Gonorrhea in the eyes is serious – it can cause blindness if left untreated. Gonorrhea of the throat usually has no symptoms but sometimes causes a sore throat and difficulty swallowing. They can cause inflammation and pain in the joints ( arthritis) and liver ( perihepatitis) and a potentially serious infection of the heart valves ( endocarditis). Other complications of gonorrhea occur when the bacteria get into the bloodstream. The main complication in men is epididymitis (inflammation of the part of the testicles where sperm is stored), which can cause infertility if not treated. Symptoms of PID include pelvic pain, fever, abdominal tenderness, and vaginal discharge. The result is pelvic inflammatory disease (PID), which occurs in up to 20% of women with gonorrhea and can cause infertility. Left untreated, gonorrhea can work its way up the urethra and cervix to other pelvic organs. While women feel fewer symptoms, they are far more vulnerable to serious complications of gonorrhea. Most women are diagnosed only when their partner seeks treatment. The discharge is usually yellow or green, but it may also contain blood. A few have a noticeable vaginal discharge, which may actually be coming from the cervix. Most women don't have symptoms unless there are complications. The opening of the penis may be red and swollen. Urinating often causes burning pain that can be severe. In men, there is a discharge of yellow or greenish pus from the penis and a frequent need to urinate. The first symptoms typically appear after 2 to 7 days but occasionally appear months after infection. Gonorrhea is far more likely to cause symptoms in men than in women.
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