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Symptoms of gonorrhea in women, the first signs and methods of treatment

Gonorrhea is one of the most commonly diagnosed sexually transmitted infections. A person who is sexually active should know how the disease and the first signs of infection are transmitted.

These will help avoid an unpleasant illness and promptly consult a specialist to avoid negative consequences.


Gonorrhea: what is it?

Gonorrhea: what is it?

The name gonorrhea common among people is “tripper” - the name is quite frightening. However, few people know the way of infection and how gonorrhea is manifested in women, putting their sexual partners at risk of infection.

The main target organs:

  • vagina (with traditional intercourse);
  • the urethra (close proximity to the genitals contributes to the spread of infection to the urethra);
  • rectum (with anal sex);
  • throat (with oral sex);
  • eyes (lack of hygiene, infection of the baby during childbirth).

Gonorrhea is a venereal disease caused by gonococcus (Neisseria gonorrhoeae). The path of infection - unprotected sexual contact with a sick partner.

However, the development of the disease requires the ingress of a sufficient number of bacteria. The risk of infection during traditional sexual intercourse is 100% (with oral sex below, due to the antibacterial properties of saliva).

Therefore, you should not try your own luck and ignore the elementary rules of protection (condoms). Also, a large number of women involved in prostitution suffer from asymptomatic gonococcal pharyngitis.

Do not be afraid of the domestic route of transmission of gonococcus: through towels, in baths / pools, through toilet seats. The bacterium dies too quickly outside the human body and is not capable of causing the disease.

Infection with gonococcus outside of sexual intercourse is possible only in cases of:

  • infection of the newborn during childbirth (gonococcal conjunctivitis is usually diagnosed);
  • if a child sleeps in the same bed with a sick parent, subject to gross non-observance of hygienic standards.

The first signs of gonorrhea in women

The first signs of gonorrhea in women

Symptoms of gonorrhea in women usually appear 5-10 days after infection, although the first signs are often confused with other more innocent diseases:

  • appeared discharge and itching attributed to candidiasis (thrush);
  • in pains in the lower abdomen and during urination, increased urge to empty the bladder blamed for frozen legs and cystitis.

Such neglect of one’s own body is aggravated by a characteristic feature of the course of gonorrhea in women: in most cases, the disease gives erased symptoms.

In men, by contrast, gonococcal infection manifests itself quite violently. In addition, the incubation period is reduced if the woman has erosion of the cervix and associated diseases (eg, thrush), rectal fissures, damage to the oral mucosa.

Symptoms of gonorrhea in women

Symptoms of gonorrhea in women

The symptoms of gonorrhea are radically different depending on where the gonococcus is introduced.

Gonorrheal Vaginitis

The classic picture of infection with gonorrhea (infection localization - the vagina):

  • gonorrhea in women with yellowish-white color with an unpleasant odor (pus);
  • burning, strong pains when urinating, discharge of pus from the urethra is possible, its external opening swells and reddens;
  • nagging pain in the abdomen;
  • non-menstrual bleeding (usually non-intensive, spotting).

The most pronounced symptoms observed in pregnant women.

Gonorrheal pharyngitis and stomatitis

When the oral route of infection is formed, gonorrheal stomatitis is formed (inflammation of the gums with the formation of purulent sores, with the development of the disease, an increase in the submandibular lymph nodes) and pharyngitis. The latter is almost always asymptomatic.

Sometimes sick women note:

  • sore throat (rarely intense);
  • increased salivation;
  • swelling, redness of the tonsils and palatine arches, the appearance of purulent foci on them (sometimes confused with the usual sore throat).

Gonorrheal proctitis

Gonorrheal inflammation of the rectum occurs during anal sex, and during traditional sexual intercourse (infection of the rectum with vaginal secretions). Often, the defeat of the rectum is manifested only by itching in the anal region and mucopurulent discharge.

With the development of pathology there is pain during stool, in the feces there are streaks of blood, and the intestinal mucosa is covered with purulent bloom.

Gonococcal conjunctivitis

Infection of the mucous membranes of the eyes with gonococcus (blenrrhea) provokes bright symptoms: puffy eyelids are literally glued together with purulent discharge, the mucous membrane of the eyes is hyperemic, in advanced cases - clouding of the cornea and reduction of vision.

Symptoms of chronic gonorrhea in women

After 1.5 - 2 months from the onset of the disease, in the absence of appropriate therapy, chronic gonorrhea is diagnosed in women.

Periods of "imaginary" recovery (complete absence of symptoms) are replaced by exacerbations with mild signs.

The only thing that indicates the presence of gonococcus in the body and continued inflammation is the syndrome of the "morning drop": on waking up, a woman can find a dull purulent drop in the urethra orifice.

Diagnosis of gonorrhea

For any pathological symptoms that have arisen in the genitals, you should immediately consult a venereologist.

Tests for gonorrhea in women:

  1. A normal vaginal smear - gonorrhea is not always detected even with severe symptoms, usually a large number of leukocytes are fixed, red blood cells are possible, and a fungus is often sown.
  2. PCR and culture are the most informative methods for detecting gonococcus and other infectious agents.

In the chronic form, Pyrogenal provocation is required to detect gonorrhea in a specific pattern. After the injection, the patient experiences a flu-like condition: fever, muscle aches, weakness.

Treatment of gonorrhea in women

Treatment of gonorrhea in women It is not necessary to indulge yourself with the thought that one miracle-injection will save you from gonorrhea. Now gonococcus is resistant to a large number of antibacterial agents, and such a tactic (single injection) “drives” the infection deep into the body, makes it difficult to identify and increases the risk of complications.

When treating any sexually transmitted diseases, including gonorrhea, the following rules should be strictly observed:

  • Exclude any sexual intercourse for the period of treatment.
  • All sexual partners of the woman with whom she had contact during and after the intended period of infection are treated.
  • Self-medication leads to chronic inflammation.
  • An antibacterial drug, its dosage and duration of the treatment course are determined only by a qualified venereologist, taking into account the duration of the disease and the results of tests (repeated courses are possible).
  • Only local treatment (vaginal suppositories, ointments) does not provide recovery.
  • Recovery is ascertained only after clean tests from the vagina.

Treatment regimen:

Антибактериальные препараты (таблетки) — фторхинолоны (Ципрофлоксацин, Офлоксацин) или цефалоспорины (Цефиксим) в несколько приемов. 1) Antibacterial drugs (tablets) - fluoroquinolones (Ciprofloxacin, Ofloxacin) or cephalosporins (Cefixime) in several steps.

При лечении хронической гонореи нередко антибиотики, уничтожающие гонококк, сочетаются с приемом Трихопола. 2) In the treatment of chronic gonorrhea, antibiotics that destroy gonococcus are often combined with the use of Trihopol. The treatment course in chronic form will last up to 10 days.

При одновременном выявлении хламидии — тетрациклины (Доксициклин) и макролиды (Азитромицин). 3) With simultaneous detection of chlamydia - tetracyclines (Doxycycline) and macrolides (Azithromycin). The regimen is individual.

Противогрибковые средства (Флюконазол и его аналоги) на I, IV, VII день для профилактики вагинального кандидоза. 4) Antifungal agents (Fluconazole and its analogues) on day I, IV, VII for the prevention of vaginal candidiasis.

Профилактика дисбактериоза кишечника после антибиотикотерапии — Бифиформ, Энтерол (минимум 2 недели, одновременно или после антибиотикотерапии). 5) Prevention of intestinal dysbiosis after antibiotic therapy - Bifiform, Enterol (minimum 2 weeks, simultaneously or after antibiotic therapy).

Местное лечение — орошения антисептиками (Фурацилин), вагинальные свечи (Тержинан), препараты для восстановления влагалищной микрофлоры (назначаются после курса антибиотиков, хорошее средство — Эпиген-интим спрей). 6) Local treatment - irrigation with antiseptics (Furacilin), vaginal suppositories (Terzhinan), preparations for the restoration of vaginal microflora (prescribed after a course of antibiotics, a good remedy - Epigen-intim spray).

Consequences of gonorrhea in women

Consequences of gonorrhea in women

Complications of gonorrhea in women are very serious:

  • Bartholinitis - inflammation of the large paired glands in the run-up to the vagina, often requiring surgical intervention;
  • the formation of cervical erosion - non-healing defect of the mucous membrane;
  • the spread of infection to the uterine cavity and appendages (often surgery);
  • failure of the menstrual cycle;
  • frigidity - decrease in sexual desire;
  • miscarriage during infection early in pregnancy;
  • oxygen starvation of the fetus, premature labor and sepsis of newborns infected during late pregnancy;
  • the death of the eyeball of an infected child during childbirth;
  • obstruction of the fallopian tubes and ectopic pregnancy;
  • infertility, often persistent;
  • joint damage;
  • in the most severe cases - peritonitis, damage to the heart and brain.

5 rules for the prevention of gonorrhea in women

Recommendations to prevent the development of gonorrhea are quite simple. These rules should be known to every woman and girl entering adult life:

  1. Awareness of the ways of infection, the first signs of sexually transmitted diseases and how to prevent them.
  2. Proper intimate hygiene.
  3. Sexual security: sexual relations with only one partner, the use of condoms.
  4. Regular check-ups at the gynecologist.
  5. An urgent appeal to the doctor if you experience unpleasant symptoms in the genital area.

Prophylactic medication after unprotected sexual intercourse is not appropriate.

It is difficult to assume from which infection they should be protected, and a drug preventing the development of all sexually transmitted diseases (gonorrhea, syphilis, trichomoniasis, etc.) simply does not exist.


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