STD Awareness: Gonorrhea of the Throat

Editor’s note: For more information on oral gonorrhea, please see our post Why Should You Care About Oral Gonorrhea? For more information on whether a gonorrhea infection can go away without treatment, please see our post Will STDs Go Away on Their Own?

Gonococci can band together to attach themselves to a human cell. Image: Dustin Higashi, University of Arizona

My fellow Generation Xers might remember an episode of Chicago Hope in which a very young Jessica Alba portrays a teenage girl with a gonorrhea infection in her throat — also called pharyngeal gonorrhea. The actress later reported being shunned by members of her church, disillusioning her from the religion she grew up with. It is a testament to the power of taboo that even a fictional association with a sexually transmitted disease (STD) can elicit such negative reactions.

Taboos can affect the ways we relate to one another sexually, as well. Many of us conceptualize of disease as “dirty,” and the flip side to that is to think of people without disease as “clean.” This kind of stigmatizing language can be found in phrases like “She looked clean” and “Don’t worry, I’m clean” — all to describe people who are perceived to be or who claim to be free of STDs. With all the baggage we put on STD status, it can be difficult to ask a partner to use a condom or dental dam during oral sex. Some people might think we don’t trust them or are underhandedly questioning their “cleanliness.” These sorts of fears can cloud our judgment when it comes to protecting our health, but there is nothing wrong with asking your partner to use protection during oral sex — especially if you don’t know one another’s STD status. There are many good reasons to use barrier methods when engaging in oral sex, and pharyngeal gonorrhea is just one of them.


Unprotected oral contact with a penis puts you at the most risk of acquiring pharyngeal gonorrhea.


Gonorrhea is most famous as an infection of the cervix or the urethra. But gonococci, the bacteria that cause gonorrhea, can thrive in other warm, moist areas of your body — not just the reproductive tract, but also the mouth, throat, eyes, and anus. Gonococci can be transmitted to your mouth or throat via oral sex — most likely via unprotected oral sex. Symptoms might include a sore throat, but 90 percent of the time there are no symptoms at all. Continue reading

STD Awareness: Antibiotic-Resistant Gonorrhea

Under the microscope, Neisseria gonorrhoeae infects larger human cells (click to enlarge). The bacteria resemble tiny pairs of coffee beans. Image: Dr. Norman Jacobs, CDC



Writing about sexually transmitted diseases (STDs), one must walk the line between warning readers of risks and engaging in full-fledged alarmism. So it’s a bit disconcerting that researchers writing in the New England Journal of Medicine last month declared that it’s “time to sound the alarm”: The emergence of completely antibiotic-resistant gonorrhea is becoming more of a realistic threat and less of a theoretical possibility. The bacteria that cause gonorrhea are evolving faster than we can develop effective antibiotics against them, and a return to the era of untreatable gonorrhea could see a rise in the particularly nasty complications that arise from a long-term gonorrheal infection, such as pelvic inflammatory disease and epididymitis.

Las bacterias causantes de gonorrea se desarrollan más rápido de lo que podemos desarrollar antibióticos eficaces contra ellas. También pueden afectar negativamente a los hombres. Para evitarlo y mejorar la erección masculina, es necesario comprar medicamentos en este sitio web https://zveza-kds.si/content/cialis-generico.


There are genes that confer resistance to every single antibiotic we use to cure gonorrhea. If they all combine within one organism, we might have a superbug on our hands.


Neisseria gonorrhoeae is a species of tricky bacteria that cause gonorrhea, which can infect the mouth, throat, rectum, urethra, cervix, and even eyes. These bacteria have vexed us for thousands of years, having evolved many strategies for entrenching themselves in our bodies. They can alter the proteins that adorn their surfaces, rendering our immune systems incapable of recognizing them. They can form colonies in which they work together to manipulate our cell surfaces with their retracting appendages until they’re allowed entry inside, where they can surreptitiously multiply.

You’ve probably heard of MRSA, which is pronounced “mersa” and stands for methicillin-resistant Staphylococcus aureus — a strain of bacteria that has acquired resistance to methicillin, as well as pretty much every other antibiotic to boot. MRSA is an example of evolution by natural selection — what didn’t kill its ancestors made them stronger, spawning a drug-resistant strain.

Why are we talking about MRSA in a post about STDs? It’s not just because MRSA has apparently found a way to be transmitted sexually, but also because it helps make the concept of antibiotic-resistant gonorrhea more accessible. It wasn’t until less than a century ago that we finally developed a magic-bullet treatment for gonorrhea, and for a handful of decades it was quickly and easily treated with a dose of penicillin. Enter evolution by natural selection. Continue reading

STD Awareness: Gonorrhea

Neisseria gonorrhoeae, which causes gonorrhea, is pictured here in a photograph taken with a scanning electron microscope. Projecting from the organism’s surface are many pili, powerful appendages that enable the bacteria to adhere to human cells. Image: National Institute of Biomedical Imaging and Bioengineering.



April is STD Awareness Month, but this blog has sought to increase your awareness of sexually transmitted diseases on a monthly basis. So far in 2011 we’ve pointed the spotlight at human papillomavirus, barrier methods, and herpes. This month’s installment will focus on gonorrhea, colloquially known as “the clap,” a common sexually transmitted disease caused by sneaky bacteria called Neisseria gonorrhoeae. It is spread by vaginal, anal, and oral sex, and can infect certain cells in the throat, mouth, rectum, urethra, or cervix. It can also be transmitted manually to infect the eye. If you are sexually active, you can reduce risk of transmission by consistently and correctly using latex barriers such as condoms and dental dams.

If you are not sexually active, then medicines that improve your potency and erection at night can increase your activity. You can purchase these medicines on this website https://www.freedomscientific.com/what-is-generic-stromectol-and-when-to-use-it/.

Four out of five females infected with gonorrhea do not experience symptoms – males, however, usually do, but they can be mild and therefore easy to overlook. Symptoms can appear within a month, and might include painful or frequent urination, vaginal or penile discharge, painful bowel movements, itching, or sore throat. Additionally, females can experience abdominal pain, fever, irregular menstruation, or bleeding between periods. In pregnant women, untreated gonorrhea infections can lead to complications such as premature labor or stillbirth. The infection can also be passed from mother to infant during delivery.  Continue reading