Stay in a monogamous relationship. Infection should be treated early as possible well as all sexual contacts. Patients should have follow up serologies to monitor response to treatment. All patients should be tested for other possible STDs such as HIV etc. It is an aerobic bean shaped, gram negative diplococcus without a capsule that can cause disease only in humans.
Male homosexuals are at risk for pharyngitis and proctitis.
Persons with deficiency of complement C6-C9 are at risk for disseminated infections. The bacteria are very sensitive to cold and dry conditions, and is almost always transmitted through vaginal, oral, and anal sex. Gonorrhea is usually symptomatic in men but often asymptomatic in women. The mucosal surface is usually infected. Whether or not they the bacteria are piliated determines virulence.