Learn AI Health Q&A Men’s Health

Is it serious to be positive for gonococcus in men?

Asked by:Boomer

Asked on:Mar 29, 2026 02:15 AM

Answers:1 Views:387
  • Bertha Bertha

    Mar 29, 2026

    If a man is positive for gonococcus, gonorrhea is confirmed. This disease is a reproductive tract infection, and generally the patient has a history of unclean sex. However, there is no need to be overly nervous about this disease. It can be cured and usually requires anti-infective treatment, which takes at least four weeks. After treatment, you need to go to the hospital for examination again.

    If everything is normal after the examination, the medicine can be stopped, otherwise the medicine needs to be taken again. During the treatment period, you are not allowed to have sex, drink alcohol, or eat spicy food, otherwise it will increase the difficulty of treatment. In addition, you need to drink more water and urinate more, and drink at least 2000-3000Ml of water every day, which can promote the recovery of the disease. In addition, after treatment, try to minimize any unclean sex.

    Men who are positive for gonococcus, mostly have a history of unclean sex, are Gram-positive bacteria and negative diplococci, which are caused by infection. Clinical manifestations include urgent urination, frequent urination, painful urination, urethral secretion, pus-like state, urine examination, excessive white blood cells, and urinary intestinal pathogenic bacteria that can cause Gram-positive disease. If the test is negative for diplococci, the diagnosis needs to be distinguished from chlamydial infection. The urethral secretions of chlamydial infection are often thin, milky white, or colorless and completely transparent. If the test for intestinal pathogenic bacteria is negative, if the test is positive for chlamydia, or chlamydia, the man will be positive for gonococcus. Known as gonorrhea, it can be treated with highly effective penicillin.

    Gonorrhea is a genital tract infection caused by Neisseria gonorrhoeae (commonly known as chlamydia) and manifests as a purulent infection of the urinary tract. Its prevalence ranks second among reproductive tract infections in my country. Chlamydia is a gram-negative diplococcus that cannot survive outside the body and can be easily eliminated with general disinfectants. Gonorrhea mostly occurs in sexually active young men and women.

    In recent years, gonorrhea has continued to rise globally. In our country, gonorrhea has made a comeback since 1975, and the number of patients has gradually increased linearly, making it the main sexually transmitted disease. In recent years, along with the substantial increase in syphilis cases, gonorrhea cases have shown a gradually decreasing trend. However, gonorrhea is still a common reproductive tract infection in my country, and it is also a Class B infectious disease requiring critical prevention in the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases".

    Gonorrhea clinical symptoms

    1. Uncomplicated gonorrhea

    (1) Gonorrhea gap in men. The incubation period of subacute gonorrhea in men is generally 2 to 10 days, with an average of 3 to 5 days. At first, the urethral opening was itchy, swollen and warped. Burning pain when urinating, accompanied by frequent urination and urgency, and a small amount of mucus secretion at the urethral opening. After 3 to 4 days, most of the urethral orifice mucosal epithelial cells will undergo focal necrosis, resulting in a lot of purulent secretions, stinging pain during urination, and obvious redness and swelling of the glans penis and foreskin. There may be discharge or blood in the urethra orifice, and pus and scab may form in the urethra orifice when you get up in the morning. Accompanied by systemic symptoms ranging from mild to severe. Chronic gonorrhea in men with high blood pressure usually has no obvious symptoms. When the body's resistance is reduced, such as overwork, drinking, and sexual intercourse, symptoms of urethritis may appear.

    (2) Gonorrhea gap in women. Women who have mild or no symptoms at first after acute gonorrhea infection usually develop urethritis, cervicitis, paraurethritis, bartholinitis, proctitis, etc. after a critical period of 3 to 5 days, among which cervicitis is the most common. 70% of female gonorrhea patients have urinary tract infection. Gonococcal cervicitis is common and often occurs together with urethritis. Chronic gonorrhea in women with high blood pressure. Subacute gonorrhea can become chronic if not adequately treated. The main symptoms are lower abdominal pain, back pain, excessive secretions, etc. Blood pregnancy combined with gonorrhea often has no clinical manifestations. Pregnant women suffering from gonorrhea can infect their fetuses through the delivery door, especially when the fetus is in breech presentation, which can cause placental abruption, amniotic infection, premature birth, postpartum sepsis, endometritis, etc. Supplementary information: gonococcal vulvovaginitis in women with redness and swelling in the private parts, perineum and perianal area, and excessive purulent secretions in the vagina, can cause painful urination, some irritating symptoms and ulceration.