Gonorrhea in throat

[breathe]

What would happen if a Gonorrhea infection of the throat was left untreated?

 

[KaraBulut]

Sometimes it will continue to spread causing more systemic infections. Sometimes your body will overcome the infection. sometimes it becomes a chronic asymptomatic infection that you continue to spread to your sex partners.

Since the bacteria tends to cause inflammation and destruction of the tissues that it infects, you would develop lesions and scarring anywhere that it infects.

 

[mbamike]

Follow up question.

I usually suck the top's cock before he fucks me. So, if I am going to get an STD, I will get it in my mouth, throat, and rectum. The usually symptoms of burning when I urinate and a pussey discharge probably don't apply to me.

So, what symptoms should a bottom look for?

 

[breathe]

And does gonorrhea always result in damage to the tissue, even if your body overcomes the infection without treatment?

Just wanting to be informed.

 

[KaraBulut]

So, what symptoms should a bottom look for?

About 9 out of 10 men will have symptoms with their gonorrheal infection.

Condoms generally prevent transmission of genital to anal gonorrhea. This is another one of those cases where preventing body fluid exchange greatly lessens your risk.

Signs and symptoms for rectal gonorrhea are burning and itching of the rectum. Bowel movements can be particularly painful. You may also see a greenish mucous discharge on your underwear and occasionally on toilet paper.

Most guys come in for treatment for urethral gonorrhea because it feels like they're having a burning pain when they urinate. I had one patient describe it as "peeing razor blades". And again, there's a green gooey discharge from the penis.

Oral gonorrhea is a bit more difficult to diagnose because there are other infections that cause sore throat. Most of the time it is diagnosed based upon sexual history and physical exam.

And does gonorrhea always result in damage to the tissue, even if your body overcomes the infection without treatment?

Yes. Gonorrhea is a leading cause of sterility in both men and women. Urethral gonorrhea can result in scarring of the urethra causing stricture. It can also spread to adjacent organs including the testes, the bladder, the prostate and the organs of the urinary tract. It can lead to abcesses in the pelvis.

Generally it's something you want to get treated quickly.

Wouldn't an infection cause fever? Also, is a throat swab culture necessary?

No to both questions.

Most people with gonorrhea complain of pain- burning with urination, persistent sore throat. The green discharge is quite distinct- especially on white underwear.

A swab may be taken for lab confirmation. For men, urinary infection can be diagnosed with a uriine specimen.

Most practitioners don't wait for test results. We usually treat immediately because we can't assume patients will return for test results. If you report sexual unprotected sexual encounters and we see the distinct discharge associated with gonorrhea, you'll get a nice injection in your butt and a week of oral antibiotics for chlamydia, since the two seem to travel together.

Fever is not a consistent symptom- quite a few people don't run fevers early in the course of the infection. By the time you develop fever, you've got a pretty nasty infection- on the order of pelvis inflammatory disease, epididymitis, etc.

 

[RaKroma]

Would the standard urine test sample detect oral gonorrhea too or oral swab testing is a must to detect oral g.?
Also, is gonorrhea mainly spread through oral sex and not anal? Because I assume that many people will use condoms for anal intercourse but rarely consider using condoms for oral sex thus making it a common oral STI?

 

[freefall]

The location of GO infection depends on the entrance portal. The entrance site at anal sex is of course the rectum, thus proctitis. As for oral sex, it will affect the pharynx, causing GO pharyngitis. Thus all kinds of sexual contacts can spread GO, with different clinical presentations. The most common is still genitogenital route (penis to vagina), followed by anogenital (anal sex).

GO pharyngitis is usually caused by performing oral sex on a person with symptomatic urethritis. The actual number, however, is obscure because usually the pharyngitis is occult and asymptomatic. The most common primary GO infection caused by sex is still the urethra, causing GO UTI, and thus the easiest spread.

And urine test only detects UTI caused by GO bacteria, so for oral GO, a throat or pharynx swab is to be done.

 

[KaraBulut]

Would the standard urine test sample detect oral gonorrhea too or oral swab testing is a must to detect oral g.?
Also, is gonorrhea mainly spread through oral sex and not anal? Because I assume that many people will use condoms for anal intercourse but rarely consider using condoms for oral sex thus making it a common oral STI?

Under normal conditions, urine does not have any bacteria present in a clean catch specimen. Because gonorrhea infects the urethra, bacteria cells are washed from the urethra when you pee. The urine test for men is looking for the presence of bacteria in the specimen. Most of the time, if the test indicates bacteria in the specimen, we don't wait for a culture and we go ahead and start treatment for gonorrhea and chlamydia.

Gonorrhea is more common in heterosexuals. It's quite nicely adapted over centuries to transfer back and forth between the female and male reproductive system (vagina/urethra). It's also developed resistance to the most commonly used antibiotics.

It is less common in gay men because it's not as well adapted to transferring back and forth in anal/oral sex. And until recently we didn't see many cases of rectal gonorrhea because condoms were used by gay men for anal sex. Barebacking has changed those stats.

Oral chlamydia is still the most common infection transmitted via oral sex. Gonorrhea is the second most common. But we don't have the final stats on HPV transmission through oral and we're probably just seeing the tip of the iceberg when it comes to HPV.

 

[jensu846]

If you have gonorreah in your throat, and you use your own spit to jack off with, can you transfer the gonorreah into your own penis/urethra?

 

[FuryOfFirestorm]

You sucked on a nasty cock
So you better see the doc
Gonorrhea, ha cha cha, gonorrhea.

Tasted some bad dick
it's got you feeling sick
Gonorrhea, ha cha cha, gonorrhea.

Got fucked by some hot stud
Now you're pissing lots of blood
Gonorrhea, ha cha cha, gonorrhea.

 

[Darted]

It would spread. Probably get worse before it got any better.

 

[rickbiwdc]

I got oral/throat gonorrhea which I assume I got from giving oral to an infected penis.

QUESTION: Does my gonorrhea "transfer" to the rest of my body, i.e. semen, anus? The ultimate question being, how contagious can I have been when others were sucking me or rimming me?

(FYI: I have my regimen of medicine and expect a quick recovery; my questions revolve around encounters I had prior to learning of the diagnosis)

 

[KaraBulut]

I got oral/throat gonorrhea which I assume I got from giving oral to an infected penis.

QUESTION: Does my gonorrhea "transfer" to the rest of my body, i.e. semen, anus? The ultimate question being, how contagious can I have been when others were sucking me or rimming me?

The answer is that it is possible, however in most cases in men, treatment with antibiotics occurs before the infection spreads.

It's difficult to pinpoint how often systemic spread occurs because typically people having sex don't limit themselves to a single act- it's usually a mix of oral, vaginal in women and anal.