Gonorrhea (synonyms: Blennorrhagia, drain), is a STD highly contagious, greatly spread all over the world.
It is an acute infection caused by a bacterium, the gonococcus, which lies preferably in the genital mucosa, pharynx and anus of the infected people. For this reason, the infection can also occur in the case of uncomplete sexual intercourse.
Who is infected with gonorrhea runs a five times higher risk of being infected with HIV during unprotected sex with HIV-positive people.
Once healed, one does not acquire immunity to subsequent infections: they can in fact be re-infected with an infinite number of times. Gonorrhea is often provided, together with another bacterium that causes similar symptoms: chlamydia. Accordingly, the therapy involves treating both infections.

How is it transmitted?

- With unprotected sex: they are at risk ALL types of relationship (oral, anal, vaginal).
- Pursuing unprotected oral sex (both active and passive).
- With the simple contact between the genitals.
- Through mutual masturbation.
- With a kiss deep and prolonged.
- Through the exchange of underwear and towels.
- Using a contaminated genital instrument.
- With exchange and use of contaminated sex toys.
- With the passage of bacteria from infected mother to child.
- Transmission from the genitals to other parts of the body: for example, through the hands it infects the eye.

What are the symptoms?

In man (after 2-14 days):
- Burning, itching and / or difficulty urinating.
- Abundant urethral whitish loss or greenish-yellow.
- Burning in the tip of the penis.
In women (after 7-21 days):
- Itching and burning when urinating.
- Abnormal vaginal discharge.
- The external genitalia can be inflamed and sexual intercourse is painful.
- Rarely lower abdominal pain and bleeding even if you do not have menstruation.
In homosexual men and women:
- Anal pain with loss of thick pus and bleeding (in the case of unprotected anal intercourse, or contact with contaminated objects, or extreme sexual practices such as fisting).
- Sore throat, fever, in case of infection occurred through unprotected oral sex (gonococcal pharyngitis).

What if you do not treat?

If the infection is left untreated, the bacteria can spread to the whole body compromising: the joints (arthritis), heart, skin, eyes (conjunctivitis), testes, prostate, bladder, until you get to serious infections and infertility (mainly in women).

How is it diagnosed?

There are specific laboratory tests that can diagnose gonorrhea quickly and reliably. If you have had unprotected sex or if you doubt that you contracted gonorrhea, ask your dermatologist or go to the Unit of Sexually Transmitted Diseases closest to you.
If test is positive to Gonorrhea, aware all the people with whom you have had sex in the last month and advise them to make the necessary tests.

How is it treated?

Gonorrhea is treated with a combination of antibiotics, in order to also eliminate any opportunistic infections (Chlamydia). The therapy should be done properly, meticulously following the instructions of the medical staff, to avoid the appearance of resistance to antibiotics.
We must abstain from sexual intercourse until the end of the therapy, to avoid infecting other people.
It should be remembered that, once healed, patients will not become immune to subsequent infections. This means that you can always get sick of Gonorrhea.

How to prevent it?

- With the correct use of condoms during sexual intercourse.
- Avoiding unprotected sex with infected people.
- Using a condom from the beginning of sexual intercourse and not just at the very end.
- Using a condom to protect the objects used for the sexual practice.
- Using a condom from the beginning even during oral sex.
- By the periodical tests if you have casual relationships and frequently with more