Understanding Gonorrhea and Chlamydia, the Most Common Sexually Transmitted Infections
- Judy Hsu, DO, DipABLM
- Apr 6
- 3 min read

Sexually transmitted infections (STIs) are more common than many people realize, and two of the most prevalent ones—gonorrhea and chlamydia—are often referred to together due to their similarities. Both of these infections are caused by bacteria and can affect anyone who is sexually active, regardless of age, gender, or sexual orientation. The good news is that with proper diagnosis and treatment, both gonorrhea and chlamydia can be cured. In this blog post, we will explain what gonorrhea and chlamydia are, how they are transmitted, their symptoms, and the importance of regular screenings.
What is Gonorrhea?
Gonorrhea is a bacterial infection caused by Neisseria gonorrhoeae, which commonly affects the genital tract but can also impact the rectum, throat, and eyes. It is one of the most common STIs in the United States and worldwide.
What is Chlamydia?
Chlamydia is another common bacterial STI, caused by Chlamydia trachomatis. Like gonorrhea, it primarily affects the genital area but can also infect the rectum, eyes, and throat. Chlamydia is particularly concerning because many people with the infection experience no symptoms, which makes it easy to unknowingly transmit the infection to others.
How Are Gonorrhea and Chlamydia Transmitted?
Both gonorrhea and chlamydia are primarily spread through sexual contact. This includes vaginal, anal, or oral sex with someone who has the infection. You can also contract these infections from sharing infected sex toys without proper cleaning. While less common, transmission can also occur from an infected mother to her baby during childbirth, leading to possible complications like eye infections or pneumonia in the newborn.
Symptoms of Gonorrhea and Chlamydia
Gonorrhea and chlamydia are often referred to as “silent” STIs because many people infected with either of these diseases don’t experience symptoms. However, when symptoms do appear, they may overlap in both conditions.
Common Symptoms of Gonorrhea:
Painful or burning sensation while urinating
Increased vaginal or penile discharge
Abnormal vaginal bleeding between periods
Painful or swollen testicles (in men)
Rectal discomfort, bleeding, or discharge (if the rectum is infected)
Sore throat (if the infection is in the throat)
Common Symptoms of Chlamydia:
Painful urination
Abnormal discharge from the penis or vagina
Pain during sex (especially in women)
Lower abdominal or pelvic pain
Rectal pain or discharge (if the infection is in the rectum)
Sore throat (if the infection is in the throat)
If left untreated, both gonorrhea and chlamydia can cause serious health problems, including pelvic inflammatory disease (PID) in women, which can lead to infertility. In men, untreated gonorrhea and chlamydia can lead to epididymitis, a painful condition that may cause infertility.
The Importance of Screening and Early Detection
One of the most concerning aspects of gonorrhea and chlamydia is that many individuals do not experience symptoms, meaning they may unknowingly pass the infection to their partners. This is why regular STI screenings are crucial for sexually active individuals, especially those with new or multiple partners.
Your healthcare provider can test for these infections with a simple urine sample or a swab of the affected area. It’s recommended to get tested at least once a year, or more frequently if you have multiple partners, are under 25, or are at higher risk due to other factors.
Treatment for Gonorrhea and Chlamydia
The good news is that both gonorrhea and chlamydia are treatable with antibiotics. If you are diagnosed with either infection, your healthcare provider will prescribe the appropriate medication to clear the infection. It is essential to follow the full course of antibiotics, even if symptoms subside before completing the medication. If you are treated for gonorrhea, it is also important to be tested for chlamydia and vice versa, as having one infection can increase the risk of acquiring the other.
Preventing Gonorrhea and Chlamydia
The best way to prevent gonorrhea and chlamydia is through safe sexual practices, including:
Consistently using condoms or dental dams during sexual activity
Limiting the number of sexual partners
Communicating openly with your partners about STI status
Getting tested regularly for STIs, especially if you’re sexually active
If you or your partner are diagnosed with gonorrhea or chlamydia, it's important that both partners receive treatment to prevent reinfection.
留言