<Tr> <Td_colspan="2"> (edit on Wikidata) </Td> </Tr> <P> Gonorrhea, also spelled gonorrhoea, is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae . Many people have no symptoms . Men may have burning with urination, discharge from the penis, or testicular pain . Women may have burning with urination, vaginal discharge, vaginal bleeding between periods, or pelvic pain . Complications in women include pelvic inflammatory disease and in men include inflammation of the epididymis . If untreated, gonorrhea can spread to joints or heart valves . </P> <P> Gonorrhea is spread through sexual contact with an infected person . This includes oral, anal, and vaginal sex . It can also spread from a mother to a child during birth . Diagnosis is by testing the urine, urethra in males, or cervix in females . Testing all women who are sexually active and less than 25 years of age each year as well as those with new sexual partners is recommended; the same recommendation applies in men who have sex with men (MSM). </P> <P> Gonorrhea can be prevented with the use of condoms, having sex with only one person who is uninfected, and by not having sex . Treatment is usually with ceftriaxone by injection and azithromycin by mouth . Resistance has developed to many previously used antibiotics and higher doses of ceftriaxone are occasionally required . Retesting is recommended three months after treatment . Sexual partners from the last 2 months should also be treated . </P>

Where does the bacteria that causes gonorrhea come from