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Gonorrhea Oral Transmission

Most people continue to imagine gonorrhea as a disease transmitted through sexual activities, but oral transmission of gonorrhea appears especially prevalent and plagues the gay community. While the traditional concept of urethral spread among gay men leads to suggestion of safe sex with regular use of condoms, oral transmission seems likely to be the major route of spread. Oral transmission of gonorrhea leads to spread from the oropharynx to the partner's throat, urethra or anorectal tissues. Gay men regularly pass their bacteria through tongue kissing with an uninfected individual. This also occurs from oral secretions to the anorectal area directly by way or oroanal sex or indirectly through saliva used as a lubricant for anal sex. Oral transmission of gonorrhea also occurs from the infected oral tissues to the partner’s penis. This new understanding fits nicely with the observation that symptoms of urethral gonorrhea occur within several days of infection and almost always manifest as discomfort and discharge. Bacterial infection of the oropharynx generally remains asymptomatic and lasts for several months. Among gay men tongue kissing between multiple partners continues to maintain active infection in the oropharynx. Gonorrhea in the oropharynx regularly persists after successful therapy of rectal or anal disease. This predisposes to ever increasing resistance to antibiotics.