Gonorrhea: Symptoms and Treatment Scheme

Gonorrhea - refers to the classic sexually transmitted diseases and occurring with a lesion of the cylindrical epithelium of the urogenital tract. The causative agent is gonococcus (Neisseria gonorrhoeae). This microorganism soon dies in the external environment, but is very stable when it is inside the body.

The modern name of the disease was introduced by Galen, who mistakenly interpreted the discharge from the urethra of men as the sevenfold (Greek, hone-seed - + - rhoia- expiration). People who do not speak medical terminology are called gonorrhea tripper, so this disease has a second definition. The disease affects mainly the mucous membranes of the urinary organs. It is also possible damage to the conjunctiva, mucous membranes of the pharynx, rectum.

Unfortunately, with gonorrhea, the symptoms may not be acute, it proceeds in most cases erased, and therefore often complicated. If you do not bother how to treat gonorrhea at home, it can cause inflammatory processes in the pelvic organs, leading to infertility in women and men.

The disease is prevalent mainly among people aged 20-30, but it can occur at any age. The main symptoms of the disease - purulent discharge from the urethra, frequent urge and cramps during urination.

How is gonorrhea transmitted

Neonseria gonorrhoae gonococcus infection occurs as a result of sexual contact with an infected person without a condom. By the way, the transmission of the pathogen can occur not only in the case of vaginal intercourse, but also oral and anal.

Women fall ill in almost all cases of contact with a patient with gonorrhea, and men do not always, due to the narrow opening of the urethra. The first signs of the disease appear 2-5 days after infection.

Gonococci affect predominantly the urogenital system lined by a cylindrical epithelium - the mucous membrane of the cervical canal, fallopian tubes, urethra, paraurethral and large vestibular glands. People do not have innate immunity against the causative agent of gonorrhea, and also can not get it even after suffering an illness.

There is also a chance of infection of the fetus during pregnancy. In this case, the infection of a woman can occur both before conception and during the carrying of a child. To prevent serious consequences, you need to cure gonorrhea on time. To do this, use special drugs that destroy the pathogen. We will tell about them below.

First signs of gonorrhea

As for gonorrhea, the first signs can be noticed 2-5 days later after sexual contact, the incubation period lasts as much.

  1. Signs in men are itching, irritation of the head of the penis, which becomes more painful during urination;
  2. Signs in women - either a complete absence of complaints, or frequent urination, tingling, burning sensation in the genital area.

When a newborn is infected during childbirth, the mucous membranes of the eyes and genitals of girls are affected.

Symptoms of gonorrhea

Gonorrhea can be acute and sub-acute - from the moment of infection to the onset of symptoms, it takes up to 2 months, and chronic - after more than 2 months. As you already know, the incubation period for gonorrhea rarely exceeds 7 days. After this period, there are first signs of the disease, which are listed above.

Then gonorrhea itself manifests itself, the symptoms of which are very characteristic - frequent urge to urinate and thick purulent yellowish-brown discharge from the urethra. Discharges have an unpleasant odor and after some time become thicker.

Common symptoms in women:

  • Purulent and serous-purulent discharge from the vagina;
  • Frequent and painful urination, burning, itching;
  • Redness, swelling and ulceration of the mucous membranes;
  • Intermenstrual bleeding;
  • Lower abdominal pain.

Unfortunately, female symptoms are not as pronounced as in men, 50-70% of women with gonorrhea do not have any unpleasant sensations, so they often diagnose the ailment in a chronic form.

In men, the clap starts with burning and itching of the penis, especially during urination. When pressing on the head, a small amount of pus is released. If the problem is not treated, the process moves to the entire urethra, prostate, seminal vesicles, testicles.

The main symptoms in men:

  • Itching, burning, swelling of the urethra;
  • Abundant purulent, serous-purulent discharge;
  • Frequent painful, sometimes difficult urination.

It should be borne in mind that now there is a noticeable number of low symptom and asymptomatic cases of the disease. In addition, the symptoms are not always typical, since a combined infection is often detected (with trichomonads, chlamydia), this complicates the diagnosis and timely treatment of gonorrhea.


The diagnosis of gonorrhea is based on bacteriological and bacterioscopic research and identification of the pathogen. There is the use of such modern methods as DNA diagnostics, ELISA and REEF.

Mandatory in representatives of both sexes is investigated discharge from the genitals. From the material taken from each of the affected organ and the urogenital tract, smears are prepared on two glasses. How much gonorrhea will be treated will depend on timely diagnosis, so do not hesitate; when the first symptoms occur, take the necessary tests.

Gonorrhea treatment

It is not necessary to conduct self-treatment of gonorrhea, it is fraught with the transition of the disease to the chronic stage, and the development of irreversible lesions of the body.

Considering that in 30% of cases the illness is combined with a chlamydial infection, the treatment of gonorrhea should include:

  1. The drug active against gonococci is cefixime, ciprofloxacin, ofloxacin.
  2. The drug, active against chlamydia - azithromycin, doxycycline.
  3. With a fresh stage, a single use of antibiotics is sufficient.

In addition, a set of procedures that contribute to the recovery of the patient. This includes topical treatment, means to strengthen the immune system, restoration of microflora by ingestion of probiotics and methods of physiotherapy.

You must refrain from drinking alcohol, spicy and spicy foods. Sexual contacts excluded. Intense physical activity, cycling and swimming in the pool are prohibited - compliance with all these measures will help cure gonorrhea faster. Be sure to treat all sexual partners. It is strongly recommended to undergo control after trepper treatment, even if you feel well.

Tablets for gonorrhea are prescribed at the initial stage of the development of the disease and in the absence of its complications in the form of cystitis, cervicitis in women, etc.

Consequences of gonorrhea

Among the consequences of the running form of the disease in men include a violation of spermatogenesis, inflammation of the penis and inner leaflet of the flesh, as well as damage to the testicle and its appendage orchitis, epididymitis or prostatitis, which can lead to infertility.

In women, inflammation passes from the vagina into the uterine cavity and fallopian tubes, the inflammatory process in which threatens the formation of obstruction, causing infertility.

To avoid complications, you should take care of timely prevention - it is the refusal of casual sex and the use of a condom in situations where you are not sure in advance about the health of your partner. If you follow these simple rules, you don’t have to think how and how much to treat gonorrhea.

Watch the video: Poliomyelitis - causes, symptoms, diagnosis, treatment, pathology (November 2019).

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