit bundle

What is Gonorrhea?

Gonorrhea is a sexually transmitted disease caused by a bacterial infection with the bacterium Neisseria gonorrhoeae. It is transmitted through unprotected oral, vaginal, or anal sex. Gonorrhea can also be transmitted during pregnancy and delivery. The best way to protect yourself against Gonorrhea and any other sexually transmitted disease is always to use a proper contraceptive – preferably a latex condom. The number of new Gonorrhea cases grows each year.

Read More: Gonorrhea

According to the latest research, back in 2017 in Ghana, the prevalence of Gonorrhea cases was 6.6% within women, and 3.5% within men. Left untreated, Gonorrhea leads to infertility, damage to the heart muscle, pelvic inflammatory disease, inflammation to the lining of the brain and/or spinal cord, ectopic pregnancy, etc. Gonorrhea is treated using antibiotics and abstaining from sex to prevent the infection from spreading.

Read More: Gonorrhea in Ghana

What are the symptoms of Gonorrhea?

The first symptoms of Gonorrhea are expected to occur within two weeks after exposure. There are also certain individuals that do not develop any noticeable symptoms at the beginning of the infection. They pose a great threat since unaware, and they can easily spread the infection to another partner with whom they engage in unprotected sex.

Read More: Signs and Symptoms of Gonorrhea

The first symptom in men is usually a burning/painful sensation during urination. Further symptoms include swelling of the testicles, swelling and redness of the opening of the penis, increased frequency of urination, and white, yellow, or greenish discharge of the penis.

Among women, the symptoms usually include a watery, greenish discharge from the vagina along with heavier periods, painful or burning sensation during urination, pain during sexual intercourse, fever, etc.

Read More: Gonorrhea Symptoms

Why get tested for Gonorrhea?

Testing for Gonorrhea will help protect you from the harmful risks that are to come with this bacterial infection. It will also help prevent it from spreading to any other individuals with whom you would engage in unprotected sexual intercourse of any kind.

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Read More: One Step Gonorrhea Test

All adults that are sexually active are advised to test for Gonorrhea and other STDs, at least once a year or more, depending on their lifestyle. Please do get tested for Gonorrhea as soon as possible if:

  • You engage in unprotected sex;
  • You have multiple sexual partners;
  • You engage in unprotected sex with a person who has present Gonorrhea symptoms;
  • You are a man who engages in sex with other men;
  • You have had Gonorrhea before;
  • You are pregnant;
  • You have other STDs;
  • You are experiencing any Gonorrhea symptoms.

Read More: Testing and Diagnosis of Gonorrhea

Why use a home test for Gonorrhea?

Because talking about STDs, including Gonorrhea, is considered to be a taboo in Ghana, but also because of the high Gonorrhea rates, the home test for Gonorrhea is the perfect solution. The home test for Gonorrhea allows you to check for any Gonorrhea signs before any symptoms have developed and helped protect yourself against any of the risks that this disease is known to carry with itself.

A home test is offering you a chance to find out if you have Gonorrhea while enjoying the privacy of your home. Although Gonorrhea testing, when done in a medical facility, is usually covered by medical insurance, sometimes there is no opportunity for this testing to take place, or simply many people feel more comfortable when they are doing this in privacy even if it costs more.

Gonorrhea is diagnosed by a urine sample and vaginal swap (for women), and this is the principle that the self-test providers follow as well. With the difference, that is, that the self-test is offering you privacy. You are still recommended to consult your doctor about your results.

How to use STD Test Kit

A self-test kit usually comes with either a vaginal swap or a urine sample. Rectal and throat swaps may be available, as well. You take your own sample following the provided instruction, which you will later send over to the laboratory. Usually, the results come after around 72 hours, notifying you if you have tested positive or negative for a Gonorrhea infection. Not to worry, the laboratory facilities are all certified; the tests are FDA-approved, and they all come in the most discreet packaging to ensure the highest privacy possible.

Read More: STD’s in Africa

Read More: Why it’s important to get tested

If you have tested positive, it is of vital importance that you inform your doctor and your partner with whom you have most recently engaged in sexual intercourse of any kind. If you have tested negative and still experience symptoms of any kind, you are still advised to consult your doctor in order to find out the cause for those symptoms.

So, what’s it all about?

Home tests are the answer to your prayers. Now you get to test and find out whether or not you are in need of treatment for Gonorrhea or not in just a couple of hours. Take the easy home test and send the sample; the results come after 72 hours with a low cost and high accuracy. Do not let Gonorrhea pose a threat to your health and to the health of your partner. Get yourself informed, get tested today!

Read More: Gonorrhea Treatment

References

https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea.htm

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205863

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5354566/

https://www.mayoclinic.org/diseases-conditions/gonorrhea/diagnosis-treatment/drc-20351780

Treatment of Gonorrhea: Modern approaches

Gonorrhea information

The treatment of this extremely common sexually transmitted disease has become very difficult for the past decade. Neisseria gonorrhoeae – the causative organism has a particularly strong proclivity to develop antibiotic resistance, and many older treatment regimens have become obsolete. So, what are the current best practices for treatment?

Read more: Gonorrhea Facts

Gonorrhea Medicine

  The current first-line treatment of genital gonorrhea involves:

  • A single dose of a cephalosporin antibiotic (most commonly ceftriaxone 250 mg) given via intramuscular injection
  • Single-dose azithromycin (Zithromax) 1 g.

This regimen is very quick and very convenient, particularly because it is often given immediately in the clinic. Those more scared of needles opt for oral cefixime 400 mg since ceftriaxone is only available in the form of an intramuscular injection. It is important to note that cefixime is not as effective for the various types of infections gonorrhea causes outside the reproductive system (throat infections, bacterial arthritis and etc.), and is thus only seen as an alternative when ceftriaxone is not available.

Read More: Gonorrhea Symptoms

All gonorrhea treatment regimens also take into account the coexistence of chlamydia. These two infections often occur together and are thus treated together.

Alternative treatment of Gonorrhea

An alternative treatment course would incorporate ceftriaxone with a tetracycline antibiotic, most commonly doxycycline. This combination is no longer recommended by both the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) due to antibiotic resistance. It is generally considered “good practice” to have the local antibiotic resistance characteristics in mind when prescribing. For example, the WHO also states that ceftriaxone or cefixime can be used on their own for treatment provided there is reliable data that the local strain is susceptible to these on their own.

Read More: Why get tested for Gonorrhea

A novel antibiotic for the treatment of gonorrhea is spectinomycin (Trobicin). It is a rarely used antibiotic in the developing world (especially sub-Saharan Africa) due to its cost, having a wholesale cost per dose ranging from 2 to 20 times higher than ceftriaxone or azithromycin. Nevertheless, it can be used as a single treatment, with a 2-gram intramuscular injection enough to fight the most susceptible strains.

There is hope for the treatment of antibiotic-resistant gonorrhea in the future. Research done by the CDC and the National Institute of Health (NIH) has shown that combinations of:

  • Gentamicin plus azithromycin or
  • Gemifloxacin plus azithromycin

 Are more than 99% effective for the treatment of genital gonorrhea. Even better, both of these new combinations are given orally. The CDC has not changed its recommendation, though, noting the significant gastrointestinal side effects of these medications as the cause. With new experimental treatments such as zoliflodacin showing promise, not all is bleak for those with sexually transmitted diseases.

Read More: Gonorrhea in Ghana

References:

https://www.cdc.gov/std/gonorrhea/arg/basic.htm

https://www.who.int/reproductivehealth/publications/rtis/gonorrhoea-treatment-guidelines/en/

https://emedicine.medscape.com/article/218059-treatment#d9

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165062/

https://www.jwatch.org/na47824/2018/11/07/new-oral-antibiotic-treatment-gonorrhea

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