Gonorrhea: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate gonorrhea (clap):

Woman

Symptoms of “lower (acute) gonorrhea” in women.

The infection in women usually goes unrecognized due to only minor symptoms (> 70% of cases). Other localizations of the infection such as on the rectum (rectum) or the throat usually run without symptoms.

Symptoms of “upper (chronic) gonorrhea” in women.

  • Adnexitis – inflammation of the fallopian tubes and ovaries.
  • Endometritis (inflammation of the uterus)
  • Salpingitis gonorrhoica (inflammation of the fallopian tubes.
  • Colicky lower abdominal pain
  • Back pain
  • Dyspareunia – pain during sexual intercourse.
  • Increased menstrual cramps
  • High fever

Man

Symptoms of “anterior (acute) gonorrhea” in men.

  • Urethritis (inflammation of the urethra) associated with pain on urination.
  • Mucopurulent urethral discharge

Symptoms of “posterior (chronic) gonorrhea” in men.

  • Prostatitis (inflammation of the prostate)
  • Epididymitis (inflammation of the epididymis)
  • Balanitis (inflammation of the glans)
  • Arthritis (inflammation of the joints) with accompanying exanthema (rash).
  • Conjunctivitis (conjunctivitis)
  • Urethritis posterior – inflammation of the urethral mucosa of the posterior urethral segments.
  • Fever
  • Flu-like symptoms
  • Joint pain

Chronic gonorrhea in men runs rather weak. Usually the only sign is the so-called bonjour droplet, which flows out of the urethra in the morning before the first urination. This is pus that has accumulated in the urethra during the night.

Other indications

  • The symptoms urethritis, arthritis and conjunctivitis are grouped as Reiter’s triad.
  • Blepharoconjunctivitis is very rare in adults. It is manifested by severely swollen and reddened eyelids and creamy discharge from the eye.

Note: Gonorrhea can also lead to pharyngeal (throat) and rectal (rectum) infections, but these are often asymptomatic,

Warning signs (red flags)

  • Gonorrhea detection in children may indicate child abuse