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It's spread through unprotected vaginal, anal, or oral sex. Gonorrhea can be stealthy because while some infected men may experience a burning sensation when urinating, have discharge from the penis, or occasionally even painful or swollen testicles, there are often no gonorrhea symptoms in women who have been infected. Painful urination: There might be a burning sensation when urinating. Spotting: Bleeding between periods can be a tell-tale sign. Sometimes, when symptoms are present, they are so mild as to be undetectable, although a health care provider might notice unusual discharge, for example, during a pelvic exam. Much like hemorrhoids, rectal infections in either sex might produce such anal discharge or itching, soreness, painful bowel movements, and even bleeding. When gonorrhea is ignored or left untreated, however, it can be devastating.