Gonorrhea in women if left untreated. Repeated test for gonorrhea: when to take it. How to take a smear for gonorrhea

Gonorrhea is an infectious disease that is transmitted sexually (primarily). The second name for this disease - gonorrhea from the German Tripper - is more common.

Until recently, gonorrhea was one of the most common sexually transmitted diseases. According to the World Health Organization, every year more than 200 million people in the world become infected with gonorrhea, with 80% of them being in the age group of 16-30 years. After trichomoniasis, this sexually transmitted disease is considered the second most common.

Many expectant mothers are perplexed when their attending doctor prescribes tests for sexually transmitted infections. Unfortunately, in our time these diseases are quite common, and the insidiousness of many of them, including gonorrhea in women, is that they can be completely asymptomatic. Meanwhile, some infections negatively affect not only the course of pregnancy and childbirth, but also the health of the baby.

Features of gonorrhea in women

In women, gonorrhea has two distinctive features:

1. Due to the anatomical features of the genitourinary organs, in most cases it does not cause any pain at all, even in the acute course of the disease. The discharge characteristic of gonorrheal infection is most often so scanty that it does not attract attention, and therefore about 90% of women do not consider it necessary to see a doctor.

2. Characterized by multifocality, i.e. foci of inflammation simultaneously flare up in the cervix, urethra, and large glands of the vestibule, often even in the rectum. But the vagina and external genitalia in adult women, as a rule, are not affected. They are involved in the inflammatory process extremely rarely, and then mainly in little girls, pregnant and elderly women, i.e. in cases where there is a hormonal change in the body (temporary or permanent), or if natural changes in immunity factors occur.

Symptoms of gonorrhea in women

The incubation period of the disease (from the moment of infection to the onset of symptoms) ranges from 1 day to several weeks. Moreover, in approximately 50% of cases, women have no signs of gonorrhea at all, and they feel healthy.

The first symptoms of gonorrhea in a woman are classic: pain in the urethra (most often appearing at the beginning of urination), a burning sensation, slight thick purulent discharge, frequent urge to urinate.

Later, signs of gonorrhea in women appear, characteristic of many diseases affecting the genital organs:

• Discomfort in the genital area;
• Burning;
• Copious purulent discharge;
• Pain in the lower abdomen.

In addition, a woman may experience nonspecific symptoms of gonorrhea, such as a sore throat and fever. Upon examination, the gynecologist will notice erosion of the cervix, a wide band of pus that flows from the cervical canal, and redness around the opening of the urethra.

Also, with gonorrhea, a woman may experience bartholinitis - inflammation of the large gland of the vestibule of the vagina. At the same time, the general condition worsens, the temperature rises, and a small oval painful formation (the size of a small plum) appears on the side of the vaginal opening. Treatment of gonorrhea in a woman in this case requires mandatory surgical intervention.

Complications of gonorrhea in women

Gonorrhea is considered a sexually transmitted disease, i.e. sexually transmitted, but the route of infection can also be contact - from a sick mother to a child during childbirth. In addition, experts do not deny the household method of transmission of gonococci: through bed, towels and other personal hygiene items. Therefore, if you detect any signs of gonorrhea in a woman or if you suspect this disease, you should immediately consult a doctor, since only timely treatment will avoid serious complications.

Complications due to the lack of treatment for gonorrhea in women can include:

• Risk of miscarriage;
• Premature birth;
• Postpartum complications;
• Ectopic pregnancy;
• The birth of a handicapped child;
• Infertility;
• Inflammatory diseases of the appendages and uterus;

• Frigidity.

Treatment of gonorrhea in women

Antibiotics are of primary importance in the treatment of gonorrhea in women and men - they have a bacteriostatic and bactericidal effect on gonococci, therefore, during diagnosis, sensitivity to these drugs must be determined.

In addition, during the treatment of gonorrhea in women, enzyme therapy and immunotherapy are prescribed (injections of specific and nonspecific drugs are given), as well as local remedies: douching, microenemas, rectal suppositories.

Pregnant women are usually prescribed more gentle antibiotics (Benzylpenicillin, Augmentin, Flemoxin), but since many varieties of gonococcus have become resistant to these drugs, Cephalexin and Ceftriaxone are more often used during pregnancy.

For combined infections (with mycoplasmas or chlamydia), Vilprafen, Rovamycin, and Erythromycin are used.

Treatment of gonorrhea in a woman should be carried out strictly under the supervision of the attending physician. Confirmation of successful therapy is not only the disappearance of clinical symptoms, but also the absence of gonococcus discharge during bacteriological and bacterioscopic tests, which are carried out 2 weeks after the end of taking antibiotics. Additionally, two more of the same studies are carried out on women: during the next menstruation and immediately after it.

It should be borne in mind that immunity to this disease is not developed. And with improper therapy or without treatment at all, gonorrhea takes a chronic course and worsens under the influence of spicy food, alcohol, sexual arousal, etc. Self-medication of gonorrhea in women and men is unacceptable, including with folk remedies.

Grip in women, even with an acute course of the pathology, occurs unnoticed, without pronounced clinical manifestations. As a result, the pathology is rarely diagnosed in the early stages, which leads to serious consequences (infertility, inflammatory pathologies of the pelvic organs). To avoid complications, you should know what gonorrhea looks like in women and if any symptoms occur, you should make an appointment with a venereologist.

The most common clinical manifestations of gonorrhea in women include thick vaginal discharge with an unpleasant odor, pain and burning when urinating, sharp, nagging pain in the lower abdomen and fever.

Gonorrhea in women: when do the first symptoms and signs appear?

The incubation period for gonorrhea lasts from 3-8 days to several weeks. The first signs of gonorrhea in women usually appear 5-6 days after infection. Lengthening or shortening the latent period depends on the characteristics of the body’s protective functions. In patients with weak immunity (previous infectious disease, chemotherapy, steroid treatment, etc.), the first clinical manifestations occur within 24-48 hours. Late onset of symptoms is due to the presence of good immunity or the use of antibacterial drugs for the treatment of other pathologies. In part, it is the use of antibiotics that causes asymptomatic or subtle progression of gonorrhea.

How does gonorrhea manifest in women?

Signs and symptoms of gonorrhea are associated with those organs that have been affected by gonococcus. During sexual contact, gonorrheal infection from the urethra penetrates the genital tract, primarily affecting the uterus. Further ascent of the pathogen is accompanied by the involvement of the appendages (tubes, ovaries), lining of the uterus and peritoneum in the pathological process. Damage to the mucous membranes of the urethra and rectum occurs when vaginal-anal intimacy or infected discharge enters the anus or urethra from the vagina. Gonorrheal pharyngitis, which occurs after oral-genital intercourse, is often diagnosed.

The first sign that occurs in women with gonorrhea is thick white or yellow vaginal discharge with an unpleasant odor. Most women mistake this symptom for a manifestation of nonspecific colpitis or thrush and resort to attempts at self-medication, which erases the clinical picture of gonorrhea.

Gonorrheal cervicitis

In addition to leucorrhoea, burning, itching, and a tickling sensation in the vagina or perineum may be bothersome. A gynecological examination shows that the cervix is ​​somewhat swollen and has a bright scarlet color. The listed signs indicate the development of gonorrheal cervicitis.

Gonorrheal salpingoophoritis

When the appendages and endometrium in the lower abdomen are affected, nagging or sharp pain occurs, the temperature rises, purulent discharge with blood appears, and signs of intoxication appear (appetite disorder, vomiting, nausea, malaise, weakness). In such a case, they talk about the development of gonorrheal salpingoophoritis or endometritis. Damage to the pelvic organs is accompanied by painful sensations during sexual intercourse (dyspareunia).

Gonorrheal urethritis

Infection with a gonococcal infection of the urethra provokes the development of gonorrheal urethritis. Which is characterized by frequent, painful urination. The urethra becomes hyperemic, painful on palpation, and swollen. There is a false urge to urinate. As the infection progresses, the kidneys and bladder may be affected.

Gonorrheal proctitis

Gonorrheal proctitis (damage to gonococcal infection of the rectum) is manifested by burning, itching in the anus, false urges (tenesmus) and painful defecation. Yellow, often streaked with blood, discharge from the anus may be observed. A visual examination reveals redness of the anus and the presence of pus in the folds of the anus.

Gonorrheal pharyngitis

Gonorrheal pharyngitis (infection with oral gonococci) is similar in clinical picture to ordinary sore throat. There is pain when swallowing, sore throat, enlarged submandibular lymph nodes, and increased temperature. In most cases, pharyngitis is accompanied by mild symptoms (hoarseness, sore throat).

Signs of chronic gonorrhea in women

The chronic form of gonorrhea develops in the absence or incorrectly prescribed treatment of gonorrheal infection in the early stages of its development. It occurs with mild symptoms. Clinical manifestations are completely invisible or mild. Symptoms of chronic gonorrhea include vaginal discharge, periodic and aching pain in the lower abdomen and lower back. Chronic inflammation of the uterus is accompanied by disruption of the menstrual cycle, the appearance of intermenstrual bleeding (blood discharge between menstruation). In this case, menstruation becomes more abundant, longer and can cause an exacerbation of infection (urethritis, adnexitis, endometritis, cervicitis).

Gonococci prefer to infect the cylindrical epithelium, so they do not affect the vaginal mucosa, represented by squamous epithelium. However, pregnant women suffering from vulvovaginitis and virgins may experience damage to the vaginal epithelium.

Timely diagnosis of sexually transmitted infections significantly increases the chances of successful treatment. If there is any suspicion of a gonococcal infection, a woman should seek help from a venereologist and undergo the necessary tests.

Gonorrhea is a classic representative of the group of infectious diseases that are sexually transmitted. In women, this sexually transmitted disease occurs with certain nuances due to the structure of the reproductive system.

Gonorrhea can pose a serious danger to women's health, since in the absence of appropriate treatment with drugs, the disease becomes chronic, as a result of which infertility can develop.

How can you get infected?

In terms of frequency of occurrence among sexually transmitted diseases, gonorrhea is second only to. Very often both of these infections are detected at the same time. The causative agent of gonorrhea is the bacterium gonococcus, or Neisseria gonorrhoeae (N.gonorrhoeae, Neisseria).

Infection usually occurs through sexual contact from an infected partner. Household infection is unlikely. This is due to the fact that gonococcus quickly dies outside the human body, and for infection it is necessary that a sufficient number of microbes enter the body.

Therefore, the likelihood that the source of infection could be toilet seats, swimming pools, baths, shared utensils and towels is negligible.

Gonococci primarily affect parts of the genitourinary system, which are lined with columnar epithelium: the mucous membrane of the cervical canal and urethra, fallopian tubes, large vestibular and paraurethral glands. With genital-anal contacts, gonorrheal proctitis can occur; with genital-oral contacts, gonorrheal pharyngitis, stomatitis and tonsillitis can occur.

First signs

Classic signs of female gonorrhea:

• frequent urination;
• bleeding in the middle of the cycle;
• strong;
• yellowish purulent discharge from the vagina.

Often the disease is asymptomatic, or the signs of gonorrhea are so mild that they go unnoticed. As a result, the course of the disease becomes chronic.

Symptoms of gonorrhea in women

The incubation period ranges from 2 to 7 days. This means that the first symptoms of gonorrhea in women may appear in the first week after infection. If the immune system is very weakened, then symptoms of the disease will appear within 24-48 hours (recent severe infectious disease, treatment with steroids, chemotherapy, etc.).

Depending on the location of the infection, there are a number of specific symptoms of gonorrhea in women:

1. Upper genitourinary system. Here gonorrhea manifests itself more clearly: body temperature rises, constant aching pain in the lower abdomen is felt, stool becomes liquid, and disruptions in the menstrual cycle are observed.
2. Lower genitourinary system. Here the course of the disease is often asymptomatic or atypical for such infectious diseases. The main signs may be itching and burning sensation, discharge in the form of pus, swelling of the cervical canal.
3. The general symptoms of gonorrhea in women are described above.

To make a diagnosis and find out how to treat gonorrhea, the symptoms of the disease alone are not enough. If gonorrhea is suspected, a vaginal smear is taken from the woman and the disease is diagnosed using bacteriological analysis.
During pregnancy

Infection with gonorrhea is dangerous during pregnancy, since it develops very quickly due to good blood supply to the genitourinary organs and a decrease in the body's defenses. In addition, most often the disease is asymptomatic.

If infection with gonococci occurs in the first trimester, this leads to spontaneous miscarriage due to the development of endometritis; at later stages, various complications and postpartum pathologies arise.

Emergency prevention after unprotected sexual intercourse

The sooner measures are taken, the lower the likelihood of infection:

1. You should urinate immediately, if possible 2 times.
2. Wash the inner thighs and external genitalia with soap.
3. Inject 1-2 ml into the urethra, and no more than 5 ml of Miramistin or Betadine solution from a bottle with a urological attachment into the vagina, but no later than 2 hours after unprotected intercourse.
4. Treat the skin of the perineum and inner thighs with an antiseptic - a solution of Potassium permanganate (weak), Chlorhexidine or Miramistin.

No later than 48 hours after unprotected contact, contact a venereologist. After 14 days, it is recommended to submit swabs for analysis for urogenital infections using the PCR method.

Prevention

The main means of preventing gonorrhea (gonorrhea), of course, is to avoid casual sexual intercourse and use a condom in situations where you are not sure in advance about the health status of your partner.

The quality of the condom is also of great importance; these should not be natural membrane ones, but only latex condoms (in case of allergies, polyurethane condoms).

Diagnostics

The diagnosis of gonorrhea is confirmed by laboratory tests. Methods of provoking the disease are used when chronic and latent gonorrhea is suspected, when the pathogen is not identified in conventional tests:

• chemical (lubrication of the urethra with 1 - 2% solution of silver nitrate, and the cervical canal with 2 - 5% solution);
• biological (injection of gonococcal vaccine and/or pyrogenal into the muscle);
• nutritional (drinking alcohol, salty, spicy foods);
• thermal (carrying out diathermy for 3 days in a row - smears are taken three times an hour after the physiotherapy procedure);
• physiological (analysis of smears during menstruation).

As a rule, they combine 2 or more methods of provocation. Smears are taken three times after 24, 48, 72 hours.

Treatment of gonorrhea in women

For confirmed gonorrhea in women, the only treatment option is to prescribe antibacterial drugs. Antibiotics of the latest generation are used that can have an effect on gram-negative flora, which includes gonococcus.

In the acute phase, the following are most often prescribed:

• azithromycin;
• doxycycline;
• ciprofloxacin.

It must be borne in mind that gonococcus may be resistant to antibiotics, and also that treatment of gonorrhea in women at different stages requires different dosages, so self-medication at home is unacceptable.

Therapeutic therapy usually lasts 7 – 10 days and is carried out on both partners. During this time, it is strictly forbidden to have sexual intercourse and drink alcohol. It is important to strictly follow the regimen and not stop therapy even if symptoms disappear. The first stage is the destruction of pathogenic gonococci, and the second is the restoration of the flora after antibacterial drugs.

To prevent further spread of the disease, it is very important to identify the person who became the source of infection, as well as those with whom the sick person had sexual or close household contact. All these people must be examined as soon as possible so that, if necessary, treatment can be started on time.

Chronic form

Chronic gonorrhea is more difficult to cure than acute gonorrhea. At this stage of the disease, periods of remission alternate with periods of exacerbation, during which deeper damage to organs occurs and further spread of the inflammatory process.

Therapy includes the use of antibiotics, immunostimulants and physiotherapy. Everything is prescribed by a doctor strictly individually based on the woman’s test results.

If the infection is combined, that is, in addition to gonorrhea, there are other sexually transmitted diseases (for example, chlamydia, trichomonas), then it is necessary to prescribe a drug that acts simultaneously on two pathogens.

Book symptoms of gonorrhea include:

• purulent discharge from the urethra (white, yellow or green),
• pain and pain when urinating,
• frequent painful urge to empty the bladder.

If the disease develops according to the classic scenario, then the woman’s first signs will appear within a few days.

Only 50% of women have no symptoms of gonorrhea. This is due to the characteristics of the body, due to which the course of the disease differs from that in men. Next we will talk about all types of manifestations of gonorrhea in women: asymptomatic, uncomplicated and complicated.

Asymptomatic gonorrhea in women - what could be the cause of this course of the disease

With gonorrhea, women may not have symptoms for a long time. The anatomical and physiological characteristics of the female body are the main reason for the asymptomatic course. So, in most cases, gonorrhea in men affects the urethra (urethra), causing its inflammation (urethritis). This is facilitated by the greater length and smaller diameter of the urethra, which is why the infection spreads more slowly. The urethra plays the role of a filter that prevents the rapid spread of gonococcus.

The female genitourinary system is structured differently, and the urethra does not directly “participate” in sexual intercourse. For this reason, gonorrhea in the female body primarily causes inflammation of the cervix or cervicitis. Unlike the urethra, the cervix does not have pain receptors. During a gynecological examination, it can be painlessly grabbed with forceps. In addition, the cervix plays a protective role, preventing pathogens from entering the uterine cavity (cervical mucus contains a high content of antibodies that kill bacteria). For these reasons, uncomplicated gonorrhea in women usually does not cause symptoms.

The appearance of severe symptoms in women usually indicates that this is a complicated form of gonorrhea. The infection overcomes the protection of the cervix and penetrates the uterine cavity and fallopian tubes. From the fallopian tubes, the infection enters the abdominal cavity. In such cases, inflammation of the pelvic organs (adnexitis), fallopian tubes (salpingitis), and uterus (endometritis) occurs. The formation of adhesions, cicatricial changes, disruption of the patency of the fallopian tubes, and ultimately infertility are possible.

Signs and symptoms of uncomplicated gonorrhea in girls and women

• The incubation period lasts the same as for men, from 2 days to 2 weeks. However, because gonorrhea in women often occurs without symptoms, their absence does not mean a longer incubation period;
• If the urethra is affected, the first symptoms and signs of gonorrhoea in women may appear within a couple of days. If there is no inflammation of the urethra, it is impossible to say how many days later the disease will manifest itself (asymptomatic form);
• the first signs of gonorrhea in women with the classic form of the disease are purulent discharge from the genital tract of yellow or green color, pain and burning when urinating, frequent urge to empty the bladder. The discharge stains the laundry and has an unpleasant and pungent odor;
• bleeding and menstruation: sometimes the only sign of the disease may be bleeding after sexual intercourse or a gynecological examination, or the use of hygienic tampons. The reason is the slight vulnerability of the inflamed cervix. Menstruation with gonorrhea can be profuse, accompanied by pain, pelvic pain, and abnormal discharge. In addition, bloody discharge changes color and other characteristic signs of purulent discharge from the genital tract;
• Pain during sexual intercourse (dyspareunia) is another characteristic symptom of gonorrhea in women. The severity of pain ranges from mild (with inflammation of the cervix) to sharp, shooting or cutting (with inflammation of the pelvic peritoneum);
• mixed infection is one of the reasons for changes in the characteristic symptoms of gonorrhea in women. The vagina is home to many different types of germs. The presence of other infections (pyogenic cocci, staphylococci, fungi, gardnerella, bacteroides, etc.) masks gonorrhea as bacterial vaginosis, thrush, or common inflammation. In addition, other types of pyogenic bacteria act in concert with gonococcus and increase the risk of contracting other infections, including HIV.

Symptoms of complicated gonorrhea in women

• pain in the lower abdomen, which is provoked by sexual intercourse, visiting the toilet, changing body position, gynecological examination;
• nausea, vomiting, fever, weakness;
• copious purulent discharge from the genital tract, mixed with blood;
• tension in the abdominal muscles, pelvis, perineum;
• widespread or disseminated gonorrhea leads to the appearance of skin rashes in the form of small nodules that quickly turn into pustules;
• in some patients, the spread of infection to the peritoneum leads to gynecological peritonitis - acute inflammation of the abdominal cavity, which may require surgical intervention. In men, this complication rarely occurs due to the lack of direct connection between the genital organs and the abdominal cavity (the infection can be transmitted through the bloodstream). Possible damage to the kidneys, liver, and blood poisoning.

The danger of gonorrhea is in its insidiousness. The disease in asymptomatic form can lead to serious complications, including miscarriages, premature birth, infertility, blood poisoning, and congenital gonorrhea in children. If there is any suspicion of possible infection, doctors recommend seeking medical help. Don’t waste time in doubt, look for photos of gonorrhea symptoms and descriptions of discharge on the Internet. Simple research (

Bacteria are microorganisms (mostly unicellular), the main feature of which is the absence of a nucleus placed in a cell membrane. The human microflora can number up to 10,000 different bacteria that live on the mucous membranes of the digestive tract, nasopharynx, genitals, urinary tract and other organs. Microorganisms can be beneficial, without which normal functioning of the body is impossible (for example, lactobacilli, which normalize the acidity of the vagina and ensure healthy intestinal function), and opportunistic.

Opportunistic pathogens are varieties of gram-positive and gram-negative bacteria that can normally inhabit the mucous membranes of human internal organs, but they are in a “dormant” state and do not cause harm to health. When exposed to negative factors, these bacteria begin to rapidly divide and multiply, provoking an inflammatory process. One of these microorganisms is gonococcus, a gram-negative bacterium that causes gonorrhea. Gonorrhea is more common in women and can cause severe consequences, including infertility, so it is important to know its symptoms and begin treatment in a timely manner.

Gonorrhea (popular name - gonorrhea) refers to sexually transmitted infections, since the main route of transmission of the pathogen to a healthy person is sexual. Despite this, gonococcus can be detected in the biological material of the rectum, since it is located in close proximity to the groin area, as well as the ocular conjunctiva. In case of unprotected oral contact with an infected partner or carrier of the infection, Neisseria gonorrhoeae (the Latin name of the pathogen) can be sown in the discharge from the throat and oropharynx. When prescribing treatment and selecting treatment tactics, it is necessary to study biological material, since Neisseria diplococcus has more than 20 species, some of which may be insensitive to traditional bacterial preparations.

Gonorrhea is a combined name for an infection that can cause various diseases of the urogenital tract, bladder and other organs of the genitourinary system. The most common pathologies in women caused by bacteria of the gonococcus group are urethritis and salpingitis (inflammation of the fallopian tubes). When the rectum is damaged, which is often the result of poor intimate hygiene, proctitis develops. Other diseases that can complicate gonorrhea are listed in the table below.

Diseases due to infection with gonococci in women

Note! In the vast majority of cases, the localization of the pathological process is the mucous membranes of the genital organs, urethra, and bladder. If the disease is not treated in time, the infection will rise further, and the uterine appendages and cervix will be involved in the inflammatory process. In nulliparous women with prolonged gonorrhea, the risk of miscarriages and complications during future pregnancies is several times higher compared to patients who received timely therapy.

Symptoms of gonorrhea in women

Almost half of patients do not notice any symptoms of infection, so such patients receive treatment at an advanced stage, when there is a high probability of the disease becoming chronic. The first clinical manifestations in most women occur 3-4 days after infection, but sometimes the incubation period can drag on for 7-10 days. The initial symptoms of gonorrhea in women with strong immunity may be lack of appetite, irritability, weakness, and decreased performance. Many patients report frequent headaches, but even taken together, such manifestations cannot be considered signs of gonorrhea until the specific symptoms listed below appear.

Increased temperature and fever

The temperature during gonorrhea always rises rapidly and reaches high levels (up to 38.5°-39°). This usually occurs on the 6-7th day of the disease, but in some women the temperature remains within the normal range or rises slightly, remaining at the lower limit of subfebrile levels. High temperature is often combined with febrile and intoxication syndrome, which is characterized by the following symptoms:

• increased sweating;
• chills at normal temperatures indoors and outdoors;
• compression in the temporal and occipital areas (some women may describe these sensations as squeezing or bursting);
• headache;
• lack of appetite;
• drowsiness.

Note! The absence of fever with gonorrhea is the norm for women with good physical health, so this symptom should not be considered as an incorrect diagnosis or raise doubts about the correctness of the prescribed treatment.

Purulent discharge from the genital tract

This is one of the main symptoms of gonococcal infection. The discharge may appear as thick, yellow-green mucus or brown or dark yellow mucus. The amount of discharge can be moderate or large: if the daily amount of pus discharged from the vagina exceeds a tablespoon, the woman requires specific therapy using potent antibacterial drugs (in some cases, hospitalization may be required).

Other signs of gonorrhea that appear simultaneously with purulent discharge and allow the disease to be recognized at an early stage are:

• unpleasant odor of the genitals and vaginal discharge (may resemble the smell of a rotten egg or spoiled fish);
• itching in the intimate area, anorectal space, vaginal tract;
• redness of the skin in the genital area.

During intimacy, a woman may experience discomfort and pain caused by dryness of the vaginal walls. Lactobacilli are responsible for the production of vaginal secretions and the normal functioning of the vaginal glands, which are destroyed during the proliferation of pathogenic flora, so in an infected woman, vaginal lubrication ceases to be produced or is formed in an amount insufficient for full sexual intercourse.

Painful urination

Pain during emptying the bladder is almost always very severe and can occur both at the beginning of the process and after its completion. Most often, women describe the pain syndrome as cutting or sharp stabbing pain, but some patients have reported complaints of intense dull pain in the lower part of the urethra. The urine of women with gonorrhea may also change: it may contain purulent mucous or blood streaks, or sediment in the form of cloudy yellow or milky flakes.

The urge to urinate becomes frequent, and the number of “false” urges to empty the bladder increases. With a prolonged course, inflammation of the Bartholin glands located at the entrance to the vaginal tract is possible, as well as enlargement of the lymph nodes of the groin area.

Important! In some women, gonorrhea may present as genital eczema. This is a skin disease, a type of dermatitis, caused by constant contact of the skin and mucous membranes with the purulent contents of the vagina. To avoid the appearance of eczema, it is important to carefully monitor genital hygiene throughout the entire treatment period and use local antiseptics in the form of vaginal capsules, suppositories, solutions or tablets to sanitize the intimate area.

Video - Signs of clap

Treatment of gonorrhea in women: basic and auxiliary therapy

The basis of treatment for gonorrhea (gonorrhea) in patients of any gender is the use of antibacterial drugs. The most prescribed medicine for this pathology is “ Ceftriaxone" This is a potent cephalosporin antibiotic that is active against almost all varieties of Neisseria gonorrhoeae. It must be injected deep into the muscle at a dosage of 255 mg once a day.

Despite the high effectiveness of Ceftriaxone, its use as monotherapy is not recommended due to the rapidly developing resistance of gonococci to various antibacterial components. In order to prevent the disease from becoming chronic, which is difficult to respond to standard treatment regimens, treatment with Ceftriaxone should be supplemented with “ Doxycycline" - an antibiotic of the tetracycline group. You need to take it for a week 2 times a day at a dosage of 100 mg.

In case of uncomplicated infection, Doxycycline can be replaced with drugs from the macrolide group. It can be:

• "Azithromycin";
• "Hemomycin";
• "Azitrox";
• "Sumamed";
• "Zitrolide".

Note! These drugs are taken, as a rule, once in a dosage of 1 g (unless the doctor prescribes a different dosage regimen).

Video - How to treat gonorrhea

Additional treatment

If a woman has chronic or recurrent gonorrhea, antibiotics are combined with the use of broad-spectrum antimicrobial agents. The form of release is determined by the localization of the pathological process. If the pharynx, eye organs or intestines are affected, the doctor may prescribe oral administration " Metronidazole» 1 tablet 2-3 times a day for 10 days. If the pathogen is sown only in the area of ​​the genitourinary system, local drugs are selected, for example, vaginal tablets " Trichopolum" Before use, they must be briefly held under running cold water, and then inserted deep into the vagina for 20-30 minutes. Trichopolum should be used once a day for a week (for complicated gonorrhea - for 10 days).

If a woman has a history of vaginal candidiasis (thrush), the doctor will prescribe preventative antifungal medications: “ Miconazole», « Fluconazole», « Pimafucin" If necessary, treatment can also be prescribed to the woman’s partner if sexual intercourse took place without the use of contraception.

Drugs that may also be included in the treatment regimen for gonorrhea in women are listed below.

Important! If necessary, the doctor can adjust the given scheme. You cannot take any antibiotics without a prescription from a specialist. This also applies to cases of prophylactic use of antibacterial drugs after contact with a suspected carrier of the infection. Frequent use of drugs in this group is dangerous due to the development of resistance of bacterial strains to the active substance and the transition of the infection to a chronic form.

To speed up your recovery and help prevent gonorrhea in the future, you should follow your doctor's recommendations below.

1. To protect against pathogenic bacteria, you should always use a condom if you are not completely sure of your partner’s health. It is better to choose latex products, since natural membrane condoms have the lowest reliability rate - no more than 87%.
2. If gonococcus is detected in at least one partner, everyone who has been in contact with an infected person over the past month should undergo treatment.
3. The probability of infection through household contact is very small, but for prevention it is better to boil linen and dishes that have been used by a sick person.

Sexual contacts must be completely avoided for the entire period of treatment - this will help preserve the health of others and avoid the re-introduction of pathogenic bacteria into the genital tract.