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What are the symptoms of gonorrhea in men?

Mar 12, 2025 Source: Cainiu Health
Dr. Bai Hongmei
Introduction
In general, symptoms of gonorrhea in males may include redness and swelling of the urethral opening, pain during urination, frequent and urgent need to urinate, pus discharge from the urethral opening, a feeling of heaviness or discomfort in the perineal area, fever, and fatigue. If any of these symptoms occur, prompt medical attention is recommended. It is also advised to maintain good personal hygiene in daily life, avoid sharing personal items with others, and frequently change underwear while keeping the external genital area clean.

Generally, gonorrhea is a common disease caused by Neisseria gonorrhoeae infection. Symptoms of gonorrhea in men may include redness and swelling of the urethral opening with burning pain, frequent and urgent urination, urethral pus discharge, a sensation of heaviness in the perineal area, fever, and fatigue. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:

1. Redness, Swelling, and Burning Pain at the Urethral Opening

After infection with gonorrhea in men, the bacteria irritate the mucous membrane of the urethral opening, causing an inflammatory reaction, resulting in redness and swelling accompanied by a distinct burning sensation. During urination, this burning pain intensifies, sometimes accompanied by itching and pricking sensations in the urethra.

2. Frequent and Urgent Urination

Neisseria gonorrhoeae invades the urethra, causing congestion and edema of the urethral mucosa. The urethral sphincter becomes stimulated and spasms, leading to symptoms of frequent and urgent urination. Patients experience a noticeable increase in urination frequency, a strong sense of urgency, difficulty controlling the urge to urinate, and significant pain during urination, which severely affects the patient's normal life and urinary function.

3. Urethral Pus Discharge

Gonococcal infection causes inflammation, leading to the production of large amounts of purulent exudate from the urethral mucosa. The discharge may initially be thin but gradually becomes thicker, sometimes forming pus crusts that block the urethral opening, causing difficulty in urination.

4. Perineal Heaviness

As the inflammation spreads, it can affect the posterior urethra, prostate, seminal vesicles, and other areas, causing congestion and edema in these regions, resulting in a feeling of heaviness in the perineal area. Patients may feel a sensation of pressure and pain in the perineum, sometimes radiating to the groin and lower abdomen. The feeling of heaviness becomes more pronounced during bowel movements or after prolonged standing or walking.

5. Fever and Fatigue

Due to toxins produced by gonococci entering the bloodstream and causing inflammation, symptoms such as fever and fatigue may occur. The patient's temperature can rise to 38°C or higher, accompanied by symptoms such as listlessness and headache, affecting the overall physical condition and daily life.

In daily life, attention should be paid to personal hygiene, avoiding sharing items with others, and frequently changing underwear while maintaining cleanliness of the external genital area.

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