Gonorrhoea is caused by Neisseria gonorrhoeae which is closely related to Neisseria meningitidis one cause of bacterial meningitis. Whatever about treating a case of the clap, there is some urgency in dealing with infection of the lining of the brain. Years ago, The Beloved's brother went in to see the results after his business partner's wife died of meningitis and strongly advised the husband not to go view the body. It's the stuff of nightmares. Another issue is that if you have acquired Neisseria you have quite possibly acquired Chlamidia at the same time which is also a Gram-negative bacterium but susceptible to a different range of antibiotics. In Ireland Chlamidia is 5x more common than Neisseria and 10x more common than Treponema (syphilis).
But back to Freedman, who seemed positively avuncular in his good-will towards those who have made a wrong call up against a wall outside a disco but firm in his belief that the consequences had to be faced up to. He has been positively cited in a discussion about where to go for help/advice/treatment when you suspect you may have acquired a dose. That discussion is interesting because of the dilemmas that folk face - your own GP may be obliged to shop you to insurance companies; everyone knows why you're going to visit a STI clinic; GPs don't really know enough; nurses at STI clinics are really supportive etc etc. Freedman's advice is both before and after. First off he acknowledges that drink can fling sense out the window for 'before', but urges us to be especially careful with people we don't know well.
"What constitutes safe sex? Knowing your partner, at least their first name and phone number. Starting any relationship with a condom and keep it on until you know them really well. "Going bare is something special for somebody special." Give breakfast. At least then you can talk and get to know the person you have just been with. Like any sport a return match is proper etiquette and it gives you both an opportunity to meet again without the overlay of alcohol, and to see if it is worthwhile going on with." From below the break in the Indo Article.
For 'after' the advice for worried punter and for health care practitioner his advice is quite stern and uncompromising:
- keep yourself in your trousers until you get a clean bill of health
- wait a week for things to incubate
- get all your orifices checked out (this is no time to be shy - you weren't last Saturday)
- get a blood test as well
- get an appropriate course of treatment
- get rechecked after 12 weeks