If patients develop the infection after vaginal sex, common symptoms include painful urination, vaginal or penile discharge, lower abdominal pain, painful sexual intercourse in women, and testicular pain in men.

If patients develop the infection after anal sex, rectal inflammation usually occurs. This inflammation typically causes pain and mucus discharge.

All Chlamydia Symptoms


Common symptoms of gonorrhea include thick or bloody discharge from the penis or vagina, pain or burning sensation during urination, frequent urination, and pain during sexual intercourse.

Anorectal gonorrhea may develop in males or females after anal intercourse with an infected person. In some cases, the infection may spread from the genitals to the anus. Anorectal gonorrhea may cause some discomfort in and discharge from the anal area, but many patients do not experience any symptoms.

More About Gonorrhea Symptoms

Genital Herpes

In men, genital herpes (sores or lesions) usually appear on or around the penis.

In women, the lesions may be visible outside the vagina, but they commonly occur inside the vagina.
Lesions inside the vagina may cause discomfort or vaginal discharge, but may be difficult to see, except during a doctor’s examination.

All Genital Herpes Symptoms

Pelvic Inflammatory Disease

Pain in the lower abdomen and pelvis, irregular menstrual bleeding, unpleasant, acrid-smelling vaginal discharge, lower back pain, fever, fatigue, diarrhea, vomiting, pain during intercourse, and difficulty or pain during urination.

All Symptoms of Pelvic Inflammatory Disease (PID)


Females typically develop foul-smelling vaginal discharge that may appear foamy and yellow or green in color. Vaginal itching and pain during urination may also occur Males typically experience penile discharge, pain during urination, and pain and swelling of the scrotum (caused by epidiymitis).

More About Trichomoniasis Symptoms

Selected References
American Social Health Association. www.ashastd.org. Accessed April 28, 2009.
Centers for Disease Control and Prevention (CDC). www.cdc.gov. Accessed April 28, 2009.
Cline JS. Sexually transmitted diseases: will this problem ever go away? N C Med J. 2006 Sep-Oct;67(5):353-8.
Enders M, Regnath T, Tewald F, et al. Syphilis. Dtsch Med Wochenschr. 2007 Jan 19;132(3):77-8.
Flipp E, Raczynski P, El Midaoui A, et al. Chlamydia trachomatis infection in sexually active adolescents and young women. Med Wieku Rozwoj. 2005 Jan-Mar;9(1):57-64. Natural Standard: The Authority on Integrative Medicine. Copyright © 2009. Accessed April 28, 2009.
No authors listed. Human papillomavirus vaccine: new drug. Cervical cancer prevention: high hopes. Prescrire Int. 2007 Jun;16(89):91-4.Rupp RE, Stanberry LR, Rosenthal SL. Vaccines for sexually transmitted infections. Pediatr Ann. 2005 Oct;34(10):818-20, 822-4.Siddiqui MA, Perry CM. Human papillomavirus quadrivalent (types 6, 11, 16, 18) recombinant vaccine (Gardasil). Drugs. 2006;66(9):1263-71; discussion 1272-3.Weaver BA. Epidemiology and natural history of genital human papillomavirus infection. J Am Osteopath Assoc. 2006 Mar;106(3 Suppl 1):S2-8.World Health Organization(WHO).www.who.int. Accessed April 28, 2009.
Zhou P, Qian Y, Xu J, et al. Occurrence of Congenital Syphilis After Maternal Treatment With Azithromycin During Pregnancy. Sex Transm Dis. 2007 Jul;34(7):472-474.