With the clap, also called gonorrohea, everyone thinks of a discharge from the cock. While this is right, gonorrhoea bacteria (gonococci) can also be found in the gut. Gonococci can affect all mucous membranes - besides the urethra and rectum, especially the mouth and throat.
Ways of transmission
Unfortunately, gonorrhoea bacteria are extremely easy to transmit. Every time you come into contact with infected mucous membranes you can catch these annoying bacteria. For example, when licking or having anal sex without a condom, but also through fingering, mutual jerking off or dildos going from one person to the next . An anal clap infection increases the risk of getting infected with HIV during sex or passing the virus itself on, too. The bacteria do not survive for long outside the mucous membranes, so that an infection via towels or toilet seats is extremely unlikely.
HIV-negative people with the clap have an increased risk of catching HIV (especially with gonorrhoea in the rectum and receiving anal intercourse), untreated HIV-positive people with the clap can more easily transmit HIV.
How can I protect myself?
Using condoms during anal sex you can considerably reduce your risk of an infection. When sharing sex toys with others or using them with several partners, put a new rubber over them for each new partner to be on the safe side. Otherwise there is no real prevention, meaning there is only treatment once you are infected.
If you have more than ten sex partners a year or are HIV-positive, get tested for gonorrhoea bacteria once a year. It is best to get tested for chlamydia as well, as that is also transmitted during sex. Remember to have also an anal swab taken.
How do I notice gonorrhea?
After a few days, the bacterial infection of the mucous membranes leads to inflammation with itching and burning, and pus begins to form at the same time. With the clap in the urethra, the pus emerges as a milky-white, later on as a creamy yellowish discharge. Even when this discharge disappears on its own, you can still be contagious. An anal clap usually has no symptoms, in rare cases you may notice a purulent stool or pain during anal intercourse.
Important: Even if the discomfort lessens, untreated gonorrohea can continue to spread in the body and lead to an inflammation of the prostate, the epididymis and in rare cases other organs.
Signs of an inflammation of the prostate are dull pain in the perineum and in the bladder area, frequent urination, sometimes painful bowel movements, and fever. In case of a epididymitis, the scrotum is massively and painfully swollen.
Diagnostics and treatment
The clap is detected by a swab test taken from the infected area or a urine sample and treated with antibiotics. If the result is negative (i.e. no gonorrhoea is detected), a control test may be useful, because sometimes the results are "false negative".
It is important for the physician to monitor the healing process, because it can happen that a patient suffers from both gonorrhoea and syphilis or that the conventional one-time administration of the drugs was not sufficient.
Until the end of the treatment, you should abstain from any sexual contact in order to avoid passing on the infection. To that end, you should also notify your last sex partners so that they can also get tested - even if they do not show any symptoms.