{"id":5038,"date":"2025-08-25T11:39:48","date_gmt":"2025-08-25T04:39:48","guid":{"rendered":"https:\/\/gdhealth.vn\/?p=5038"},"modified":"2025-12-24T11:10:41","modified_gmt":"2025-12-24T04:10:41","slug":"anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm","status":"publish","type":"post","link":"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/","title":{"rendered":"Anal Gonorrhea \u2013 Symptoms Often Overlooked in Men Who Have Sex with Men (MSM)"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">N\u1ed9i dung trang<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#Anal-Rectal_Gonorrhea_When_the_%E2%80%98Silent_Pain_is_Forgotten\" >Anal-Rectal Gonorrhea: When the &#8216;Silent Pain&#8217; is Forgotten<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#1_What_is_Anal_Gonorrhea\" >1. What is Anal Gonorrhea?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#2_Why_are_MSM_more_susceptible_to_Anal_Gonorrhea\" >2. Why are MSM more susceptible to Anal Gonorrhea?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#3_Easily_Overlooked_Symptoms_of_Anal_Gonorrhea\" >3. Easily Overlooked Symptoms of Anal Gonorrhea:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#4_What_Happens_When_Anal_Gonorrhea_is_Left_Untreated\" >4. What Happens When Anal Gonorrhea is Left Untreated?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#5_How_is_Anal_Gonorrhea_Detected\" >5. How is Anal Gonorrhea Detected?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#6_Treatment_of_Anal_Gonorrhea\" >6. Treatment of Anal Gonorrhea:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#7_Anal_Gonorrhea_Can_Be_Re-infected_Prevention_is_Key\" >7. Anal Gonorrhea Can Be Re-infected: Prevention is Key<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#8_Psychology_and_Stigma_%E2%80%93_Major_Barriers_to_Prevention\" >8. Psychology and Stigma \u2013 Major Barriers to Prevention:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/gdhealth.vn\/en\/anal-gonorrhea-symptoms-often-overlooked-in-men-who-have-sex-with-men-msm\/#9_Conclusion_Dont_Let_the_%E2%80%98Silent_Disease_Undermine_Public_Health\" >9. Conclusion: Don&#8217;t Let the &#8216;Silent Disease&#8217; Undermine Public Health<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"Anal-Rectal_Gonorrhea_When_the_%E2%80%98Silent_Pain_is_Forgotten\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"2\">Anal-Rectal Gonorrhea: When the &#8216;Silent Pain&#8217; is Forgotten<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"3\">Gonorrhea, one of the most common sexually transmitted infections (STIs), is no longer an unfamiliar concept. However, when it comes to anal or rectal gonorrhea, many people are still vague or even mistaken. But if you are a gay man or engage in anal sex, this is a topic that cannot be ignored. Gonorrhea does not only appear in the genitals. A silent and easily missed form of infection is anal-rectal gonorrhea, which is particularly common in the group of men who have sex with men (MSM). The majority of anal gonorrhea cases have no clear symptoms, leading many people to be completely unaware that they are carrying the disease, continuing to spread it to partners and causing dangerous complications.<\/span><\/p>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"1_What_is_Anal_Gonorrhea\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"4\">1. What is Anal Gonorrhea?<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"5\">Anal gonorrhea is an infection caused by the bacterium\u00a0<\/span><i><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"6\">Neisseria gonorrhoeae<\/span><\/i><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"7\">\u00a0in the mucous membrane of the anus and rectum. Although it is a form of gonorrhea, anal gonorrhea often lacks the clear and typical symptoms seen in genital gonorrhea, making it easy for patients to overlook. This is especially dangerous because the bacteria can spread to other areas of the body or continue to infect sexual partners unknowingly. This bacterium is transmitted through anal sex without a condom, even with only external contact or without ejaculation. Unlike other genital gonorrhea, which is often easily recognized by typical symptoms like pus discharge and painful urination (dysuria), gonorrhea in the anus is extremely &#8216;silent.&#8217; According to the U.S. CDC, over 80% of rectal gonorrhea cases in MSM are asymptomatic.<\/span><\/p>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"2_Why_are_MSM_more_susceptible_to_Anal_Gonorrhea\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"8\">2. Why are MSM more susceptible to Anal Gonorrhea?<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul class=\"appsElementsGenerativeaiAstList\">\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"9\">Anal sex is a common practice among MSM:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"10\">\u00a0This is the main route of transmission; the gonorrhea bacteria spread primarily through direct contact between moist mucous membranes during sexual intercourse. When having unprotected sex, bacteria from the penis can penetrate the anal lining, causing infection.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"11\">Small abrasions during anal sex<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"12\">\u00a0easily create conditions for bacteria to enter.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"13\">Lack of regular check-ups:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"14\">\u00a0Due to the lack of symptoms, many people do not get tested in the anal area.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"15\">Stigma and hesitation:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"16\">\u00a0Many people in the MSM community feel reluctant, even ashamed, to talk about their sexual health with doctors or friends. This silence makes early detection and treatment difficult, increasing the risk of spread and complications of the disease.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"17\">=&gt; This allows the disease to spread silently within the community.<\/span><\/p>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"3_Easily_Overlooked_Symptoms_of_Anal_Gonorrhea\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"18\">3. Easily Overlooked Symptoms of Anal Gonorrhea:<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"19\">Quite few people with anal-rectal gonorrhea will have clear symptoms; the majority either do not notice or mistake them for hemorrhoids, constipation, or mild digestive disorders. Below are the signs that are often missed:<\/span><\/p>\n<ul class=\"appsElementsGenerativeaiAstList\">\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"20\">Pain and discomfort in the anus:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"21\">\u00a0A burning, hot, or uncomfortable sensation in the anal area is one of the common signs. However, the intensity can range from dull to severe.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"22\">Itching and irritation:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"23\">\u00a0A persistent itching sensation in the anus, sometimes accompanied by a pricking feeling. This symptom is easily confused with hemorrhoids or common allergies, so it is often overlooked.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"24\">Abnormal discharge:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"25\">\u00a0This is a very important sign. The discharge may be yellow, green, or slightly white, often with a foul odor. The amount of discharge may be small and only appear when using the restroom or during vigorous activity.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"26\">Rectal bleeding:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"27\">\u00a0Some cases may experience bleeding during bowel movements or even without passing stool. The amount of blood is usually small, possibly just streaks of fresh blood on the toilet paper.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"28\">Pain during defecation:<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"29\">\u00a0Anal gonorrhea can cause inflammation and ulceration, making defecation painful and difficult.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"30\">Feeling of continuous urge to defecate (Tenesmus):<\/span><\/strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"31\">\u00a0Inflammation of the rectum can cause a &#8216;straining&#8217; sensation or the feeling of incomplete emptying, even when the rectum is empty. This is a lesser-known but very common symptom.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"32\">Redness and swelling in the anal area.<\/span><\/strong><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"33\">Occasionally, swollen lymph nodes in the groin or a low-grade fever.<\/span><\/strong><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"34\">Many people with anal gonorrhea have no clear symptoms at all. This causes them to inadvertently become a source of infection for their sexual partners. Therefore, regular testing is extremely important, especially for those with diverse sexual lifestyles. Furthermore, symptoms can be very subtle, lasting for many weeks without disappearing, leading to chronic proctitis or widespread infection.<\/span><\/p>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"4_What_Happens_When_Anal_Gonorrhea_is_Left_Untreated\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"35\">4. What Happens When Anal Gonorrhea is Left Untreated?<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"36\">Despite being silent, if not detected and treated promptly, anal gonorrhea can cause serious complications:<\/span><\/p>\n<ul class=\"appsElementsGenerativeaiAstList\">\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"37\">Pus-filled inflammation of the anus-rectum, perianal abscess.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"38\">Swollen lymph nodes in the groin, high fever, blood infection (sepsis).<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"39\">Upward migration of bacteria causing infection of the high rectum and sigmoid colon.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"40\">Increased risk of HIV infection by 2\u20135 times due to mucosal damage. One study showed that MSM infected with rectal gonorrhea increased their risk of HIV infection nearly 4-fold compared to uninfected individuals.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"41\">Chronic pelvic pain.<\/span><\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"5_How_is_Anal_Gonorrhea_Detected\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"42\">5. How is Anal Gonorrhea Detected?<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"43\">If you suspect you have symptoms of anal gonorrhea, the first thing to do is seek help from a healthcare professional. Bacterial testing, especially PCR testing, is currently the gold standard. The specimen will be collected from anal discharge, which is extremely simple and painless. Many people are not tested in the anal area because they do not report their receptive sexual behavior, leading to completely missed rectal gonorrhea in the diagnosis.<\/span><\/p>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"6_Treatment_of_Anal_Gonorrhea\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"44\">6. Treatment of Anal Gonorrhea:<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"45\">Like other genital gonorrhea, anal-rectal gonorrhea can be completely cured with antibiotics, if diagnosed early and treated correctly.<\/span><\/p>\n<p style=\"text-align: justify;\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"46\">Note:<\/span><\/strong><\/p>\n<ul class=\"appsElementsGenerativeaiAstList\">\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"47\">Do not arbitrarily use antibiotics, as this can easily cause drug-resistant gonorrhea, making treatment more difficult.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"48\">Treat sexual partners from the last 60 days, even if they have no symptoms.<\/span><\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"7_Anal_Gonorrhea_Can_Be_Re-infected_Prevention_is_Key\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"49\">7. Anal Gonorrhea Can Be Re-infected: Prevention is Key<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"50\">Gonorrhea does not confer immunity, so re-infection is common if protection is not used.\u00a0<\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"51\">Effective prevention methods:<\/span><\/strong><\/p>\n<ul class=\"appsElementsGenerativeaiAstList\">\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"52\">Always use a condom during anal sex.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"53\">Use water-based lubricant to reduce trauma.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"54\">Get regular STI testing, at least every 3\u20136 months if you have multiple partners.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"55\">Encourage self-reporting of sexual behavior during medical visits.<\/span><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"56\">If you use PrEP for HIV prevention, remember that PrEP does not prevent gonorrhea, so regular gonorrhea testing is still needed.<\/span><\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"8_Psychology_and_Stigma_%E2%80%93_Major_Barriers_to_Prevention\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"57\">8. Psychology and Stigma \u2013 Major Barriers to Prevention:<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"58\">Many MSM are still hesitant to talk about anal sex with doctors, fearing judgment or stigma. This leads to:<\/span><\/p>\n<ul class=\"appsElementsGenerativeaiAstList\">\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"59\">Not receiving appropriate testing advice.<\/span><\/strong><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"60\">Anal gonorrhea is not detected.<\/span><\/strong><\/li>\n<li class=\"appsElementsGenerativeaiAstAnimated\"><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"61\">No early treatment.<\/span><\/strong><\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span class=\"ez-toc-section\" id=\"9_Conclusion_Dont_Let_the_%E2%80%98Silent_Disease_Undermine_Public_Health\"><\/span><strong><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"62\">9. Conclusion: Don&#8217;t Let the &#8216;Silent Disease&#8217; Undermine Public Health<\/span><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify;\"><span class=\"appsElementsGenerativeaiAstAnimated\" data-ast-node-id=\"63\">Anal gonorrhea is a serious health issue that is preventable and treatable. The important thing is to overcome hesitation, listen to your body, and proactively seek regular health check-ups. Don&#8217;t let silence become a barrier that prevents you from accessing a healthy and safe life. Equip yourself with solid knowledge to protect yourself and those you love. If you are MSM \u2013 do not hesitate to get regular anal testing. If you are a healthcare worker \u2013 ask about sexual behavior in a non-judgmental way. Because only then can we detect early, treat promptly, and prevent further spread.<\/span><\/p>\n<p style=\"text-align: justify;\"><i><span style=\"font-weight: 400;\">This article is written by <strong><a href=\"https:\/\/gdhealth.vn\/doi-ngu\/ths-bs-andy-nguyen\/\">BS. CKI. V\u00f5 Nguy\u1ec5n Duy Ho\u00e0<\/a><\/strong>, a specialist in General Surgery, Urology, and Andrology. The doctor has many years of experience in the field of reproductive and sexual health.<\/span><\/i><\/p>\n<p style=\"text-align: justify;\"><em><b>Reference<\/b><\/em><\/p>\n<ol style=\"text-align: justify;\">\n<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">[1]. CDC \u2013 Sexually Transmitted Infections Treatment Guidelines, 2021<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/www.cdc.gov\/std\/treatment-guidelines\/default.htm\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400;\">https:\/\/www.cdc.gov\/std\/treatment-guidelines\/default.htm<\/span><\/i><\/a><\/li>\n<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">[2]. WHO \u2013 Guidelines for the management of symptomatic sexually transmitted infections<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240024168\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400;\">https:\/\/www.who.int\/publications\/i\/item\/9789240024168<\/span><\/i><\/a><\/li>\n<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">[3]. \u01af\u1edaNG D\u1eaaN CH\u1ea8N \u0110O\u00c1N V\u00c0 \u0110I\u1ec0U TR\u1eca B\u1ec6NH L\u1eacU<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><i><span style=\"font-weight: 400;\">(Ban h\u00e0nh k\u00e8m theo Quy\u1ebft \u0111\u1ecbnh s\u1ed1 5165\/Q\u0110-BYT ng\u00e0y 09 th\u00e1ng 11 n\u0103m 2021)<\/span><\/i><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Anal-Rectal Gonorrhea: When the &#8216;Silent Pain&#8217; is Forgotten Gonorrhea, one of the most common sexually transmitted infections (STIs), is no longer an unfamiliar concept. However, when it comes to anal or rectal gonorrhea, many people are still vague or even mistaken. But if you are a gay man or engage in anal sex, this is [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":3950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[139],"tags":[],"class_list":["post-5038","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-bulletin"],"acf":[],"_links":{"self":[{"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/posts\/5038","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/comments?post=5038"}],"version-history":[{"count":2,"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/posts\/5038\/revisions"}],"predecessor-version":[{"id":5040,"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/posts\/5038\/revisions\/5040"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/media\/3950"}],"wp:attachment":[{"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/media?parent=5038"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/categories?post=5038"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gdhealth.vn\/en\/wp-json\/wp\/v2\/tags?post=5038"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}