Penile-vaginal insertion and penile-anal contacts are the leading mechanisms, although penile-oral sex accounts for a considerable minority of cases. Cunnilingus, i.e. oral get in touch with with female genitals, is an unproductive mechanism that accounts for rare cases, for which reason gonorrhea is uncommon in entirely lesbian women. Gonorrhea is hardly ever if transmitted by kissing.
Even for penile insertion intercourse, transmission of Gonorrhea is not 100% proficient. The danger of transmission from men with urethral gonorrhea to their female partners has been anticipated at 50% for each incident of exposed vaginal sex, and the predictable transmission risk in the reverse direction is around 20%.
Lastly, for all STDs, transmission risk typically transmitted by infected persons with no symptoms, or with only slight symptoms that do not appear significant. This happens for the reason that persons with clear symptoms, such as irregular discharge from the penis or vagina, and those with ache or genital sores, are less probable to be sexually active than those lacking such symptoms. As a result, gonorrhea and other STDs are selectively transmitted by those with no major symptoms. This reality is the cause of a basic STD prevention principle: the partners of infected group need to be vigorously notified and treated, since those who transmitted the disease to the original patient often have nothing to caution them they might be infected and do not look for health care on their own.
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