Medically reviewed on May 19, 2023 by Amy Harris, MS, RN, CNM. To give you technically accurate, evidence-based information, content published on the Everlywell blog is reviewed by credentialed professionals with expertise in medical and bioscience fields.
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Gonorrhea is a very commonsexually transmitted infection (STI) that infects least 87 million people each year.  Gonorrhea does not discriminate based upon gender, although it occurs more commonly in sexually-active people between the ages of 15 and 49. [1,8]
A gonorrhea infection can be tricky to catch and therefore can go undiagnosed for longer in women and those people assigned female at birth (AFAB). Gonorrhea symptoms in women, especially early on in the infection tend to be mild, and and are often mistaken for a bladder infection or UTI, prolonging the time to diagnosis and treatment. 
Unfortunately, the longer the delay to treatment, the greater the risk of long term health consequences such as male and female infertility, pelvic inflammatory disease in women, joint infections, and transmission to the baby if a woman becomes infected with gonorrhea while pregnant. 
Gonorrhea is curable, but early diagnosis and treatment are the way for you to avoid these serious, and potentially life-altering complications. Healthy sexual practices, knowing which signs and symptoms to look for, and how to treat and prevent spreading Gonorrhea to your sexual partners will safeguard sexual well-being.
Gonorrhea is a shorthand for an infection caused by Neisseria gonorrhoeae. This type of fast-growing bacteria that attacks the mucous membranes or the tissues lining your reproductive and urinary systems. It can infect other areas of the body, like the mouth or anus. 
As one of the more common STDs, gonorrhea is highly contagious. 
How do you get gonorrhea? Turns out there are several different ways to spread the bacteria responsible for gonorrhea infections. Most commonly, gonorrhea spreads through sexual activity such as: 
Even without penetrative sex, gonorrhea can be contracted if an individual comes into contact with bodily fluids, like semen or vaginal discharge, during sexual activity. You can also spread gonorrhea even if you or your partner do not ejaculate.1 Pregnant women can also pass gonorrhea on to their baby in-utero or during labor if they’re infected. [1,4]
While there are effective treatments for gonorrhea, you are better off trying to avoid getting gonorrhea in the first place. That’s where prevention comes in.
To prevent spreading or contracting gonorrhea, be sure to:
In women, gonorrhea most commonly impacts: 
Initially, gonorrhea may present with mild symptoms or no observable signs at all. If an infected individual does exhibit symptoms, they may notice: 
If gonorrhea infects other mucus membranes in the body, like the eyes or rectum, other symptoms may appear. These gonorrhea symptoms include: 
If you’re concerned that you may have been infected with gonorrhea or are experiencing any symptom above, it’s important to reach out to a healthcare provider immediately. They can diagnose you using the following methods: 
Today, you may also have the option of taking an at-home gonorrhea test to screen for the bacteria that causes gonorrhea.  This works similarly to a test you might take in a healthcare provider’s facility: you’ll follow the instructions in your test kit, retrieve a sample of cells from an area suspected of infection, and send it in a mail-safe receptacle to a lab that will process your results.
If an at-home test kit determines you’ve been infected, it’s best to schedule an appointment with your healthcare provider. They can help you determine the severity of your infection and the best course of treatment for optimal recovery. They can also help advise you about treatment options for your sexual partners.
To avoid getting gonorrhea again, abstain from sex until after you and your sex partner have completed treatment and after symptoms are gone.
If gonorrhea is caught relatively early, you can cure it with antibiotics. The most commonly recommended medicines include: 
These are typically administered by taking a pill or by injection.  The exact medication your provider prescribes may depend on: 
Unfortunately, many of the bacteria causing gonorrhea have become resistant to the antibiotics most commonly used to treat gonorrhea. This is called antimicrobial resistance, and unfortunately it is making successful treatment of gonorrhea more difficult. A test-of-cure – follow-up testing to be sure the infection was treated successfully – is not needed for genital and rectal gonorrhea infections at this time according to the CDC, but if your symptoms continue for more than a few days after receiving treatment, you return to a health care provider to be reevaluated. A test-of-cure is needed 7-14 days after treatment for people who are treated for a gonorrhea infection of the throat.
Gonorrhea and its associated symptoms will likely resolve in several days.  However, it’s critical to precisely follow the instructions and protocol recommended by your healthcare provider.Moreover, it’s extremely important to avoid engaging in sexual activity, including oral sex, while undergoing antibiotic treatment for gonorrhea or for at least one week after all sexual partners are treated and complete resolution of all symptoms, if you had any.  This helps make sure that you and your partner don’t repeatedly pass the infection back and forth to one another.
While the infection is curable, untreated gonorrhea can have lasting impacts on your health. Advanced gonorrhea can infect the joints and blood, which can have fatal consequences in the most severe cases. 
When undiagnosed and untreated, gonorrhea can put women at an elevated risk of developing the following conditions: 
If you are sexually active, getting tested regularly, even if you don’t have any symptoms or think you might be at risk, can help keep you safety and free of gonorrhea.  There are three ways testing should be a part of your sexual wellness routine:
Combining antibiotic treatment and regular sexual health testing can be your ticket to sexual health peace of mind.
All pregnant people should be screened in the first trimester of pregnancy and again in their third trimester if they are at high risk for a gonorrhea infection. If you are pregnant or recently gave birth, and have any gonorrhea symptoms or possible exposure to gonorrhea from a sexual partner, you should seek advice from your obstetrical healthcare provider immediately. Untreated gonorrhea infections during pregnancy has been linked to miscarriages, premature birth and low birth weight, premature rupture of membranes, and severe infections.10 If your baby gets an infection with gonorrhea in their eyes, it can put them at risk for vision problems and even blindness8 Fortunately, gonorrhea in infants can also be treated with antibiotics if caught early. 
Because gonorrhea often arises with barely-noticeable symptoms, it’s one of several STIs that can be difficult to catch. By testing your sexual health status regularly, such as with an at-home gonorrhea test, you can help ensure both you and your partner(s) limit your risk of contracting or transmitting the infection.
Luckily, you can take control of your sexual health through Everlywell’s virtual care visits. Through our virtual care offering, you have access to licensed clinicians who can meet with you at your convenience to discuss your symptoms. Then, they can provide you with online STI treatment if needed.
Get proactive about your sexual health today.