Gonorrhoea is a bacterial sexually transmitted infection (STI). It can be painful and can cause serious health problems such as infertility in both men and women.
This information tells you what you can do if you are worried that you might have gonorrhoea and offers advice on how to protect yourself.
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Gonorrhoea is caused by a bacteria which is found mainly in the semen and vaginal fluids of men and women who have the infection.
Gonorrhoea is easily passed from one person to another through sexual contact. Anyone who is sexually active can get it and pass it on. You don’t need to have lots of sexual partners.
Gonorrhoea is usually passed from one person to another during sex. The bacteria can live inside the cells of the cervix (entrance to the womb), the urethra (tube where urine comes out), the rectum, the throat and occasionally the eyes.
You can become infected with gonorrhoea if you come into contact with infected semen or infected discharge from the vagina, throat or rectum.
The infection is most commonly spread through:
Gonorrhoea can also be passed from a pregnant woman to her baby (see What happens if I get gonorrhoea when I’m pregnant?).
In women it is possible for the bacteria to spread in the vaginal secretions, to the rectum. You don’t need to have anal sex for this to happen.
Gonorrhoea bacteria that come into contact with the eye can cause conjunctivitis. This is uncommon in adults.
It is not clear if gonorrhoea can be spread by transferring the bacteria to another person’s genitals on the fingers or through rubbing vulvas (female genitals) together.
You cannot catch gonorrhoea from kissing, hugging, sharing baths or towels, swimming pools, toilet seats or from sharing cups, plates or cutlery.
About ten per cent of infected men and 50 per cent of infected women will not have any obvious signs or symptoms.
Signs and symptoms can show up 1–14 days after coming into contact with gonorrhoea, many months later, or not until the infection spreads to other parts of your body.
You might notice:
You can only be certain you have gonorrhoea if you have a test. If you think you may have gonorrhoea it is important that you don’t delay getting a test.
You may wish to have a test if:
You could still have gonorrhoea even if your partner has tested negative – you should not rely on a partner’s negative test result.
If you have had gonorrhoea and it has been treated, you will not be immune to the infection – you can get it again.
If you have gonorrhoea you may wish to be tested for other sexually transmitted infections as you can have more than one sexually transmitted infection at the same time. Having an infection such as gonorrhoea can mean you are more at risk of becoming infected with HIV or of passing HIV on if you already have HIV.
It is important not to delay getting a test if you think you might have gonorrhoea. It is possible to do a gonorrhoea test within a few days of having sex but sometimes you may be advised to wait up to a week after having sex. You can test for gonorrhoea even if there are no symptoms.
There are different ways of testing for gonorrhoea.
A swab looks a bit like a cotton bud, but is smaller and rounded. It sometimes has a small plastic loop on the end rather than a cotton tip. It is wiped over the parts of the body that could be infected and easily picks up samples of discharge and cells. This only takes a few seconds and is not painful, though it may be uncomfortable for a moment.
Sometimes it is possible for a specimen to be looked at under the microscope immediately and for you to get the test result straight away. Otherwise you will have to wait up to two weeks to get your results.
Cervical smear tests and routine blood tests do not detect gonorrhoea. If you are not sure whether you have been tested for gonorrhoea, just ask.
The accuracy of a gonorrhoea test depends on the kind of test used and which part of your body the sample is collected from.
As no test is 100 per cent accurate there is a small chance that the test will give a negative result when you do have the infection. This is known as a false negative result. This can sometimes explain why you might get a different result when you go to a different clinic to have another test or why you and your partner might get a different test result.
It is possible for some gonorrhoea tests to be positive if you haven’t got gonorrhoea, but this is uncommon. If there are doubts about the result you may be offered a second test to confirm the presence of gonorrhoea.
There are a number of services you can go to. Choose the service you feel most comfortable with.
A gonorrhoea test can be done at:
For information on how to find a service see How to get help with your sexual health.
It is possible to buy a gonorrhoea test to do at home. The accuracy of these tests varies so it is recommended that you go to a sexual health service to have a test. You can also choose to pay for a gonorrhoea test at a private clinic.
All tests are free through NHS services. Treatment is also free unless you go to your general practice when you may have to pay a prescription charge for the treatment.
The treatment for gonorrhoea is antibiotics. The treatment is at least 95 per cent effective.
You should notice an improvement in the signs and symptoms quite quickly.
If you have pelvic pain or painful sex that does not improve see your doctor or nurse as it may be necessary to have some further treatment or to investigate other possible causes of the pain.
You will need to have a follow-up test two to four weeks after taking antibiotics. This is particularly important if:
How quickly the test can be repeated will depend on which test is being used. The clinic or general practice will advise you.
If you were treated for gonorrhoea in early pregnancy you may be advised to have another test later in the pregnancy.
You can always go back to the doctor, nurse or clinic if you have any questions or need any advice on how to protect yourself from infection in the future.
If gonorrhoea is treated early it is unlikely to cause any long term problems. Not everyone who has gonorrhoea has complications. However, without effective treatment the infection can spread to other parts of the body. The more times you have gonorrhoea the more likely you are to get complications.
It can but it is unlikely. The infection may be there for many months before it goes away and without treatment you cannot be sure when or if it will go away. If you delay seeking treatment you risk the infection causing long-term damage and you may pass the infection on to someone else.
It is strongly advised that you do not have any sexual intercourse, including vaginal, anal or oral sex until you and your partner have both finished the treatment and any follow-up treatment. This is to help prevent you being reinfected or passing the infection on to someone else.
The gonorrhoea test cannot tell you how long the infection has been there. If you have had more than one sexual partner it can be difficult to know which partner you got gonorrhoea from. If you feel upset or angry about having gonorrhoea and find it difficult to talk to your partner or friends, don’t be afraid to discuss how you feel with the staff at the clinic or general practice.
If the test shows that you have gonorrhoea then it is very important that your current sexual partner and any other recent partners are also tested and treated. The staff at the clinic or general practice can discuss with you which of your sexual partners may need to be tested.
You may be given a ‘contact slip’ to send or give to your partner(s) or, with your permission, the clinic can do this for you. The slip explains that they may have been exposed to a sexually transmitted infection and suggests that they go for a check-up. It may or may not say what the infection is. It will not have your name on it, so your confidentiality is protected. This is called partner notification. You are strongly advised to tell your partner(s), but it isn’t compulsory.
Gonorrhoea is just one of many factors that can affect fertility in mean and women.
Most men and women who have had gonorrhoea will not become infertile and many women will not have an ectopic pregnancy (see What happens if gonorrhoea isn’t treated?).
If you have had gonorrhoea it is still important to use contraception if you want to avoid pregnancy. You should not assume you are infertile. You will not normally be offered any routine tests to see if you are fertile unless you or your partner are having difficulty in getting pregnant. If you are concerned, talk to your doctor or practice nurse.
Gonorrhoea can be passed to the baby during childbirth. This can cause inflammation and discharge in the baby’s eyes (conjunctivitis). Gonorrhoea can be treated with antibiotics when you are pregnant or when you are breastfeeding – the antibiotics won’t harm the baby.
There is no evidence that gonorrhoea causes cervical cancer.
It is possible to get gonorrhoea and other sexually transmitted infections by having sex with someone who has the infection but has no symptoms.
The following measures will help protect you from gonorrhoea and most other sexually transmitted infections including HIV and chlamydia.
If you have a sexually transmitted infection without knowing it they will also help prevent you from passing it on to your partner.
Use condoms (male or female) every time you have vaginal or anal sex.
If you have oral sex, cover the penis with a condom or the female genitals and male or female anus with a latex or polyurethane (soft plastic) square.
If you are a woman and rub your vulva against your female partner's vulva one of you should cover the genitals with a latex or polyurethane (soft plastic) square.
Last updated November 2012. Next update available October 2013.