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Male sex workers


What is gonorrhea?

  • The gonorrhea bacteria can be found in the mucous membrane of the penis (urethra), vagina, anus or throat.  
  • Gonorrhea is also called the “clap”.

What causes gonorrhea?

  • If you have unsafe sex, the bacteria can be transmitted to another person.  For instance, if the infected mucous membrane comes into contact with the mucous membrane of the penis, vagina, anus or throat.  
  • Oral sex (contact between penis and mouth) can cause an infection of the throat, and anal sex (contact between penis and anus) can cause an infection of the anus.

What are the complaints?

  • Within one or two weeks after the infection men get a burning feeling when urinating.  
  • There may be a yellow green pus or slimy, transparent discharge from the penis.  
  • Sometimes the prostate and epididymus also get inflamed.  
  • Only in a few cases men have no complaints.
  • In case of an infection in the anus you may have some itching or a slimy discharge.  
  • In case of an infection in your throat you can have a sore throat and a bad taste in your mouth and bad breath.

How can the infection be diagnosed?

  • Gonorrhea can be diagnosed with a urine test or by taking some discharge from the urethra, anus or throat with a cotton swab.
  • A gonorrhea test is only accurate two weeks after the possible infection, because the bacteria can only be found after this period.  If there are obvious complaints, the infection can be diagnosed earlier.


  • Treatment is necessary to prevent the bacteria from spreading in your body.  
  • You get a single antibiotic treatment administered in the form of an injection. As long as you are not treated, you can infect others

Be careful: It is always possible that your doctor chooses another treatment for personal medical reasons (pregnancy, allergy).  You must always discuss the treatment with your doctor

Warning partners

  • Because gonorrhea is transmitted by sexual contact, you must inform the partners you had sex with (without condom) in the past six months.  It is best if your sex partners also get a test, even if they don’t have complaints.  
  • In case of an infection, they will also have to be treated.
  • This is important to prevent you from getting infected again and to prevent your sex partners from infecting others.  
  • This can be done by your family doctor or at an STD clinic in your neighbourhood.

Work advice

  • As long as the infection is not treated, you can infect others!!
  • Up to approximately one week after the treatment, you can infect others.  
  • It is recommended not to have sexual contacts during the week of the treatment. It gives the mucous membranes time to heal.
  • In case of an anal infection, no anal sex.
  • In case of an infection in your throat, it is better not to give a blowjob.  
  • During the treatment it is safe to give a hand job.  
  • A week after the treatment you can start working again.
  • After the treatment the gonorrhea infection is gone.  Contact your doctor if the complaints continue or come back after the treatment. You may still have another STI.  
  • If you have a steady partner, keep having safe sex until you and your partner have been treated and, if applicable, until it appears from further tests that there are no other STIs.


Bacterial infections