Why Is Gonorrhea Called The Clap? - EMedicineHealth

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Why Is Gonorrhea Called the Clap?

• Medical Editor: John P. Cunha, DO, FACOEP

• Gonorrhea Symptoms in Men & Women
  • What Are Symptoms of Gonorrhea?
• How Do You Get Gonorrhea?
  • What Causes Gonorrhea?
• Gonorrhea Testing
  • How Is Gonorrhea Diagnosed?
• Treatment
  • What Is the Treatment for Gonorrhea?
• Complications
  • What Are Complications of Gonorrhea?

Gonorrhea is a bacterial sexually transmitted disease (STD) that is sometimes called "the clap." The origin of this nickname is not known, but it can be traced to several words with various meanings, including the French word "clapier" (brothel), the old English word "clappan" (to beat or throb), and others.

Gonorrhea, also sometimes called “the clap,” is a sexually transmitted disease (STD) (also called a sexually transmitted infection, or STI) that affects both men and women.

There is no one definitive reason gonorrhea is called “the clap,” but there are several theories as to the origin of the phrase:

• It is a reference to the French word "clapier," which means brothel, a place where STDs such as gonorrhea can be transmitted.
• It describes an early treatment for gonorrhea, which was clapping a heavy object on the man's penis to get pus/discharge to come out.
• “Clappan” is an old English word that means to beat or throb, which can describe the pain caused by gonorrhea.
• During the war, gonorrhea was seen commonly among American GIs, and doctors at the army camps used code for the infection as “having the collapse.” It is thought that the “collapse” eventually became shortened to the “clap.”

What Are Symptoms of Gonorrhea?

Many people have no symptoms of gonorrhea, so it is important to see a doctor for diagnosis if you experience any symptoms.

Symptoms of gonorrhea in men and women include:

• If the urethra is infected:
  • Pain or burning sensation when urinating
• If the rectum is infected:
  • Rectal discharge
  • Anal itching
  • Painful bowel movements
  • Anal soreness
  • Bleeding from the rectum
  • Constipation
• If the throat or mouth is infected, there are usually no symptoms, but a sore throat may occur

Additional symptoms of gonorrhea in women include:

• Abnormal vaginal discharge
• Vaginal itching
• Vaginal bleeding or spotting between periods

Additional symptoms of gonorrhea in men include:

• Milky, yellow, or green discharge from the penis
• Pain and swelling in one testicle (less common)

What Causes Gonorrhea?

Gonorrhea is caused by the Neisseria gonorrhoeae bacteria and it is spread from person to person during oral, vaginal, or anal sex.

Pregnant women infected with gonorrhea can pass the infection on to their babies during childbirth.

How Is Gonorrhea Diagnosed?

Gonorrhea is diagnosed with:

• A swab of the vagina or cervix (in women)
• A swab of the mouth or rectum
• A urine sample (in men)

What Is the Treatment for Gonorrhea?

Treatment for gonorrhea involves a one-time dose of an antibiotic called ceftriaxone injected into the muscle.

Sexual partners should also receive treatment for gonorrhea because re-infection is common, and patients should be retested for gonorrhea three months after treatment of the initial infection. Sex should be avoided until both the patient and partner have been treated.

What Are Complications of Gonorrhea?

If untreated, gonorrhea can lead to serious complications, including:

• Pelvic inflammatory disease (PID) in women
  • Infertility
  • Scarring of the fallopian tubes
  • Increased risk of ectopic pregnancy
• Epididymitis in men, which can lead to infertility
• Bloodstream infection, accompanied by joint infection and arthritis
• Increased risk of human immunodeficiency virus (HIV) infection
• During pregnancy
  • Miscarriage
  • Premature birth
  • Passing the infection to the baby during delivery
    • Can cause conjunctivitis that can damage the baby's eyes and affect vision over time

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References https://www.uptodate.com/contents/gonorrhea-beyond-the-basics?search=Gonorrhea&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H13 https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea.htmb https://www.std-gov.org/blog/gonorrhea-called-clap/