Symptoms and signs of gonorrhea in women and men. How to treat gonorrhea

Gonorrhea (gonorrhea or just tripac) is a common sexually transmitted disease that can cause complications for a person if left untreated, and can also be transmitted to a newborn child.

This disease was known even before the birth of Christ; it has long been identified with one of the stages. But only in the 30s of the 19th century, in France, Dr. Philippe Ricor, working at the Midi Hospital for Venereal Diseases, concluded the existence of gonorrhea as an individual disease.

Later, towards the end of the century, in 1879, the German doctor Albert Neisser discovered the gonococcus bacterium, which causes gonorrhea.

The entire genus of these bacteria (Neisseria) was named in his honor. It was Neisser who developed methods for treating this infectious disease.

What it is?

Gonorrhea is an infectious disease that primarily affects the human genitourinary system. Gonococcus bacteria inhabit the mucous membranes of the genitourinary tract of men and women, as well as the rectum, nasopharynx and eyes. It all depends on the immunity and the stage at which the tripper is located.

Gonococci are oval-shaped bacteria located in the human body in pairs. Their size variation is about 0.8-1.2 microns. They populate mainly in the cytoplasm of leukocytes of purulent discharge.

Chronic tripper and exposure to various medications can cause mutation of the gonococcus. Bacteria exist in capsule form and develop in a swarm-like community. In the external environment, when the temperature rises above 50°C, gonococci die instantly.

The bacteria are sensitive to penicillin antibiotics and streptomycins, but over time they become resistant to them.

Causes and factors for the development of the disease

The cause of the disease is sexual contact of various kinds with an infected partner.

Percentage of infection men from a sick partner - about 35%, among women the probability of infection is higher - about 65%.

Since men have a longer urethra, they are more likely to wash away bacteria with urine before damaging the urethral mucosa.

There is a possibility of infection of a child during childbirth from a sick mother and in living conditions (use of general hygiene products - washcloth, towel).

This is especially true for girls.

Gonococci can penetrate into a newborn baby in the event of premature damage to the fetal membrane, during the passage of the fetus through the birth canal (infection of the eyes or genital organs of girls occurs). Often a child is born blind.

The gonorrhea bacterium (triperoc) quickly dies in the external environment, but thrives on the surface of mucous membranes and inside epithelial cells and leukocytes. Gonococcal infection is divided into several types based on the location of damage to body tissues:

• in the genitourinary system.
• in the rectum (or inflammation).
• in the knee joint (gonarthritis).
• in the eyes (purulent conjunctivitis or blenorrhea).
• inflammation in the pharynx ().

The incubation period, when the gonorrhoea is in a latent state, ranges from 1-2 days to a couple of weeks, sometimes up to 1 month. In men, the disease manifests itself faster.

Symptomsgonorrhea in men

In the first case, when a man’s genitourinary system is damaged by a gonococcal bacterium, copious purulent discharge from the urethra and pain when urinating in the form of a burning sensation.

Unlike women, symptoms in men appear faster (on the second day a cutting pain may bother you).

If tripera in men penetrates the posterior part of the urethra, the testes, epididymis, etc. may be affected. In case of insufficient human immunity, the disease threatens to develop into (blood poisoning).

During the infection, acute urethrocystitis (inflammation of the mucous membranes of the urethra and bladder) can develop. In this case, the symptoms intensify, and blood may appear at the end of urination. If the patient is still affected, then his condition will worsen.

Triperal disease in men, in almost half of the cases, affects the rectum. The inflammatory process begins redness, growths, and rash appear in the anus. After bowel movement, a burning sensation and slight bleeding may occur.

The disease can develop independently or together with inflammation of the urethra. This infection occurs as a result of oral-genital contact between partners. In addition to damage to the pharynx, the tonsils and the entire oral cavity can be infected.

Inflammatory symptoms of the mucous membrane

The symptoms of pharyngitis are mild. Sometimes it bothers me, pain and soreness during swallowing.

When examined by a doctor, there may be swelling, a grayish coating in some areas of the oral cavity, and an increase.

Gonococcal arthritis

Gonococcal arthritis usually affects those who have proctitis. The main signs of the disease are redness and swelling of the joints of the fingers, ankles, and wrists.

The disease is detected by taking blood and joint fluid tests.

Signs and complications of chronic disease in men

At the stage of chronic gonorrhea, inflammatory processes are expressed in the following male organs:

• the skin of the head of the penis and the inner part of the foreskin (see photo above);
• Cooper's gland;
• prostate;
• seminal vesicles;
• epididymis;

Signs of a chronic course of the disease are gluing of the lips of the urethra in the morning, small discharge and changes in the epithelium of the urethra. Among the complications, it can also be noted.

Symptomsgonorrhea in the female half

In women, as in men, tripak affects various organs and is not noticeable at the initial stage. The first signs of the disease in women can appear only after 1-2 weeks(see photo above). Gripper disease in its classic form provokes the following symptoms in women:

• small purulent whitish or grayish vaginal discharge;
• painful urination (burning, itching, sometimes stinging);
• redness, swelling, the appearance of ulcers in mucous areas;
• pain in the lower abdomen;
• bleeding during the absence of menstruation.

Symptoms of inflammation of the cervix and urethra

When gonorrhea spreads in the cervix, a woman experiences frequent purulent discharge with an unpleasant odor.

During sexual activity, pain and slight bleeding occur.

Bacterial damage to the urethra is accompanied by the same discharge and pain when urinating. Both organs can be infected at the same time.

When the pelvic organs are infected, the body temperature may rise, nausea and vomiting may occur, and sexual intercourse may be painful.

Symptoms in women are the same as in men:

• arthritis;
• proctitis

Complications during the course of the disease in women

In women, when the ovaries and fallopian tubes become inflamed, ectopic pregnancy, tubal obstruction and infertility may subsequently occur.

A newborn child, due to gonorrheal conjunctivitis, may remain blind forever (see photo above).

Diagnostics

To detect the disease, it is enough to take a smear in the rectum, cervix (women), or throat.

Most often, gonorrhea is diagnosed bacteriological diagnostics, which gives 90% correct research results. There is a method polymerase chain reaction- This is an experimental method, it is more sensitive.

Treatment of infection

Nowadays, tripper is an infection that increasingly resists penicillin antibiotics and often affects the body along with.

For pregnant women, the doctor will select individual treatment ( Spectinomycin or other similar drugs).

In case of complications or chronic course of the disease, the patient requires hospitalization. Here are a few of them:

• the disease affected various human organs;
• the infection has spread through the blood throughout the body ();
• the patient avoided treatment;
• unexpected relapses of gonorrhea.

During treatment, the patient is prohibited from sexual intercourse; it is required to eliminate bad habits, lead a calm lifestyle and not get too cold. To boost immunity, the doctor prescribes various medications.

All treatment efforts, taken together, will give a positive result.

Important: Never self-medicate, go to a clinic. Only a specialist can determine the necessary medications and their dosages.

Interesting

Inflammatory diseases of the genital area cause a lot of inconvenience. In women, they are associated with discomfort, the appearance of pain depending on the level of damage, and the addition of dysuric disorders. The lack of timely treatment leads to the transition of inflammation to the overlying sections, and non-compliance with the recommended regimens results in chronicity of the process. Gonorrhea is no exception. Chronic forms are no less dangerous than acute gonorrhea.

Disease history

The first mention of gonorrhea appeared in the 16th century BC. e. in the Egyptian Ebers Papyrus. At the same time, the first methods of treatment were proposed - washing with astringents. There are references to the symptoms of the disease in the Bible, the works of ancient Greek scientists, Hippocrates, and Celsus. Galen called this disease “discharge of semen,” although he pointed out the need to distinguish it from true ejaculation during sexual arousal. But the name was firmly entrenched and preserved to this day.

Treatment was carried out by douching with lead solutions, Avicenna washed the bladder with water from a silver syringe. Basic preventive measures were also identified:

• sexual relations- prohibited until seven days after the end of the illness;
• isolation - of every patient with gonorrhea;
• personal belongings - the patient’s bed, chair and people with whom he had contact were considered “unclean”.

The syphilis epidemic that swept through Europe after the discovery of America diverted attention from gonorrhea. For a long time it was considered one of the manifestations of syphilis. In 1527, a French scientist classified them as a group of venereal diseases.

Gradually, the development of microbiology and immunology made it possible to identify the causative agent of the disease, as well as to develop a vaccine, thanks to which it was proven that syphilis and gonorrhea are different diseases.

The discovery of antibiotics in the 20th century advanced the treatment of gonorrhea to a new level. But even in modern conditions, the disease does not lose its relevance: the latent course in some women, the development of resistance to many drugs makes it dangerous for reproductive health.

Features of the pathogen

The development of microbiology allowed the German doctor Albert Ludwig Neisser to isolate the causative agent of gonorrhea in 1879. These are cocci, which are shaped like coffee beans and are arranged in pairs. They have the following features.

• Incomplete phagocytosis. In pus, diplococci can be located inside leukocytes, but remain viable. This property explains the ability of the disease to become chronic. It also allows the pathogen to evade the action of drugs and spread to other parts of the genital organs.
• Low stability. In the external environment, bacteria quickly die. When heated to 40°C, they die within three to six hours, and at 56°C, within five minutes. Can't withstand refrigeration. The pus can persist for 24 hours. They die under the influence of silver salts. They are sensitive to penicillins and streptomycin, but during treatment they become resistant to them.
• Antigenic structure. During treatment, it can seriously change and form L-forms. The latter have a different structure, which allows them to persist in the body for a long time and evade the action of antibiotics.
• Immunity. There is no innate resistance to gonorrhea. Having the disease does not protect against re-infection.

Development of the pathological process

Triperok - symptoms in people. The gonorrhea infection is transmitted only from person to person; animals do not get sick. The causes of gonorrhea in women are a sick man and sexual contact with him. Gonococcus can survive in pus, so there is a possibility of infection through a shared towel, washcloth, or underwear. But this method is more relevant for girls.

• Penetration method. Tripak bacteria are often found attached to sperm, epithelial cells, and also inside Trichomonas. They act as carriers that help the pathogen penetrate into the overlying parts of the genitourinary tract.
• Affected areas. Parts of the genitourinary system lined with columnar epithelium are affected - the urethra, cervical canal, fallopian tubes. With oral contact, stomatitis, pharyngitis, and tonsillitis develop. When rectal - gonorrheal proctitis. Children after childbirth from an infected mother have blepharitis (eye damage).
• Protection in the vagina. The vaginal wall is lined with stratified squamous epithelium, which is not suitable for the life of gonococcus. But when it becomes thinner or has a loose structure, conditions are created for the microbe to attach. Such features of the epithelium appear during pregnancy, postmenopause, and also in girls before puberty.
• Penetration into the blood. Gonococci are able to enter the blood, but most of them die. The remaining ones spread throughout the body and form extragenital lesions. The joints are most often affected; gonococcal endocarditis and meningitis develop less often.
• Incubation period. Usually lasts 3-15 days, very rarely up to a month. In women it lasts longer than in men.

For infection to occur, a sufficient number of pathogens must enter the vagina. That is, a single contact does not always lead to illness. Therefore, the household transmission mechanism is irrelevant.

Symptoms of gonorrhea in women

Often the pathology is asymptomatic. Signs of gonorrhea in women are nonspecific and can be mistaken for symptoms of candidiasis or cystitis. How long it takes for gonorrhea to appear depends on the number of gonococci and the reactivity of the body. At the end of the incubation period, symptoms may not appear or may not be expressed.

• Urinary disorders. Dysuric disorders manifest themselves in the form of burning sensation and frequent urge to go to the toilet. In men, there is pronounced discharge of pus and hyperemia of the urethra (in women, this sign is invisible). Some pus may be released and stick to the urethra. But these symptoms are not expressed.
• Vaginal discharge. The appearance of yellowish-white discharge is not always associated with gonorrhea. They are odorless and scanty. This is due to the fact that it is not the vagina itself that is affected, but the cervical canal. Therefore, the discharge may not be noticeable on the gynecologist’s chair during an external examination, but can only be seen in the mirrors.
• Bleeding.
• With advanced gonorrhea, intermenstrual bleeding may appear. This is a mild symptom that may be absent in most cases.

In women, the process is often multifocal, affecting the urethra and internal organs. Cervical lesions cannot be recognized from the outside. On examination, it appears swollen and inflamed. Pus leaks from the cervical canal.

Gonococcal goes into. At the same time, the condition worsens, the symptoms become more pronounced. Damage to the muscular layer of the uterus leads to myometritis. In this case, the uterus becomes dense, increases in size, and hurts during palpation and during sexual intercourse.

From the uterus, gonorrhea quickly spreads to the fallopian tubes and ovaries. Salpingoophoritis develops. If gonococci penetrate into the abdominal cavity through the ampullary end of the tube, peritonitis will form.

Gonorrhea is dangerous during pregnancy due to the possibility of infecting the child during childbirth. In this case, the eyes are affected, and gonorrheal blepharitis develops. Since the disease can have a hidden course and be undiagnosed before birth, all newborns are given prophylaxis: immediately after birth, the eyes are instilled with a 30% Albucid solution. For girls, it is also instilled into the genital opening.

A rash is not typical for gonorrhea. This is a mandatory sign of syphilis. Therefore, if spots appear on the skin, you must inform your doctor.

Risks for girls

Before puberty, the vulvar ring and labia are involved in the inflammatory process. Children infected with gonorrhea are characterized by a tendency to relapse, multifocal lesions, as well as post-gonorrheal complications.

It should be remembered that in modern conditions latent gonorrhea is often observed, which is detected only by laboratory tests.

Diagnostic approaches

Dermatovenerologists examine and treat patients with gonorrhea. Diagnosis includes a mandatory examination and medical history. The doctor finds out the following points:

• time of sexual intercourse;
• timing of symptoms;
• whether the person who infected is a family member;
• Has he been examined?

The woman is offered a smear test for gonorrhea. This is the most reliable diagnostic method. Material for research is taken from the following places:

• urethra;
• cervical canal;
• lateral vaginal vaults;
• large vestibular glands;
• paraurethral glands.

A smear is necessary for microscopic examination. Cultural analysis is carried out based on the results of inoculation on special nutrient media. In this case, decoding helps determine the sensitivity of the pathogen to certain antibiotics.

The following studies are also relevant.

• Analysis of urine . Necessary for identifying concomitant diseases of the urinary system.
• Colposcopy. Examination of the vagina and cervix using a colposcope. Gonorrhea may be accompanied by the formation of cervical erosion, which increases the risk of cancer.
• Ultrasound of the pelvic organs. Allows you to see the area of ​​​​spread of the inflammatory process to the uterus and appendages. This determines further treatment tactics.

According to indications, in the presence of purulent lesions in the rectum, oral cavity, eyes, consultations with a proctologist, ENT doctor, or ophthalmologist are prescribed.

Due to the peculiarities of the physiology of the genitourinary system in girls, if the mother or father is ill, the child must be examined.

Treatment tactics

Treatment of gonorrhea in women is based on the protocols of the Ministry of Health. They determine the list of medications for local localization of the infectious process. The treatment regimen for gonorrhea in women is presented in the table.

Table - Treatment of localized uncomplicated gonorrhea

A drug	Dosage	Reception features	Level of Evidence of Effectiveness
"Ceftriaxone"	250 mg per muscle	One time	A
"Ciprofloxacin"	500 mg orally	One time	A
"Ofloxacin"	400 mg orally	One time	A
"Spectinomycin"	2.0 g per muscle	One time	A
Benzylpenicillin sodium and potassium salt	- Initial dose of 60 thousand units into the muscle; - every 3 hours 40 thousand units	For the entire course 3 million 400 thousand units	WITH

The course of treatment may change if gonorrhea is combined with other sexually transmitted infections. Frequent companions can be chlamydia, trichomonas. Then drugs are added depending on the type of pathogen. For chronic gonorrhea, a vaccine is added to the regimen. Treatment of gonorrhea is supplemented by the following recommendations.

• Alcohol . A strict ban on alcohol consumption is introduced for the entire duration of treatment until negative culture results are obtained. It acts as a provocateur. Sometimes it is recommended to drink a glass of beer in the evening before taking the next test. If gonorrhea is not treated, it will make itself felt in the tests.
• Nutrition . A balanced diet, enriched with protein, with increased amounts of fluid is necessary. Hot spices and seasonings are not recommended.
• Sex life. During treatment and until normal tests are obtained, complete rest. Otherwise, further spread of infection will occur.

ethnoscience

Many people prefer folk remedies to evidence-based medicine. At the same time, they independently make candles, ointments, and decoctions based on herbs and various chemicals. But it should be remembered that the causative agent of gonorrhea is a bacterium that is surrounded by a special protective layer and is able to hide inside cells. Local drugs are not able to have an effect on it or will lead to a temporary subsidence of the process, followed by a relapse.

Therefore, it is impossible to cure gonorrhea at home without the use of antibiotics. For women, the consequences of such irresponsibility can result in infertility.

Preventive measures

It is much easier to prevent a disease than to treat it later. To do this, you should pay attention to the following rules.

• Personal safety. The most reliable means of protection is a condom.
• Control of connections. You should not engage in casual sex. Strangers may show no signs of obvious infection or may simply not say that they have recently been treated.
• Emergency prevention. After accidental unprotected sexual intercourse, be sure to immediately urinate, wash with soap, and treat the genitals with Miramistin or Chlorhexidine solution. You can also inject 1 ml of the drug into the urethra.

Prevention after sexual intercourse is effective in the first 2 hours. If more time has passed, you can consult your doctor for recommendations on taking preventive medications. But after 72 hours, these measures will also become ineffective and can only mask the signs of the disease.

The consequences of gonorrhea for women can be the most unpleasant. The tendency of the bacterium to infect the epithelium of the fallopian tubes leads to the development of adhesions in them. This is one of the causes of infertility, which is very difficult to treat. Reviews from survivors confirm this; they can be read by visiting the forum. If the tubes are obstructed, there is only one option for pregnancy - in vitro fertilization.

Reviews

Author, I have had the same partner for 10 years now. I’ll write briefly this way: in the summer he had cystitis and high fever, then herpes. A doctor he knew advised him to get tested. In the CVD they found gonorrhea (PCR), TRICHOMONAS (tank culture), CHLAMYDIA (blood), ureoplasma (culture). Naturally, I didn’t believe these tests (there was a scandal at home and he blamed me) and retook TWO more!! times in the KVD in the hospital (you can take it there 24 hours a day). In the end, they found only ureaplasma, and they said there was no need to treat! So retake it and show it to your MCH.

Manyunya, http://www.woman.ru/health/woman-health/thread/4284921/

Since sane women are more careful and much less likely to cheat in marriage, I turn to the male half. If you have a permanent partner, feelings for her, and especially a family, hold your belongings when the desire to go to the left arises. Firstly, an infection is guaranteed and you will destroy your relationship with your loved one, and a condom will not always protect, especially from syphilis and even from AIDS. Secondly, it’s mean and disgusting, and your serial excuse about polygamy is unlikely to help. In addition, it belongs to the animal world, and you have a developed human brain. You are so often proud that he thinks better than a woman.

Tonya, http://www.venerologia.ru/forum/messages/126/1

As a doctor, I’m telling you that my husband is lying, gonorrhea is not transmitted through everyday means. Contact another doctor, you need to be treated only according to the scheme and both at once, otherwise resistance will arise, which can then result in other unpleasant diseases - you have infertility, chronic inflammation, your husband has urethral strictures, i.e. narrowing, but it’s so painful to treat.

Little lynx*, https://www.u-mama.ru/forum/family/health/176424/index.html

Every woman experiences various discharges from the genitourinary tract during her life. In some cases, they are a variant of the norm; they appear and disappear depending on the phase of the menstrual cycle. In others, they become a symptom of the development of the inflammatory process. One such disease is gonorrhea, or gonorrhea. This disease is widespread among women of all ages, which makes this topic relevant for discussion. Every woman should know which doctor to contact if suspicious symptoms appear and how to deal with the disease using various means.

What is gonorrhea

Gonorrhea, or gonorrhea, is a sexually transmitted infection, which is characterized by pronounced morphological changes in the mucous membranes of various organs: uterus, vagina, oral cavity, tonsils, pharynx, hard and soft palate, eyes, intestines. The disease is widespread in all countries and continents: at least 200 thousand people fall ill with gonorrhoea every year.

After penetration into the tissues of the genitourinary system, the gonorrhea pathogen begins to actively multiply and release toxic compounds. They destroy the delicate mucous membrane, forming ulcerations and small wounds on it that bleed and become infected. The incubation period of gonorrhea lasts from three to five days, after which the disease enters the phase of active manifestations.

The causative agent of the disease

Gonorrhea is caused by a small bacterium from the coccus family called gonococcus. Most often, these microorganisms are immobile and have the shape of small coffee beans. Gonococci grow well on nutrient media with the addition of human biological material: blood, saliva, vaginal secretions, which determines their choice of the human body as a breeding ground.

Gonococci quickly die outside the human body, so the main route of transmission is sexual

Gonococci are unstable in the external environment: they can exist outside the human body only for a while. They also die quickly when exposed to high and low temperatures (boiling and freezing). Unfortunately, these microorganisms quite quickly acquire resistance to broad-spectrum antibiotics and antiseptics: this is due to their active ability to mutate. That is why doctors recommend not to engage in self-treatment, but to immediately contact a venereologist.

How to correctly classify pathology

Currently, doctors identify several stable classification characteristics, on the basis of which it is possible to divide the entire variety of types and clinical manifestations of gonorrhea. This division allows you to quickly and accurately formulate a diagnosis and begin treatment of the disease as soon as possible.

Classification of gonorrhea by flow rate:

• fresh (disease less than 2 months old):
  • acute (occurs within three days from the moment of infection);
  • subacute (forms within a week from the time of penetration of the pathogen);
• chronic gonorrhea (develops over six months);
• recurrent (periodic changes of recovery and exacerbation of the disease).

According to clinical manifestations:

• latent, or hidden, course (complete absence of signs of gonorrhoea);
• predominance of general symptoms of gonorrhea;
• the predominance of local manifestations of the disease;
• classic picture (evenly expressed general and local clinical symptoms).

Classification of gonorrhea by stages:

• incubation period - the first days from the moment of penetration of the gonococcus;
• peak phase - pronounced manifestation of clinical symptoms;
• recovery is the complete disappearance of all signs of the disease.

Classification of the disease according to the localization of local manifestations:

• in the genitourinary system;
• in the gastrointestinal tract;
• on the eyeballs;
• in the musculoskeletal system.

Routes of transmission of the disease in women

Gonorrhea is a disease that is primarily sexually transmitted. In this case, any unprotected intimate contact can lead to the penetration of the pathogen into the woman’s body. Gonorrhea is transmitted through the following types of sexual relations:

• vaginal penetration;
• anal intercourse;
• oral sex.

Remember that even without penetration you can become infected with gonorrhea: the gonococcus that causes the disease can end up in the genital area during mutual masturbation or if the partner’s biological fluid (sperm, vaginal discharge) comes into contact with them.

A newborn baby can become infected with gonorrhea when passing through the birth canal of an infected mother. This method of transmission is called generic. In this case, the baby develops acute purulent gonorrhea, which requires immediate treatment. It is not possible to ensure complete sterility of the birth canal: this is why doctors recommend curing the disease before planning a pregnancy.

Gonorrheal conjunctivitis is very dangerous for the organs of vision, and therefore requires immediate treatment.

Since the causative agent of gonorrhea can exist in the open air for no more than four hours, there is no need to fear infection through contact and household contact.

Such cases are recorded quite rarely and occur only when using personal hygiene products shared with a sick person at the same time: towels, napkins, underwear, razors. It is almost impossible to contract gonorrhea in a swimming pool, through a toilet rim, a bench in a public bath, as well as when using shared utensils and drinking from the same bottle.

Studies have found that from 10 to 40% of patients with gonorrhea are also infected with chlamydia.

Symptoms

Gonorrhea, like any other disease, has general and specific clinical manifestations. General ones are directly related to changes in the state of the whole organism and its reaction to the introduction of a pathogen, therefore they develop earlier than others. Specific symptoms are characterized by changes in the genitourinary system. During the incubation period of the disease there may also be no pronounced symptoms. Therefore, the importance of annual preventive medical examinations in order to identify ailments increases.

Common symptoms of the disease include:

• increase in body temperature to 37–38 degrees;
• sweating;
• constant weakness;
• increased fatigue and irritability;
• headaches and dizziness;
• loss of appetite;
• nausea and vomiting;
• decreased performance;
• impaired concentration.

Local manifestations include:

• itching in the genital area;
• burning sensation of mucous membranes;
• discharge of a purulent nature (dark green, yellow or brown, viscous, with an unpleasant odor);
• swelling and redness of the vaginal mucosa;
• cramping pain in the lower abdomen;
• discomfort and discomfort during sexual intercourse;
• pain when urinating;
• in severe forms - the formation of mucopurulent plaque on the tonsils, hard and soft palates, the inner surface of the cheeks, and the conjunctiva of the eye.

Photo gallery: specific manifestations of gonorrhea in women

Dystrophic changes and pustules are observed in the area of ​​the soft palate There is discharge in the genital area Discharge from gonorrhea is purulent in nature

The first signs of the disease

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

The first signs are often confused with other, more innocent diseases:

• the appearance of discharge and itching is attributed to candidiasis (thrush);
• Frozen feet and cystitis are blamed for pain in the lower abdomen and during urination, and increased urge to empty the bladder.

This negligent attitude towards one’s own body is aggravated by the characteristic feature of the course of gonorrhea in women: in most cases, the disease produces erased symptoms.

Video: symptoms of gonorrhea

Diagnostics

An experienced doctor will be able to make a preliminary diagnosis based on the patient’s complaints. The nature of the discharge, its frequency, color, smell and consistency are decisive in this matter. But it is also necessary to carry out a general examination to detect changes in the genital area. In severe cases of the disease, the mucous membranes of the oral cavity, pharynx and even the conjunctiva of the eye are involved in the pathological process. A special role is given to collecting anamnesis: if the patient had unprotected sex or her partner was diagnosed with gonorrhea, there is no need to even doubt the diagnosis.

If the disease occurs without pronounced clinical symptoms (latent, sluggish form), it is necessary to perform a special provocative test. Its essence consists in introducing irritants of various nature into the body:

• biological (gonococcal vaccine);
• chemical (Lugol's solution);
• mechanical (metal spoon);
• food (very spicy food).

In response to provocation, the patient experiences a marked increase in clinical symptoms and massive discharge appears. This helps to make a reliable diagnosis and move on to specific research methods.

What diseases are differentiated with?

Gonorrhea is a fairly typical disease that has general and local symptoms that make it possible to confuse it with other similar ailments. To fully understand the diagnosis, doctors use laboratory research techniques. Most often, gonorrhea has to be differentiated from the following ailments:

Gonorrhea is quite often a concomitant infection. Along with it, the patient is usually diagnosed with chlamydia, trichomoniasis, as well as hepatitis C, papilloma virus and even human immunodeficiency virus. That is why it is necessary to carry out extensive diagnostics aimed at identifying several pathological conditions at once.

Laboratory research methods

Gonorrhea cannot be detected using instrumental research methods: functional and morphological changes in the genitourinary system in the form of adhesions and pustules form in the later stages of the disease.

That is why doctors use laboratory diagnostics: these techniques help to isolate the causative agent of the disease, as well as choose specific therapy. For each of the laboratory diagnostic methods, it is necessary to take a smear: for this, the patient is asked not to self-medicate for several days and not to perform vaginal hygiene using antiseptics.

The special tube for taking a smear is completely sterile, which eliminates errors in the test results

The main research methods are:

Treatment of gonorrhea

Treatment of gonorrhea is a complex process that can last more than one week. Patients who want to cure the disease completely should be patient and under no circumstances interrupt the prescribed treatment regimen: this can provoke an exacerbation and cause the development of many complications.

Gonorrhea is treated by a venereologist: with such discharge, patients often turn to a gynecologist, who sends them to the right specialist.

Basic principles of treatment for gonorrhea:

• rational use of broad-spectrum antibiotics;
• use of anti-inflammatory therapy;
• strengthening the overall immune status of the body;
• organizing a balanced diet for the patient;
• the use of physiotherapy during the healing process;
• compliance with the requirements of secondary prevention: use of barrier contraception and compliance with personal hygiene rules.

Drug therapy

Drug treatment of gonorrhea is carried out using both systemic and local agents. The former include tablets and mixtures, while vaginal suppositories and tablets, as well as ointments and creams, are prescribed for local use. Remember that each drug has its own indications and contraindications for use: this determines a specific approach to the treatment of each patient.

Do not forget about side effects: antibacterial therapy is quite aggressive towards the body.

Table: medications used to treat gonorrhea

Group of drugs	Examples of drugs	Effects of medication use
Antibacterial drugs	Amoxiclav; Ampiox;	Destroy bacterial pathogens of gonorrhea
Anti-inflammatory drugs	Nimesulide; Ketotifen;	Relieves inflammation, itching and pain
Immunostimulants	Taktivin; Timalin; Thymogen.	Activate the activity of the human immune system
Probiotics	Bifinorm; Bifidumbacterin.	Normalizes the composition of vaginal microflora
Local antiseptics	Chlorhexidine; Furacilin.	Reduces the ability of gonococcus bacteria to reproduce

Photo gallery: drugs for the treatment of gonorrhea

Amoxicillin is a broad-spectrum antibiotic that can be used to defeat the pathogen gonococcus Ibuprofen has anti-inflammatory properties Bifiform restores intestinal microflora after antibiotic therapy Miramistin is a local antiseptic that helps get rid of gonorrhea as a means of complex therapy

Physiotherapeutic techniques

Physiotherapy is a field of medicine that is based on the use of various physical phenomena to eliminate any pathology. In the treatment of gynecological and venereological diseases, these techniques acquire particular importance: they have a gentle therapeutic effect and do not harm the body in any way.

The number of procedures is prescribed by a medical rehabilitation doctor depending on the form and stage of the disease.

Table: Use of Physiotherapy to Treat Gonorrhea	Name of physiotherapy method	Essence of procedures
Effects of treatment	Magnetic therapy	Irradiation of a certain area of ​​the human body with magnetic fields of varying frequencies and strengths
Reducing pain and tissue swelling	Darsonvalization	The use of alternating current sources to treat ailments: an electrical charge passes through the patient's body
Stimulates metabolic and regenerative processes in the body	Ultrahigh frequency therapy	The body is exposed to a very high frequency magnetic field
Reduces reflex spasms, helps reduce the intensity of the inflammatory process	Electrophoresis	Using direct current to introduce drugs into the body

Faster absorption of the drug in the desired area of ​​the body

In what cases is surgical treatment indicated?

Gonorrhea is a rather dangerous disease that can lead to the formation of numerous connective tissue adhesions or small pustular infiltrates in the body. Most often, such pathologies are detected by doctors during ultrasound examination or magnetic resonance imaging. Adhesions disrupt the processes of embryo implantation and interfere with the normal development of pregnancy, and pustular formations serve as a source of development of other inflammatory diseases.

Surgical intervention is carried out in two ways: traditional tissue dissection and using endoscopic instruments.

In the first case, the doctor makes a wide incision in the lower abdomen, and in the second, the instruments enter the body through a small hole. Next, adhesions are excised, pustular formations are opened and removed, and special drains are installed to drain the contents. At the end of the operation, the wound is carefully sutured. After a few days, the drains are removed, after which the patient is discharged and sent home for further treatment.

Treatment of gonorrhea with traditional methods

Traditional medicine is widely used to treat many diseases of the genitourinary system. These products are quite simple to prepare, do not require large-scale expenditure on ingredients, and are also highly effective. But it is worth remembering that with the help of traditional methods it is impossible to completely eliminate the cause of the disease - gocococcus; only official medicine deals with this.

However, traditional methods can provide significant assistance to the body in recovery:

1. Pour ten sprigs of fresh dill with hot water. After cooling, collect the resulting solution into a syringe, and use it to wash the vagina several times. Dill infusion relieves inflammation and itching well, and also alleviates other symptoms of gonorrhea. Treatment is carried out for two weeks, twice a day.
2. Soak a cotton-gauze swab in a soda solution (two teaspoons of soda per half liter of water). Place it in your vagina overnight. Remove it the next morning. Soda alkalizes the microflora of the genital organs, which prevents further development of the pathogen. It is recommended to repeat the procedure three times a week until complete recovery.
3. Brew two sachets of chamomile in a glass of boiling water. After the infusion has cooled, gently wipe the external genitalia and urethra using cotton pads soaked in it. Chamomile relieves burning sensations and helps eliminate unpleasant discharge and odor. It is necessary to carry out this procedure every day until the symptoms disappear.

Photo gallery: folk remedies for gonorrhea

Dill helps relieve itching Chamomile has anti-inflammatory properties Soda has a bactericidal effect

Video: treatment of gonorrhea according to traditional recipes

Diet

When fighting an infection, the body is in a constant state of stress and spends a lot of energy restoring reserves. During this period, it is especially necessary to maintain the optimal amount of proteins, fats and carbohydrates supplied with food.

It is better if the dishes are prepared by boiling, stewing or baking: fried foods contain a lot of fat, which makes digestion difficult and is poorly absorbed by the body.

• dairy products (cheese, yoghurt, sour cream, cottage cheese, fermented baked milk, kefir) and milk;
• fresh vegetables, berries and fruits;
• lean meat (chicken, turkey);
• fish and seafood;
• cereals (buckwheat, pearl barley, rice, rolled oats, millet);
• legumes and peas (beans, chickpeas, lentils);
• nuts (almonds, hazelnuts, peanuts, walnuts);
• berry and fruit drinks and freshly squeezed juices;
• green tea.

Photo gallery: what should be included in the diet for gonorrhea

Vegetables and fruits are essential suppliers of vitamins to the body. Dairy products replenish calcium levels Green tea tones the body and helps remove waste products of pathogenic microorganisms

During treatment for gonorrhea you should avoid:

• instant products (convenience foods, fast food);
• various sweets (sweets, chocolate, marshmallows, marmalade, sweet pastes);
• bakery products and industrial pastries with cream;
• chips and crackers with spices;
• dried and smoked meat;
• carbonated drinks;
• alcoholic drinks;
• canned food

Photo gallery: what should be excluded from the diet

Canned food contains many additives
Carbonated drinks contain a lot of sugar - a source of fast carbohydrates Fast food products contain a lot of fat and unhealthy carbohydrates

Prognosis and complications

Treatment of gonorrhea is a complex process that can take from two weeks to six months. There are many factors that influence the duration of therapy: age, stage of the disease, the presence of other sexually transmitted infections, resistance of gonococcal microorganisms to the action of antibacterial drugs, as well as the conscientiousness and responsibility of the patient. Gripper is a type of disease that can be completely cured.

Acute gonorrhea is treated much faster and easier than chronic gonorrhea. This is directly related to the state of the human immune system, as well as the gradual adaptation of the gonococcus to the methods and means of therapy.

The following complications may occur with gonorrhea:

Gonorrhea and pregnancy

Pregnancy itself is a stressful state for a woman’s body. During this period, she is responsible not only for her own health, but also for the health of the baby growing inside her. The development of gonorrhea during pregnancy can cause serious complications for both mother and child. That is why doctors recommend treating the disease in advance.

Gripper needs to be treated before pregnancy

Complications of gonorrhea during pregnancy:

• intrauterine infection of the fetus;
• disruption of embryo implantation into the uterine cavity;
• infection of the amniotic sac and embryonic membranes;
• premature discharge of amniotic fluid;
• impaired oxygen delivery to the fetus (hypoxia);
• premature birth;
• miscarriages and spontaneous abortions;
• birth of children with chronic gonorrhea;
• stillbirth;
• development of bleeding in the mother during childbirth.

Prevention

Gonorrhea is a typical infectious disease that is sexually transmitted. But you can reduce the risk of its development to completely insignificant numbers. Prevention of gonorrhea is aimed at strengthening general immunity, preventing contact with the pathogen and normalizing the vaginal microflora.

1. To avoid developing gonorrhea, follow a few simple rules:
2. Avoid casual sex. Loyalty and abstinence are the basic principles of preserving a woman’s health. With a large number of irregular intimate contacts with different partners, the risk of contracting gonorrhea and other dangerous infections increases several times.
   When having sex with an untested partner, use a barrier method of contraception. Condoms can protect against most infections, including gonorrhea: the causative agent of the disease does not penetrate through the pores of latex.
3. You can buy condoms at any pharmacy
4. Douche and rinse the vagina with Miramistin solution immediately after unprotected sexual intercourse with an untested partner. This drug helps neutralize the pathogenic effect of gonococcus and causes its death. For the procedure, it is recommended to use a special small vaginal syringe. Remember that such actions are effective only in the first few minutes after the end of sexual intercourse.
   Perform hygiene procedures every evening. The health of the genitourinary tract largely depends on the presence of beneficial bacteria that perform a protective function. If you do not change your underwear every day and bed linen once a week, there is a high probability of the death of beneficial microflora and the proliferation of harmful ones, which helps create a better environment for the development of gonorrhea. To maintain optimal balance, it is recommended to use intimate hygiene products.
5. Before planning a pregnancy or if any doubtful symptoms appear, be sure to consult a gynecologist. Keep in mind that a truly reliable diagnosis can only be made by an appropriately qualified doctor.
6. Regularly undergo preventive medical examinations and tests. Smears are used for timely diagnosis of many genital diseases. Every woman should be examined by a gynecologist once every six months to determine primary and secondary ailments.
7. Play sports. With a sedentary and inactive lifestyle, discomfort in the pelvic area quite often occurs. These are stagnant phenomena associated with insufficient blood circulation throughout the body. Unfortunately, they make a woman more vulnerable to the action of pathogenic microorganisms. To avoid such complications, do a light warm-up (no more than fifteen minutes) during each working day. The general condition of the immune system is beneficially affected by visiting the pool or gym, doing yoga, dancing or jogging in the fresh air.
   Yoga helps eliminate blood stagnation in the body
8. Treat chronic diseases. The body is an interconnected system in which one pathological process can give impetus to the development of another. That is why doctors recommend getting rid of the problem immediately, even if it does not cause significant inconvenience and does not affect the quality of life. Remember that a healthy and strong body has a much lower risk of acquiring a chronic illness.

Gonorrhea is transmitted exclusively through sexual contact. Outside the body, bacteria die quickly, and a certain amount of them is required for infection. The causative agent of the disease is gonococcus. The main areas that the disease affects are the rectum, cervix, urethra, pharynx and eyes. If infection occurs during pregnancy, it causes serious health problems for the newborn. The symptoms of gonorrhea in girls are similar to other sexually transmitted infections, but have their own nuances. The diagnosis is confirmed based on tests.

The first signs of infection in women

A feature of the manifestation of gonorrhea in women is the likelihood of asymptomatic development of the disease. Some symptoms are initially misdiagnosed by patients. The disease is accompanied by white-yellow vaginal discharge, which is almost identical to thrush. Pain in the urethra is similar to cystitis. Treating the disease based on symptoms is not successful. To properly get rid of gonorrhea, you need to undergo a course of examination and get tested.

The incubation period of gonorrhea ranges from 5 to 10 days, depending on individual factors. Some women find out about the disease unexpectedly. Their disease develops almost asymptomatically. Signs of gonorrhea in women include frequent urination and slight discomfort in the genitals. The first symptoms are expressed in those parts of the body through which the gonococcus entered the body. Often a signal of illness is general weakness, hand tremors, and fever.

Gonorrhea symptoms

Of particular importance is the method of contact with an infected man. If normal sexual intercourse was performed, then the gonococcus enters the vagina and uterus. In other forms of sexual intercourse, it enters the body through the duodenum or pharynx. There are general symptoms of gonorrhea in women and those characteristic of a specific individual situation. The second group includes watery eyes, sore throat, frequent urge to urinate, and inflammation of the rectum.

Symptoms of gonorrhea in women are:

• cloudy or white-yellow vaginal discharge;
• sharp sore throat (resembles a cold, but is not accompanied by additional symptoms);
• bleeding between menstrual cycles;
• pain in the lower abdomen;
• difficult, painful urination.

Acute form

Symptoms of gonococcal infection appear a few days after contact or remain invisible for a long time. In the acute form of the disease, the symptoms are always pronounced. A woman notices the first signs after 10-14 days. The labia become red, itching and pain are felt during urination, and a copious cloudy yellow mass is discharged from the vagina. The patient experiences frequent headaches, general weakness and apathy.

Chronic

Gonorrhea may develop asymptomatically and not manifest itself for several months. Such signs are characteristic of the chronic form of the disease. The risk of the disease increases due to the risk of developing additional complications. A woman learns about the fact of infection with gonorrhea during the diagnosis of infertility, the discovery of scars on the fallopian tubes or other abnormalities of the body.

Diagnostic methods

The fact of infection with gonococcus is confirmed by laboratory tests. A visual examination or patient complaints are not enough to accurately establish the fact of a sexually transmitted disease. The doctor prescribes a number of procedures that the woman needs to undergo. Mandatory among them are culture, blood and urine tests, general smear. Diagnosis is carried out based on the results of the following procedures and tests:

• smear on the flora (vaginal discharge, cervix, urethra are examined, the inflammatory process is established);
• enzyme immunoassay and direct immunofluorescence (discharge from the urethra, vagina, and cervix are examined for the presence of pathogen antigens);
• DNA diagnostics (urine is also examined with secretions);
• culture (discharge from the vagina, urethra, and pharynx is taken for examination);
• detection of antibodies in the blood (the material for analysis is blood).

Blood and urine are considered the best indicators for determining inflammation in the body. During the development of sexually transmitted diseases, the number of leukocytes changes. Based on a comprehensive examination and the patient’s complaints, the doctor makes a diagnosis of the presence or absence of gonorrhea. If infection is detected, the disease is treated in several stages. The drugs are selected according to the form of the disease and the characteristics of the woman’s body.

Gonorrhea is an infectious disease transmitted primarily through sexual contact. The danger of the disease is that the symptoms in women with gonorrhea are blurred and unnoticeable, and the consequences can be critical. The most dangerous complication is infertility.

The pathogenic organisms are gonococci. They are transmitted through any sexual contact: vaginal, oral, anal, etc. In domestic conditions, the likelihood of infection is minimized; gonococci are not transmitted by airborne droplets, nor through saliva. Let's take a closer look at the symptoms and treatment of the disease.

Gonorrhea symptoms

The development of symptoms of this disease is relatively slow. The incubation period for the development of infection ranges from 5 to 20 days. This means that a woman can feel the first signs of the disease only after 5 days. Of course, with weak immunity, the disease may appear earlier, but this will be an exception to the rule.

It is worth noting that chronic gonorrhea and its acute form have different symptoms. In this section we will talk about the acute form of the disease, which causes the most discomfort.

• Vaginal discharge. After the incubation period of gonococci, the vagina begins to exude a white or yellowish oily discharge. They have an unpleasant odor, similar to thrush. Often, women start taking medications for thrush, which makes the process of identifying the disease and its treatment more difficult.
• Itching in the groin area. This symptom should be considered inextricably with the previous one. Such itching can be felt due to poor hygiene or allergies, but if there is discharge, then the itching should be considered as a second alarm bell in the direction of gonorrhea.
• Pain in the lower abdomen. Every day after the infection incubates, the pain intensifies. At some point, it will be extremely difficult to cope without painkillers. Blood begins to come out of the vagina. Body temperature rises to 39 degrees Celsius.
• Painful urination. Inflammation in the groin area leads to blockage of the urethra. This makes it painful to go to the toilet, and the frequency of urination becomes more frequent.
• A sharp decrease in immunity. Against the backdrop of a weakening of the body's protective functions, colds and other viral or bacterial ailments most often occur.

The chronic form of the disease is much simpler. If a woman can withstand the pain of an acute form and not be treated, then the infection will penetrate deep into the body. After this, the infection weakens, falls asleep, and the symptoms become dull and blurred. This is a very dangerous period, the infection constantly poisons the body from the inside, but the sick person does not feel it. If you don’t feel it, it means it can’t be treated. If a woman continues to be sexually active, she infects other people.

Causes

Since gonorrhea is a sexually transmitted infection, all routes of infection are somehow related to sexual contact. The lion's share of all infected people have promiscuous sex and an unhealthy lifestyle.

Let's consider the risk groups for the disease. Who is most susceptible to gonococcal infection? If you fall into one of these categories, get a comprehensive screening for sexually transmitted infections.

• Prostitutes. Prostitution involves close contact with different partners on an ongoing basis. It is impossible to determine which partner will be the carrier of the infection. Using a condom does not help, since sexual intercourse among women of this profession occurs too often. The same applies to men who use the services of prostitutes.
• Deviant sex lovers. Sexual games involving multiple sexual partners increase the likelihood of introducing an infection into the body.
• Preferring sex without a condom. A condom reduces natural sensations, so sometimes people don't want to protect themselves. This kind of sex is especially practiced by regular partners, but even in this case there is a chance of contracting an infection if the man was infected in water, for example, and he did not know about it.
• Public pool lovers. This is not a rare case of infection. Visit only public bathing areas that are thoroughly disinfected.
• From a permanent partner. Even if a lady leads a correct lifestyle in every sense, the “other half” can have mistresses on the side. And they can be infected.

Other routes of infection are unlikely. A child can become infected while in the womb of an infected mother. Therefore, before possible conception, it is necessary to undergo comprehensive examinations for various types of diseases at the clinic.

Diagnostic methods

The sooner you start treating the disease, the easier the body will tolerate health procedures. As soon as you begin to feel any changes in the lower abdomen, be sure to visit the clinic and undergo the necessary laboratory tests.

Diagnosis is carried out in different ways. If it is not possible to see a doctor, then there are quite accurate home research methods. We present you a list of diagnostic methods.

• Smear. It is taken from the vagina, anus, and urethra. The procedure is performed only in a clinical setting. The smear is analyzed for color.
• Pharmacy tests. Express tests have a small error; we recommend conducting at least two tests in a row. But this is a good alternative to classical research.
• Enzyme analysis. In the laboratory, urine is taken for analysis and examined for the interaction of enzymes in the composition.
• Blood analysis . Blood is taken from a vein, structural changes in composition, the ratio of leukocytes and erythrocytes are studied.
• Immune Fluorescence Assay. This method is similar to the analysis of the color of the discharge, only changes in the body's defense reactions are studied rather than infectious cells.

These are the main diagnostic methods. They are enough to make a correct diagnosis and begin treatment. Correct identification of the disease will prevent complications, which will be discussed now.

Possible complications

Gonorrhea itself is a dangerous and serious disease. But the situation gets worse when additional, concomitant diseases appear. Then the recovery process is delayed several times, and the symptoms cease to be simple and transparent.

We recommend treating complications only in a hospital setting; doctors will help avoid chain reactions of infections. If a complication appears, it will certainly lead to another, and gonorrhea will become only part of the overall “bouquet” of diseases.

• Decreased sex drive. Women's libido depends on stressful situations. Diseases in the genital area have an extremely negative effect on libido, even to the point of aversion to the opposite sex.
• Inflammation of the labia. It is not the lips themselves that are susceptible to inflammation, but the glands. But unpleasant sensations occur specifically on the labia, which leads to discomfort when walking, running and other movements.
• Infertility. The most painless, but tragic complication. If you do not pay attention to the disease in time and bring it to a chronic state, then the likelihood of atrophy of the uterus develops exponentially.
• Conjunctivitis. During gonorrhea, infectious blisters may appear on the labia. They itch and hurt, although they do not cause irreparable damage to the body.
• Giving birth to a child with an infection. Mothers worry less about their own health than about the health of their own child. To prevent the infection from being passed on to your offspring, take care of tests before conception.

To avoid complications, you need to choose the right treatment after a quality diagnosis. It is better to entrust this process to professionals at the clinic. This is not a runny nose, which, if chosen incorrectly, develops into sinusitis; gonorrhea can deprive you of the opportunity to have offspring.

Treatment of gonorrhea in women

After diagnosing the disease, the doctor prescribes treatment, which must be strictly followed. Moreover, a man also needs to take medications if he is a regular sexual partner. If only one person is treated, the second person will constantly infect him.

The “double” treatment rule applies not only to gonorrhea, but also to other sexual diseases, including thrush. Let's consider the treatment algorithm:

1. Antibacterial drugs. Sumamed, Ceftriaxone, Azitrox, Cefixime - all these drugs fight the development of gonococci.
2. Immunomodulators. An optional component of treatment, but they speed up the healing process several times.
3. Washing the genitals. The best medicine for washing is Miramistin; it cleanses the vagina and urethra of all pathogenic microbes, disinfects exposed flesh and does not disturb the microflora.
4. Application of Levamisole. This is a drug specifically designed against gonococcus infections. It is a vaccine that can also be used after recovery.

In extreme cases, when the female body does not respond to treatment, when the infection has developed immunity to antibacterial drugs, doctors may resort to surgery. During the operation, the appendages are removed and the abdomen is washed. The likelihood of getting pregnant after such an operation is greatly reduced.

Prevention measures

Prevention of such a disease is correlated with the causes of its occurrence. In other words, just don’t do what is described in the section with the main routes of infection with gonococcus. But seriously, there are indeed a number of important rules that will help you avoid primary infection or relapse.

For prevention to work, try to follow at least a few of the presented tips in full.

• Maintain good hygiene. This way you will not only partially get rid of the likelihood of getting a gonococcal infection, but also get rid of related vaginal ailments.
• Have a limited number of sexual partners, it is advisable to limit yourself to one, but the most trusted one.
• Never use someone else's underwear, even if a close friend offers it to you, to swim in the lake when you did not take your swimsuit with you.
• Lead a healthy lifestyle and improve your immunity. Good body defense will prevent you from getting sick, even if the infection gets inside. The immune system will quickly destroy it.

Conclusion

Gonorrhea is a dangerous infection that is sexually transmitted. It has mild symptoms and serious consequences, which makes the disease the most dangerous enemy of the female body. Instead of treating a disease, try to prevent it. With gonorrhea it’s as easy as shelling pears, it’s not a runny nose that you can catch without any control. Maintain an orderly lifestyle and maintain hygiene. Try to have a permanent sexual partner whom you can completely trust with your health.

If the information in the article was useful to you, share it on social networks, tell your friends and acquaintances about the existence of such an unpleasant and dangerous disease. We will also be glad if you share your experience of dealing with this infection in the comments, so you can help other people get rid of the disease. Be healthy!