ASHM Report Back

Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.

Pharyngeal gonorrhoea - the holy grail?

Posted by on in Public Health and Prevention
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Why is gonorrhoea so common in MSM when chlamydia and warts are not?

There must be something different in the way it is transmitted.

Sex without kissing increases with age.

Kissing only partners is much more common in gay men compared with heterosexual men.

Gay men may have many kissing partners in a club in a night.

Because urethral gonorrhoea becomes symptomatic quickly it gets treated, meaning at any point in time, the prevalence of gonorrhoea in the gay community is urethral in < 1%, rectal in 9% MSM and pharyngeal in 11%.

This translates into incidence rates of 3% urethral, 9% rectal and 44% pharyngeal.

 

Kissing and oral sex is important. The penis is irrelevant. It is just a poor bystander!

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