Hello and welcome to the zero to finals podcast. My name is Tom and in this episode I'm going to be

talking to you about gonorrhea. And you can find written notes on this topic at zero definals.com

slash gonorrhea or in the genitone urinary medicine section of the zero to finals obstetrics and gynecology book.

So let's get straight into it.

Niceria gonorrhea is a gram-negative diploccus bacteria.

It infects mucous membranes with a columnar epithelium, such as the endoservics in women,

urethra, rectum, conjunctiva, and the pharynx.

It spreads via contact with mucous secretions from infected areas.

Gonorrhea is a sexually transmitted infection.

Being young, sexually active and having multiple partners increases the risk of infection with gonorrhea.

Having other sexually transmitted infections such as chlamydia or HIV also increases the risk.

There is a high level of antibiotic resistance to gonorrhea.

Traditionally, cyprophloxasin or azithromycin were used to treat gonorrhea. However, there are now high levels of resistance to these antibiotics.

Let's talk about the presentation.

Infection with gonorrhea is more likely to be symptomatic than infection with chlamydia.

90% of men and 50% of women are symptomatic with gonorrhea.

The presentation will depend on the site of the infection.

Female genital infections can present with odilous,

purulent discharge, possibly green or yellow,

dysuria or painful urination, and pelvic pain.

Male genital infections can present with an odourless, purulent discharge, possibly green or yellow,

dysuria again with painful urination, and testicular pain or swelling, with epididimo or chitis.

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