Manifestation of gonorrhea in women. Examples of complementary medicines

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

Name of pathology	Image	What it is?
		Inflammation of the pharynx with damage to lymphoid structures
		Purulent inflammation of the ocular conjunctiva, which is most often provoked by bacteria of the Neisseria group
		An inflammatory process occurring in the vaginal part of the cervix and cervical canal
		Damage to joint tissue (quite rare - less than 3.8%)

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.

Group of drugs	What are they prescribed for?	What to use?
Acidophilus bacteria, probiotics, prebiotics, bifidobacteria	Restoring the optimal balance of intestinal and vaginal microflora, preventing bacterial vaginosis, normalizing the acidic environment of the vagina, strengthening local immunity	"Acipol" "Normobakt" "Yogulact" "Linex" "Acilact" (vaginal suppositories) "Bifiform" "Bifidumbacterin" (vaginal suppositories and capsules)
Antiseptics in the form of solutions for topical use	Disinfection of the genitals and vagina, destruction of pathogenic bacteria	"Hexicon" "Furacilin" (ready solution)
Local antibacterial and antifungal drugs in the form of vaginal suppositories and tablets	Sanitation of the urogenital tract and genitourinary system	"Pimafucin" "Terzhinan" "Vagisept"

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.

Gonorrhea is a sexually transmitted disease. It can occur in both men and women. The infection is often asymptomatic, which entails late seeking medical help and the development of serious complications, including infertility. The causative agent of the disease is gonococcus (Neisseria gonorrhoeae). In everyday life you can hear another name for gonorrhea - “gonorrhea”.
Despite the fact that in recent decades there has been significant progress in the treatment of infection, gonococcus is gradually becoming resistant to modern antibacterial agents. Therefore, if the regimen for taking them is violated, gonorrhea may become chronic. Having been ill once, a person can become infected again and again.
Although susceptibility is the same in both sexes, after the first intimate contact with a patient, every second to fourth man and every fifth to seventh woman become infected with gonorrhea. In the vast majority of cases (70-80%), simultaneous infection with chlamydia, trichomoniasis and other STDs occurs.

Show all

1. Manifestations of gonorrhea in women

Due to the peculiarities of anatomy and physiology, gonococcal infection in women often occurs almost unnoticed or has very few symptoms.

Bacteria can affect not only the mucous membranes of the genitourinary organs, so the symptoms of gonorrhea may vary from woman to woman. This depends not only on the route of infection; the state of the immune system and the presence of chronic diseases are also of great importance.

1.1.

The first signs appear immediately after the end of the incubation period, which for a woman can range from 3 days to 1 month, but usually does not exceed two weeks. They can be pronounced or weak. Typically, when infected during vaginal intercourse, the following symptoms are observed:

• Vaginal discharge of white, white-green, green, gray-white color (mucous and mucopurulent, copious, viscous).
• Urinary disorders (frequent painful urination, increased frequency of trips to the toilet, burning and itching in the urethra).
• Nagging pain in the lower abdomen.

The general condition may not suffer: body temperature does not rise, weakness, chills do not occur.

1.2.

Damage to the genitourinary system

First of all, gonococci cause an inflammatory process in the urethra, the vestibule of the vagina and inside it, the paraurethral and Bartholin's glands.

• The most common signs of gonococcal urethritis, vulvovaginitis, cervicitis:
• Intense or moderate pain at the end/beginning of urination, quite sharp.
• Enlarged inguinal lymph nodes.
• Pain and discomfort during sexual intercourse.
• Gonorrhea discharge is abundant or scanty, mucopurulent, thick, gray-green, yellow-green, gray-white with an unpleasant odor.
• Frequent, painful urination.

Swelling and redness of the urethral opening, vulva, vaginal walls, and with endocervicitis - the cervical area.

An inflammatory process may occur in the Bartholin glands with the development of an abscess. They are round formations with a diameter of 1-2 cm and are filled with pus. When the infection spreads to the overlying sections and pelvic organs, endometritis, adnexitis, and pelpioperitonitis develop.

1.3.

Gonococcal pharyngitis

• Infection of the pharyngeal mucosa occurs mainly during oral sex. Gonococcal pharyngitis often occurs latently.
• The following symptoms may be observed:
• Feeling of dryness and pain when swallowing, soreness.
• Hoarseness of voice.
• Enlargement of the submandibular lymph nodes.
• Redness of the throat area.
• Purulent plaque on the tonsils, their redness and increase in size.

Bad breath.

Possible inflammation of the gums and oral cavity (gingivitis, stomatitis). 1.4.

1. Proctitis
2. Infection occurs during anal sex, as well as when vaginal discharge flows into the anus.
3. 3 Periodic purulent discharge from the anus, sometimes mixed with blood.
4. 4 Going to the toilet becomes more frequent and brings discomfort.

2. Gonococcal conjunctivitis

Gonococcal eye infection can occur at any age and occurs as inflammation of the iris (iridocyclitis) or conjunctiva (conjunctivitis).

Most often this is associated with infection through dirty hands, as well as through shared use of hygiene items, including towels. Separately, blenorrhea (gonococcal ophthalmia) of newborns is distinguished when a child becomes infected while passing through the mother’s birth canal.

Symptoms:

• Severe swelling of the eyelids (they become swollen).
• Photophobia is increased sensitivity to bright light.
• Purulent discharge, which usually accumulates in the corners of the eye, on the eyelashes.
• Redness of the conjunctiva, increased bleeding.

In advanced cases, corneal ulcers appear, perforation occurs, and blindness develops.

3. Gonorrhea of ​​other organs and systems

Sometimes gonococcal infection occurs with damage to the joints - arthritis, joint capsules (bursae) - bursitis, bone tissue - osteomyelitis.

Gonorrheal arthritis is characterized by inflammation of a small number (two or three) large joints, and subsequently by persistent limitation of mobility up to the development of ankylosis. Bursitis and osteomyelitis have a typical course.

Gonococci enter other distant organs through the bloodstream due to the weakening of the body's defenses. In this case, classic diseases develop:

• myocarditis, endocarditis;
• meningitis;
• pneumonia;
• brain abscess;
• sepsis and so on.

4. Features of mixed infection

In recent years, an atypical course of gonorrhea has often been observed against the background of simultaneous infection with gonococcus, chlamydia, mycoplasma, trichomonas, etc. In this case, the classic symptoms of gonorrhea fade into the background. Mixed infection is more difficult to treat and more often becomes chronic.

4.1.

Chlamydia

Against the background of chlamydia, the incubation period of gonorrhea is often extended to three months. Mixed chlamydial-gonococcal infection tends to be chronic, difficult to cure after the first course of antibiotics, and usually requires the use of provocative techniques.

Trichomonas are single-celled microorganisms that can “disguise” as human cells and “evade” the immune system.

Simply put, prescribing antibiotics may not be effective. Gonococci existing inside Trichomonas survive and then begin to actively reproduce.

For this reason, combined infection (gonorrhea + trichomoniasis) tends to have a long, wave-like course with a high risk of chronicity.

Its symptoms depend on the state of the body and the depth of the inflammatory process:

1. 1 With good immunity - an asymptomatic course, the presence of scanty discharge with an unpleasant odor, pain or simply a feeling of discomfort during sexual intercourse or urination.
2. 2 When the protective forces are weakened - pain when urinating, foamy, mucopurulent discharge with an unpleasant odor, discomfort, pain and slight bleeding are observed during sexual intercourse.

Gonorrhea can also be combined with diseases such as syphilis, genital herpes, HPV infection, HIV, candidiasis and others.

5. Diagnosis and treatment

If any warning symptoms appear, you should undergo a comprehensive examination for STDs.

As a rule, for this purpose a smear is necessarily taken for microscopic examination (for flora and GN), and a comprehensive analysis is also carried out that detects the DNA of the main pathogens of sexually transmitted infections using the polymerase chain reaction method (PCR, real-time PCR).

The doctor prescribes treatment based on the results obtained. The regimen must include one or more antibacterial drugs. All sexual partners are treated at the same time. Otherwise, therapy will be useless.

The drugs of choice that are most effective for gonorrhea are:

• Ceftriaxone;
• Cefixime;
• Cefotaxime;
• Spectinomycin.

Most often, treatment for gonorrhea is offered on an outpatient basis; only pregnant women, children, as well as women with complications and requiring further examination are hospitalized.

2 weeks after the end of the course of antibiotics, repeat tests are performed (NASBA - detection of gonococcal RNA in scrapings). The PCR method can be used no earlier than 30 days after the end of therapy.

Gonorrhea is considered cured when the result is twice negative. If the therapy is ineffective, alternative antibiotics are prescribed after culture with sensitivity determination.

Gonorrhea is a sexually transmitted disease caused by the gram-negative microorganisms gonococci. Once on the mucous membranes of the genital organs, they penetrate inside, causing an inflammatory process. Gonorrhea in the fair sex is not as pronounced as in men, but at the same time, it is much easier for women to get the disease. The symptoms and treatment of gonorrhea are of interest to many women who are sexually active.

According to statistics, when in contact with an infected person, a woman gets the disease in 85% of cases, while a man only gets the disease in 40%. If the disease lasts less than two months, an acute form is diagnosed. If treatment is not started on time, the symptoms of the disease gradually weaken and it becomes chronic.

How does infection occur?

A woman becomes infected with gonorrhea in the following cases:

• During unprotected sexual intercourse with a carrier of the disease. In 80% of cases, the disease is transmitted this way, and it does not matter whether it was genital-oral, vaginal or anal sex. Even if full sexual intercourse did not take place, but there was simply contact between the mucous membranes of the genital organs, infection will occur.
• By everyday means. Due to the structure of the genital organs, representatives of the fairer sex are much more likely to have sex this way than men. Gonococcus is quite tenacious and does not die within 24 hours in a humid environment at room temperature. It can exist in water for about seven hours, and in a soap solution for up to two hours. If a woman uses someone else's towels, linen, washcloth, soap and sits on a dirty surface, then the probability of infection is about 5%.
• The child becomes infected with the disease while passing through the birth canal. If a woman has a chronic infection, she received gonorrhea during pregnancy and did not undergo treatment, then during natural childbirth the baby may become infected. Most often in this case, the eyes of the newborn are affected, and less often the genitals (mainly in female infants).

Women who are promiscuous and do not use condoms are at risk of contracting gonorrhea. Also at risk are representatives of the fairer sex, those under 25 years of age or pregnant women (due to weakened immunity). Gonorrhea often occurs in addition to other sexually transmitted diseases.

Symptoms of the disease

In 20% of women, gonorrhea occurs without visible signs, and it can only be detected through tests. The incubation period can last from 3 to 21 days, depending on how strong the immune system is. Most often, the first symptoms of the disease appear 5 to 10 days after infection.

Gonococcus can infect the mucous membranes of the uterus, appendages, and urethra, causing various diseases that have common characteristics:

• In the initial period of the disease, a woman experiences white discharge. Then they become yellow-green, viscous with an unpleasant odor. If the mucous membrane of the uterus is affected, an admixture of blood appears in the leucorrhoea.
• The disease may be accompanied by itching and burning in the vagina or in the external genital area.
• With gonorrhea, women experience pain and discomfort during sexual intercourse.
• Often with gonorrhea there is discomfort during urination. There is a feeling of fullness of the bladder, frequent urges, itching and burning during urine output.
• Sometimes patients experience pain in the lower abdomen, which can radiate to the perineum or back.
• If gonococcus affects the uterus or appendages, a woman may experience general symptoms such as fever, weakness, dizziness, nausea, and lack of appetite.

If therapy is started at the wrong time and the disease becomes chronic, the patient will experience other signs of gonorrhea:

• Aching pain above the pubis, which can radiate to the leg or back.
• Greenish, not too abundant, viscous discharge with an unpleasant odor.
• Problems with the menstrual cycle, which manifest themselves in the form of too long and heavy periods or bleeding during ovulation.

Why is gonorrhea dangerous?

Many women wonder how to cure gonorrhea, and what will happen if you don’t see a doctor in time? The causative agent of the disease multiplies quickly and causes the following pathologies:

• Cervicitis.
• Endometritis.
• Bartholinitis.
• Pipe obstruction.
• Ectopic pregnancy.
• Miscarriage in early pregnancy.
• Premature birth.
• Intrauterine fetal death.
• Fetal development disorders.
• Gonorrheal conjunctivitis.
• The spread of gonococcus through the blood, as a result of which it affects the skin, joints, liver, and brain.

Very often, women who have been diagnosed with gonorrhea suffer from infertility. This is due to the fact that gonococci cause inflammation, which in turn causes an adhesive process that disrupts the patency of the tubes.

How do I diagnose gonorrhea?

In order to confirm the diagnosis, a woman needs to consult a doctor who will conduct a visual examination and collect anamnesis. The following tests may also be prescribed:

• Smear microscopy. For this purpose, material taken from the vagina is used. It is examined under a microscope, which in half of the cases makes it possible to identify gonococci.
• Bacterial culture. This is a more precise method in which the material is placed in a growing medium where, under favorable racing conditions, it begins to multiply. With bacterial culture, you can determine not only the presence of a microorganism in a smear, but also its sensitivity to antibiotics.
• Polymerase chain reaction (PCR). This is the most modern and accurate method that allows us to identify the genetic material of the causative agent of the disease in material taken from the patient.
• Linked immunosorbent assay. Makes it possible to detect antibodies to the pathogen in the patient’s blood.

If there is a suspicion that the disease is occurring in a latent form, the doctor may prescribe a provocation in the form of lubricating the urethra and cervical canal with a solution of silver nitrate or consuming salty foods and alcoholic beverages. It is also possible to take a smear during your period.

Treatment

When treating gonorrhea, most doctors choose the following remedies.

Group	Name	How to use
Cephalosporins	Ceftriaxone	The powder is dissolved with Novocaine 0.5% or sodium chloride 0.9%. The medicine is administered intramuscularly in a dosage of 0.5 or 1 g. Treatment of gonorrhea in women uncomplicated by other infections requires a single dose of the drug.
	Cefixime	must be taken in a dosage of 400 mg once.
	Cefotaxime	The powder is dissolved in the same way as Ceftriaxone and administered intramuscularly, once 0.5 g of the drug.
Fluoroquinolones	Ciprofloxacin	For uncomplicated gonorrhea, 0.1 g of Ciprofloxacin is prescribed intravenously or 250 mg of the drug orally. The drug is used once.
Penicillins	Benzylpenicillin	1,000,000 units of benzylpenicillin are administered intramuscularly. Treatment is continued for 3 to 6 days.
	Bicillin 3	One bottle of the drug is administered intramuscularly, daily for six days.
	Bicillin 5	Used for chronic forms of the disease. Introducing one bottle once a day for 3 to 5 days.
Macrolides	Azithromycin	Take 2 g of the drug during the day. In the chronic form of the disease, 1 g of Azithromycin is prescribed on the first day, and then 250 mg of the drug for 3 days.

Examples of complementary medicines

Very often, gonorrhea in women is combined with other equally serious sexually transmitted diseases. In more than 30% of cases, gonorrhea is combined with chlamydia. In order to get rid of this infection, in addition to the medications described above, a woman can be prescribed:

• Ornidazole.
• Metronidazole.
• Tinidazole.

When gonorrhea and candidiasis are combined, in addition to the main treatment, antifungal agents are used: Fluconazole, Ketoconazole.

If there is an exacerbation of genital herpes against the background of gonorrhea, then the following may additionally be prescribed:

• Cycloferon.
• Gerpevir.
• Acyclovir.

Use medications in accordance with the instructions and recommendations of the attending physician. The duration of therapy can range from 1 to 14 days, depending on the severity of the infection and the sensitivity of its pathogen.

Local treatment

In order to get rid of the disease, not only injections or tablets are used. How to treat gonorrhea in women: silver nitrate solution, potassium permanganate, Miramistin solution, chlorhexidine bigluconate. The douching procedure is usually carried out once a day for 3 to 5 days.

Also, in addition to the main treatment or for the chronic form of gonorrhea, drugs in the form of suppositories are used:

• Terzhinan. The drug contains a broad-spectrum antibiotic, neomycin sulfate, as well as ternidazole, which helps fight trichomoniasis. Terzhinan gives good results if the patient, in addition to gonorrhea, has chlamydia or candidiasis. Before insertion, the vaginal tablet is kept in water for 20 seconds, then inserted deep into the vagina. The disease is treated for 6 to 10 days, depending on the form of the disease and complications.
• Mikozhinax. The drug contains chloramphenicol, to which some strains of gonococci are sensitive. The drug also actively fights fungi and chlamydia. To treat the disease, a vaginal tablet is moistened with water and inserted into the vagina before bed. Use the drug for 10 days.
• Hexicon. The active ingredient of the suppositories is the antiseptic chlorhexidine bigluconate. It effectively fights not only gram-positive and gram-negative bacteria, but also affects protozoan microorganisms. In the complex treatment of gonorrhea, 1 Hexicon suppository is prescribed twice a day. The disease is treated within a week. The positive thing is that the drug does not have a negative effect on the vaginal microflora. It can be used during pregnancy.
• Betadine. The main component of the product is the antiseptic povidone-iodine, which makes it possible to get rid of many pathogens. Suppositories are used once a day before bedtime, for 7 to 14 days.

Auxiliary products from traditional medicine

It is almost impossible to get rid of gonorrhea without antibiotics, so traditional methods of treatment at home are auxiliary. They help relieve the inflammatory process and enable the mucous membranes to recover faster. For this you can use:

• Infusion of chamomile flowers. It allows you to quickly eliminate inflammation and accelerate tissue regeneration. To prepare the remedy, pour 500 ml of boiling water over a tablespoon of the flowers of this plant, wrap the container with the infusion in a towel and allow the medicine to cool. The product is filtered and used for douching. The procedure is carried out once a day before bedtime.
• Infusion of calendula flowers. To prepare the product, pour 10 g of dry raw material into a liter of boiling water and leave for an hour. Strain and use for sitz baths or douching. This infusion is antiseptic and also strengthens local immunity.
• Burdock root decoction. In order to prepare it, 5 g of dry raw material is poured with 250 ml of water and simmered in a steam bath for half an hour. Strain and take within 24 hours. Treatment should last 10 days. The decoction helps strengthen the immune system and allows the body to quickly recover from an illness.

For treatment to be effective

How to treat gonorrhea in women to get rid of it and prevent relapse:

• For the entire period of treatment, refrain from sexual intercourse.
• Do not drink alcohol while taking medications.
• Immunity to gonococcus is not developed, so it is necessary to treat the sexual partner in order to avoid re-infection.
• Since gonorrhea is often combined with chlamydia, complex treatment is necessary.

Gonorrhea prevention

In order to prevent infection with the disease, a woman needs to pay special attention to choosing a sexual partner. The following rules must also be observed:

• When having sex with partners who are not reliable, use condoms.
• Observe personal hygiene rules.
• Anyone with whom the infected patient has had sexual contact within the past eight weeks should be tested and treated.
• When visiting public toilets, use special covers.
• Do not use other people's towels or linen.
• After unprotected sex, use Miramistin or Chlorhexidine bigluconate to treat the genitals.
• Increase your immunity level, lead a healthy lifestyle and give up bad habits.
• If you have had unprotected sexual intercourse with a carrier of the disease, you must consult a doctor and get tested, even if there are no visible signs of the disease.

If signs of the disease are detected, you should consult a gynecologist or venereologist. It is not recommended to treat the disease yourself, as this can lead to the process becoming chronic.

Gonorrhea (grip) is a sexually transmitted disease that affects both men and women; its causative agent is gonococcus, a gram-negative diplococcus. Innate immunity to gonococcus does not exist and cannot be acquired; anyone can become infected with a dangerous infection many times, which is why it is so important to detect the disease in time and begin treatment in a timely manner.

Causes of gonorrhea

Since the disease is highly contagious, with any type of intercourse, be it oral, anal or vaginal, there is a 99% chance that the infection will affect the partner. Moreover, women become infected much more often than men, this is due to the anatomical features of the genitourinary system. Sometimes there are cases of infection from mother to newborn child during childbirth or through household items - a towel, washcloth, but this probability is negligible, since the bacterium quickly dies when it dries.

Typically, gonorrhea affects the mucous membranes of the genitourinary tract, intestines and even the nasopharynx, it all depends on what type of sexual intercourse the partners preferred. In some cases, the infection can spread to the musculoskeletal system. Infants to whom gonorrhea is transmitted in the womb are born with blindness in 50% of cases.

Gonorrhea in women: symptoms

In most women infected with gonococcus, the disease is asymptomatic, which is especially dangerous. The manifestation of the disease directly depends on which organs are affected.

Gonorrhea that has affected the urethra and thereby caused urethritis can be identified by the following signs:

• pain during urination and sexual intercourse due to thinning of the vaginal mucosa;
• pain, itching and burning in the genital area;
• yellow, greenish discharge mixed with blood and pus;
• increasing frequency of urination;
• constant feeling of bladder fullness.

The second area most often affected by gonococcus is the cervix. The disease cervicitis is almost painless, but itching, burning and a tickling sensation in the vagina, as well as copious discharge of leucorrhoea, often occur. Upon examination, the doctor may suspect the development of the disease by the bright red color of the cervix.

In advanced cases, the infection rises higher, affecting the appendages and uterus. In this case, the patient may suffer from severe pain. A high temperature rises sharply, nausea, dizziness occurs, and intoxication of the whole body occurs. The discharge is purulent and mixed with blood.

Gonorrhea of ​​the rectum is called gonorrheal, it often has no symptoms, but sometimes patients complain of itching and burning in the anus, yellowish discharge mixed with blood, mild pain and a false urge to defecate.

Gonococcal pharyngitis is a disease that can progress rapidly and affect the entire oral cavity. Its symptoms are similar to those of a sore throat - irritated throat, sore throat, swelling of the mucous membranes, inflammation of the lymph nodes, but with gonococcal pharyngitis, tonsils with a grayish coating are found.

Diagnosis of gonorrhea

Diagnosis of gonorrhea consists of several stages:

1. History of the disease according to the patient (estimated moment of infection, number of unprotected connections).
2. Clinical picture of the disease.
3. Bacterioscopic and bacteriological examination (detection of infection in the secretions of the urethra, vagina, rectum, tonsils).
4. Since gonococci have the ability to adapt to unfavorable conditions, the bacterioscopic research method is not always accurate. For hidden, asymptomatic forms of gonorrhea, a bacteriological examination is most often carried out, and it is also more suitable for children.

Diagnosis of gonorrhea largely depends on the correct collection of material for analysis and the qualifications of the doctor.

Stages and types of gonorrhea

For subsequent treatment to be successful, the doctor must determine the stage of the disease:

Medicines for gonorrhea

Treatment regimens for gonorrhea most often include treatment with both tablets (Cefixime, Ciproflexacin, Ofloxacin) and intramuscular injections (Ceftriaxone, Spectonomycin), it all depends on the form, stage and complications of the disease.

If the infection occurred no more than two months ago and is in an acute stage, it is possible to eliminate the problem with pills alone, but it will be faster and more effective to deal with it with injections. Other stages of gonorrhea are treated only with antibiotics in the form of injections. In this case, the doctor also prescribes topical antiseptics and drugs that increase the patient’s immunity.

It is worth remembering that anything effective against gonorrhea will first eliminate the symptoms, but you cannot stop there; you should continue the course of treatment until complete recovery, after which it is necessary to re-test for the presence of infection.

Treatment of gonorrhea in women

As soon as the examination shows the presence of gonococcal infection, you should immediately begin a course of treatment according to the doctor’s regimen. It is selected individually and depends on several factors - on what stage the disease is at the moment, what the area of ​​​​the lesion is, whether there are complications and other attachment.

The acute form of gonorrhea in women is treated with antibacterial therapy (antibiotics), usually drugs of the penicillin group (Oxacillin, Amoxicillin); gonococcus is also sensitive to tetracycline and cephalosporin antibiotics.

If resistance to penicillin is detected, a sensitivity test is performed and treatment with new generation antibiotics (Streptomycin, Levomycin) is prescribed.

In addition, local therapy - douching (Miramistin, manganese solution) and warm baths - gives good results.

To increase the body's resistance to infections, immunostimulants and physical therapy (electropheresis, laser therapy) are prescribed.

Gonorrhea during pregnancy

Gonorrhea is also dangerous because it often occurs without any symptoms, especially since discomfort in the lower abdomen and perineum, discharge and mild discomfort are often disturbing, so laboratory tests are necessary to accurately determine the diagnosis.

Possible consequences of infection in a pregnant woman:

• there is a possibility that the baby will be born prematurely;
• there is a high risk of miscarriage;
• infection of the amniotic sac and amniotic fluid;
• postpartum complications;
• decreased immunity, and as a result, a greater likelihood of infection with HIV and other diseases of the genitourinary system.

In the womb or during childbirth, a child can become infected from an infected mother, quite often this leads to vision problems and even blindness. In particularly severe cases, the consequence may be damage to other organs and sepsis.

Treatment of a pregnant woman is usually carried out effectively with antibiotics, which do not have pregnancy as a contraindication. The partner also needs to take a course of medications so that the disease does not return again.

Consequences of gonorrhea

If gonorrhea is not treated in time, it will become chronic and cause the following consequences:

1. Untimely elimination of the disease will provoke the spread of infection to other organs and can cause miscarriage, endometritis, menstrual irregularities, miscarriages, female and male infertility, adhesions in the abdominal cavity, and rupture of the fallopian tubes. In men, the prostate gland, urethra, epididymis, and testicles are affected.
2. The risk of contracting HIV and AIDS increases. A patient who has suffered from gonorrhea in the past has a reduced immune system and is susceptible to the attack of serious diseases, which are 100% likely to be transmitted to a sexual partner.
3. Complications in children often cause blindness, meningitis and abscesses.

Gonorrhea prevention

Prevention of gonorrhea and other sexually transmitted diseases may be ineffective if a woman is at risk for the following factors:

• constant change of partner;
• the appearance of a new partner;
• age from 18 to 30 years;
• previously treated gonorrhea;
• presence of other STIs.

Methods of primary prevention of gonorrhea include careful selection of a sexual partner, the presence of contraception, and avoidance of promiscuity.

The method of secondary prevention and prevention is drug therapy prescribed by a doctor in the first days after unprotected contact.

The topic of gonorrhea has been relevant for centuries. The name of the disease was given by the famous ancient physician Galen back in the 2nd century BC. So many years have passed, but, despite the successes of the pharmacological industry, humanity has not been able to eliminate this disease. More than 200,000 new cases of gonorrhea are reported annually.

The disease belongs to the group of sexually transmitted diseases; in 80% of cases it is combined with other STDs, such as trichomoniasis, candidiasis, chlamydia, and human papillomavirus.

The infectious agent in this disease is diplococcus (Neisser's gonococcus), which affects the cylindrical epithelium. The source is a sick person or carrier; in 99% of women, they become infected during sexual intercourse. In everyday life, the route of infection is possible if there has been contact with the patient’s wet discharge, because when the gonococcus dries, it dies. Male gonorrhea is slightly less common than. Children become infected from their mothers in a shared bed or when using shared hygiene items (washcloths, towels).

Classification

Treatment of gonorrhea in women is determined by the stage and location of inflammation. There are gonorrhea of ​​the lower and upper parts of the urogenital tract. The demarcation is the transition of the cervix into the body of the uterus. The lower sections are characterized by urethritis, cervicitis, and bartholinitis. During anal sex, the rectum is affected (proctitis). Ascending gonorrhea affects the uterus, appendages, and pelvic peritoneum (endometritis, adnexitis, pelvioperitonitis).

Oral sex can lead to sore throats. From infection to clinical manifestations it takes from 3 to 30 days. Symptoms of damage to the lower sections in women are characterized by the presence of creamy discharge from the genital tract, burning and itching in the vagina, and dysuric disorders. The general condition suffers only in acute bartholinitis: the lower third of the labia majora is swollen, painful, there are difficulties while walking, the temperature is up to 39°C. With proctitis, painful bowel movements are a concern.

Ascending gonorrhea is accompanied by more pronounced symptoms: pain in the lower abdomen, sometimes radiating to the anus, irregular periods, high fever, and pathological leucorrhoea.

Sometimes there may be no symptoms at all. This is due to the body's immune response and uncontrolled antibiotic treatment. Gonococcus continues to be present in the epithelial cells, but the symptoms are erased. Such a carrier, thinking that he is healthy, will infect his partners.

Before treating gonorrhea in women, it is necessary to determine its stage. Fresh gonorrhea is up to 2 months old. It is classified as:

• acute;
• subacute;
• torpid (low-symptomatic or asymptomatic).

Control

It is not enough to know how to treat gonorrhea; the woman must be examined after therapy to establish the absence of the disease. 3 controls are carried out. The first control is 7-10 days after the last dose of the antibiotic, 2 subsequent ones - with an interval of 1 month. To obtain a more reliable result, before taking smears for analysis, a provocation is carried out, that is, some means is used to activate the gonococcus. Provocation happens:

• chemical - treatment of the urethra, cervical canal with a solution of silver nitrate;
• biological - administration of gonovaccine;
• nutritional - eating spicy and salty foods;
• thermal - inductothermy;
• physiological - taking samples during menstruation;
• combined - a combination of several types of provocations.

Smears are taken 3 days in a row, 24, 48 and 72 hours after provocation.

After suffering from gonorrhea (gonorrhea), immunity is not formed. A new infection is possible.