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» Symptoms and signs of gonorrhea. The main symptoms and the incubation period of gonorrhea How long is the incubation period for infection with gonorrhea

Symptoms and signs of gonorrhea. The main symptoms and the incubation period of gonorrhea How long is the incubation period for infection with gonorrhea

The first symptoms and signs of gonorrhea often appear quite quickly. After infection with gonorrhea from a carrier of the infection, the infected person begins the incubation period of gonorrhea, the duration of which may be different. In men, the incubation period for gonorrhea is usually 2 to 5 days; in women - from 5 to 10 days, but the incubation period may be longer - up to a month or even more. The duration of the incubation period depends on the general state of the person's immunity, concomitant diseases, medication (in particular, the incubation period of gonorrhea can be delayed if the patient is taking antibiotics for any reason). After the end of the incubation period, a patient with gonorrhea shows the first signs of the disease.

However, before talking about the main symptoms of gonorrhea, it is worth recalling that quite often gonorrhea at an early stage is asymptomatic, especially in women.

According to venereologists, 50-70% of women with gonorrhea do not experience any unpleasant sensations associated with it. Among men, the percentage of patients with asymptomatic course of gonorrhea is less than among women. About 1 in 10 men with gonorrhea have no symptoms of the disease. In recent years, according to some reports, the incidence of asymptomatic gonorrhea has increased to almost 90%. One of the explanations given by doctors to an increase in the number of cases of asymptomatic or asymptomatic course of gonorrhea is that under the influence of antibiotics, which modern people take quite often, the biological properties of gonococci change. Small doses of antibiotics can reduce the activity of gonococci, but do not cure the body of gonorrhea. The asymptomatic carrier of gonorrhea remains infectious for sexual partners, the disease continues to progress, affecting his body.

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In other cases, after the end of the incubation period, the first signs of an acute form of gonorrhea appear. The course of the disease and its symptoms depend primarily on which organ is affected by gonococci. Since most often the genitourinary organs are the first to suffer, the most common symptom of gonorrhea is gonorrheal urethritis, that is, inflammation of the mucous membrane of the urethra.

Typically, the first sign of gonorrheal urethritis is a burning sensation and pain in the urethra when urinating. After 1-2 days, the symptoms of the disease increase sharply: the external opening of the urethra swells, abundant purulent yellowish-brown discharge with an unpleasant odor appears from the urethra. After a while, the discharge becomes thicker, and the opening of the urethra becomes red, edematous, and small ulcers may appear on it.

In men, discharge, from which yellow-green spots remain on the underwear, can appear spontaneously or when pressing on the glans penis. The sponges of the urethra become inflamed and slightly painful. In the absence of competent adequate treatment, the process extends to the entire urethra, as well as to the prostate, seminal vesicles and testicles. Urination becomes painful, frequent, and difficult. Blood may be present in the urine, and the urine itself becomes cloudy. In some cases, the patient's temperature rises, chills, pain during bowel movements, pain in the lower abdomen may occur.

Symptoms of gonorrheal urethritis in women are usually less common and therefore not always correctly evaluated. For example, a woman's yellowish-white vaginal discharge is commonly associated with candidiasis (thrush); pain when urinating - with cystitis.

If the course of gonorrhea is not asymptomatic, then gonorrhea usually begins with an increased urge to urinate and the appearance of vaginal discharge. Gonorrhea in a woman is a multifocal process, since internal organs are quickly involved in it, the cervix and the overlying parts of the genital organs are especially often affected. The cervix can become inflamed and swollen, and mucopurulent or purulent discharge is observed on it. Unlike male discharge from the urethra, discharge in women is rarely visible during external examination, so women quite often do not notice the symptoms of gonorrhea in themselves and do not go to the doctor. This situation is very dangerous, because a woman's neglected gonorrhea can pass from the cervix to the uterine lining, fallopian tubes, and ovaries. In this case, there is a risk of consequences such as ectopic pregnancy, infertility, complications during childbirth.

If, after infection with gonorrhea from a sick sexual partner, gonococci do not enter the genitals, but into the oral cavity (infection during oral contact), gonorrheal stomatitis and gonorrheal pharyngitis may develop. More often, gonorrheal stomatitis and pharyngitis are observed in men of unconventional sexual orientation and in women. As a rule, pharyngitis with gonorrhea is asymptomatic, but sometimes patients complain of profuse salivation and sore throat. Sore throat with gonorrheal pharyngitis is often mild, but sometimes severe. Swallowing may be difficult, redness of the pharynx and tonsils is often observed, the appearance of mucopurulent plaque on them, edema of the uvula and palatine arches.

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If the infection occurs during anal contact, then the gonococci enter the rectum, due to which its inflammation develops - gonorrheal proctitis. This variant of gonorrhea is also more common in gay and bisexual men and women. In women, gonorrheal proctitis can occur not only after anal intercourse, but also as a result of the leakage of infected vaginal discharge after traditional intercourse. In this case, both the genitourinary tract and the rectum are affected by gonococci. Gonorrheal proctitis may be asymptomatic, and may manifest as rectal discharge, pain and itching around the anus. In homosexual men, a more severe form of gonorrheal proctitis sometimes occurs, in which rectoscopy can reveal mucopurulent plaque on the rectal wall.

Finally, in both men and women, infection with gonococci of the mucous membrane of the eyes is possible. The resulting pronounced inflammation with profuse purulent discharge is called blenorrhea. In addition, gonorrhea can affect the joints, heart, and other organs. In women, purulent inflammation in the abdominal cavity (peritonitis) is possible.

If the treatment of gonorrhea is absent or carried out incorrectly, then after a few weeks the disease can become chronic. In chronic gonorrhea, acute pain is absent, symptoms are subtle or invisible at all. A characteristic symptom of gonorrhea is the so-called morning drop syndrome. It consists in the fact that after a night's sleep at the external opening of the urethra, a drop of turbid liquid containing pus is noticeable. With the transition of gonorrhea to a chronic form, acute pain disappears, discharge from the urethra decreases or stops altogether, and the "morning drop syndrome" persists, showing that gonorrhea has not disappeared. In addition to the "morning drop syndrome" in the chronic form of gonorrhea, there may be discomfort when urinating.

The periods of remission in the chronic form of gonorrhea alternate with periods of exacerbation, which each time lead to even deeper changes in the affected organs and to the further spread of the inflammatory process. The impetus for the exacerbation of gonorrhea and the appearance of an ascending process can be hypothermia, and in women, menstruation, childbirth or abortion. Long-term chronic gonorrhea can be the cause of sexual disorders, the formation of frigidity in women, infertility.

The chronic form of gonorrhea is treated much harder than the acute one, so we repeat that the earlier the treatment of gonorrhea is started, the more the patient has a chance of a complete recovery. It is necessary to consult a doctor at the first symptoms of the disease or even at the first suspicion of the possibility of contracting gonorrhea.

If you notice strange symptoms or, more importantly, feel some kind of "malfunction" in the genital area, do not hesitate to visit your doctor. Gynecologists, urologists and venereologists of our medical center "EUROMEDPRESTIGE" are always ready to help you to be healthy and happy. At your service is not only advice, a full range of tests, the latest treatment methods, but also the possibility of drug prevention of gonorrhea after unprotected sexual intercourse.

Gonorrhea in women at the initial stage in almost 50% of cases is not accompanied by symptoms. For this reason, it is often not possible to identify it in a timely manner. And this further entails serious health complications. For this reason, it is worthwhile to carefully study the main features of this pathology.

Sexually transmitted diseases are among the most common, and they can befall both men and women. The main reasons for these ailments are considered to be non-observance of necessary hygiene, as well as a promiscuous lifestyle. Particular attention should be paid to gonorrhea, or as the common people call it "gonorrhea". This disease manifests itself in many women, while it causes a lot of problems.

  • What is gonorrhea
  • Ways of infection with gonorrhea
  • Symptoms
  • Forms of gonorrhea
    • Sharp
    • Chronic and latent
  • Gonorrhea during pregnancy
  • Diagnostics
  • Treatment
    • Where to get tested for gonorrhea
  • Complications
  • Prophylaxis

What is gonorrhea

Gonorrhea is a sexually transmitted disease that causes gonococcus. It is a conditionally pathogenic microorganism, gram-negative bacterium. During this ailment, purulent inflammation is usually observed, but it manifests itself only in advanced stages.

Gonorrhea in women is sexually transmitted. This ailment can manifest itself even with a single sexual contact with a patient, the probability of its occurrence is from 60 to 90%. You can get infected with this ailment even during your period. And in almost 80% of cases during gonorrhea, Trichomonas or chlamydia appears.

Often, pathogenic bacteria infect the mucous membrane of the urogenital canal. If timely treatment is not taken, then in the future it may be accompanied by the development of infertility, as well as other serious diseases of the organs of the reproductive system.

Ways of infection with gonorrhea

Gonorrhea in women can be spread in a number of ways. It is worth remembering that this ailment is quite dangerous to health, if it is not detected in time, then it can cause serious harm to the body in the future. It is advisable to first study how it is transmitted in order to further protect yourself from it.

The following routes of transmission of gonorrhea are distinguished:

  • the main route of transmission of an infectious disease is sexual. Infection can enter the body through unprotected vaginal and anal intercourse. With traditional intercourse with an infected person, infection is observed in 20-50% of cases. With oral intercourse, this figure is much lower;
  • if intercourse is promiscuous, perverted, then inflammation can develop in the rectum, pharynx, tonsils. The disease can be transmitted through vibrators, sex toys of an infected person;
  • the disease can be transmitted from a sick mother to a child during childbirth. At the same time, gonorrheal conjunctivitis is observed in newborns, which is accompanied by the formation of large ulcers. When they heal, pronounced scars are formed. Often this ailment causes the development of blindness;
  • for many little girls, the sources of infection can be things, various objects that belong to a sick mother.

It is worth paying attention to the fact that bacteria have low resistance to environmental conditions. For this reason, gonorrhea cannot be transmitted through kissing, shaking hands, through the patient's personal belongings, through cutlery, the toilet and in swimming pools.

Symptoms

How does gonorrhea manifest in women? Initially, there are no symptoms with gonorrhea. For this reason, you can simply not notice it. This often leads to serious health complications. Symptoms of gonorrhea in women, as well as treatment, depends on the localization of the inflammatory process. Often during it, there is a strong lesion of the genitourinary tract, which leads to the development of purulent urethritis.

The first signs of gonorrhea in women of purulent inflammation are usually as follows:

  • during urination, there is pain, a feeling of cramps and burning;
  • in the genital area, namely the urethra, there is a clear manifestation of itching;
  • frequent urination;
  • in women, gonorrhea provokes frequent urine discharge in small portions;
  • the feeling of incomplete emptying of the bladder may persist;
  • purulent inclusions may be present in the urine.

But these are not all symptoms in women, and during this ailment, cevicitis often occurs. This condition is accompanied by inflammation that occurs in the cervical region. The main symptom is the appearance of a white discharge with a content of pus. No more signs appear.

Women may also have gonorrheal proctitis. Signs of gonorrhea in women can be as follows:

  • the manifestation of pain in the anus, sometimes itching and burning may additionally appear;
  • in the area of ​​the anus, the local temperature may increase, therefore, there may be a feeling of heat;
  • the occurrence of frequent urge to empty the intestines, often for no reason.

Forms of gonorrhea

Gonococcal infection in women can take several forms. Each has certain characteristics, it can also be accompanied by various signs. Before starting treatment, it is worth considering the main forms of this ailment.

Sharp

Gonorrhea in this form in women occurs in rare cases. The fact is that an infectious disease is asymptomatic, it begins to manifest itself only at advanced stages.

But nevertheless, sometimes an acute form of gonorrhea occurs, while it is accompanied by the following symptoms:

  • manifestation of pain;
  • itching sensation;
  • burning sensation in the perineum;
  • soreness during urination may be noted;
  • increased body temperature.

The lesion extends to the vulva, vagina, urethra, part of the rectum. At the same time, there is a strong edema of these organs, redness of the mucous membrane, there is a large amount of discharge with a mucopurulent structure, which are accompanied by an unpleasant odor.

Over time, the mucous membrane becomes fragile, it is easily injured, and extensive erosive damage occurs on it. Irritation of the surrounding areas of the skin is also noted. The size of the inguinal nodes may increase.

In the future, the inflammation goes to the area of ​​the cervix and cervical canal. The urethra is affected, an expansion of its canal is observed, and when pressed, it will be possible to see discharge from it with a purulent structure.

Chronic and latent

Often this form is detected during an exacerbation. During chronic gonorrhea, women experience redness and swelling of the vagina, but at the same time, urinary disturbances are not very pronounced. Discharge with a white-yellow structure is also noted.

The danger of this form is that it is asymptomatic for a long time. It does not appear for several months. During this period, serious additional complications may arise. Usually, a woman learns about the presence of a chronic form of gonorrhea when diagnosing infertility, identifying scars on the fallopian tubes and other disorders.

Gonorrhea incubation period

Gonorrhea will not heal immediately after infection.

The asymptomatic course of the disease can last up to 30 days. It depends on the state of the protective functions of the human immune system. Usually the latent course of gonorrhea is 5-10 days.

If a person has a weakened immune system, gonococci quickly spread in the body. The advanced forms of the disease are characterized by damage to the eyes, joints, membranes of the brain, heart.

Gonorrhea during pregnancy

You can only become infected with gonorrhea during pregnancy through sexual contact with an infected partner. Therefore, already at the planning stage, it is necessary to pass tests for STDs. Moreover, you need to do this together.

Negative tests in a woman do not guarantee the absence of gonorrhea in a sexual partner.

If during the period of bearing a child, a woman:


With a high degree of probability, a woman is infected with gonococci. You must immediately contact your gynecologist. The first symptoms of gonorrhea may appear 5-10 days after infection. If the infection has entered the uterus, the woman:

  • The pain sensation in the lower abdomen increases;
  • The discharge becomes stronger, purulent, and may contain blood;
  • An increase in body temperature is possible.

Rectal inflammation associated with gonococcal infection is virtually asymptomatic. In this case, a pregnant woman may experience:

  • Itching in the perineum;
  • Painful sensations during and after bowel movement;
  • Discharge from the anus appears.

When to get tested for gonorrhea

It is necessary to take tests for gonorrhea immediately after the first signs of the disease appear.

If you have a regular sexual partner - at least 1 time per year, with frequent change of partners, at least 1 time per six months.

It is necessary to conduct a preventive examination and people who have previously been diagnosed with gonorrhea.

When planning a pregnancy, a woman needs to be tested. It is easier and safer to be treated before conception, both for the life of the mother and for the fetus.

Couples who cannot get pregnant for a long time are prescribed tests for sexually transmitted diseases without fail.

Which doctor to contact if you suspect gonorrhea

Sexually transmitted diseases are the profile of a gynecologist, venereologist and urologist. When choosing a doctor, the main thing that a patient should take into account is the qualifications and professionalism of a specialist.

An experienced doctor, based on the test results obtained, will be able not only to decipher them and make a diagnosis, but also to prescribe an effective treatment for gonorrhea.

The treatment regimen is selected individually for each patient.

How to prepare correctly: analysis for gonorrhea

When a gynecologist assigns a woman a study for gonorrhea, it is important to follow some rules in order to exclude the unreliability of the results obtained.

Preparatory steps before taking an analysis for gonococci:

  • Finish taking antibiotics and take the test no earlier than 3-4 weeks after the course;
  • A couple of days before sampling the biomaterial, exclude sexual contacts;
  • Do not douche with antiseptic solutions;
  • Wash off with water, without hygiene products;
  • Eliminate urination 1.5 - 2 hours before taking a smear.

Diagnostics

It should be borne in mind that gonorrhea can pose a serious health hazard, therefore it is important to identify and cure it in a modern way. First of all, you need to carry out the necessary examination.

Diagnosis in venereology is performed using the following methods:

  1. Vaginal smear for flora. In this case, an analysis of smears from different organs of the reproductive system is done. A study of discharge from the urethra, vagina, cervix is ​​carried out, inflammation is installed;
  2. Enzyme immunoassay and direct immunofluorescence are performed. In this case, a complete analysis of discharge from the urethra, vagina, cervix for the presence of pathogen antigens is performed;
  3. DNA diagnostics is mandatory. Together with the discharge, urine is examined;
  4. Sowing. During the study, discharge from the vagina, urethra, pharynx is taken;
  5. Antibodies are detected in the blood.

Treatment

Symptoms and treatment are interrelated factors that determine the success of the disease cure. You should not indulge yourself with the thought that one miracle injection or pill can completely eliminate all manifestations of an unpleasant ailment. Gonococcal infection is highly resistant to various antibacterial agents. Still, how to treat gonorrhea in women?

At home, this disease can be cured only if important rules are followed:

  • for the period of therapeutic therapy, it is worth completely abandoning any sexual intercourse;
  • treatment is given to both partners. If a woman has had several sexual partners, then all should be treated;
  • in no case should you engage in self-treatment, this can lead to the fact that gonorrhea becomes chronic;
  • an experienced venereologist must select the necessary antibacterial drug, and he also prescribes its intake regimen and dosage;
  • recovery is established only after the identification of clean tests without the presence of infection.

How to treat gonorrhea in women? The following medicines are usually prescribed:

  1. Antibiotics - Ciprofloxacin, Ofloxacin, Cefixime;
  2. In chronic gonorrhea, antibiotics are combined with Trichopolum;
  3. With the simultaneous detection of chlamydia, the use of Doxycycline or Azithromycin is prescribed;
  4. Medicines with antifungal action are prescribed - Fluconozole and its analogues;
  5. Additionally, it is recommended to use local preparations - irrigation with antiseptic agents (Furacilin), vaginal suppositories, medicines to restore microflora in the vagina.

Traditional methods of treating gonorrhea

Treatment of gonorrhea with alternative medicine is not possible. This often leads to dire consequences.

Recipes can only be used as an aid. They must be approved by the attending physician and taken along with the general complex of treatment.

The absence of allergic reactions to herbal ingredients is important.

Remember! You cannot take certain drugs on your own.

This can lead to complications.

Treatment of gonorrhea with folk methods involves:


Garlic - has excellent antibacterial properties. It is recommended to eat it throughout the day. You can insert tampons soaked in diluted garlic juice into your vagina.

Infusions of birch, licorice, juniper, chamomile, dandelion and burdock leaves have medicinal properties in the fight against gonococcal infection.

Re-test for gonorrhea: when to take

It is necessary for everyone to surrender control after comprehensive treatment of gonorrhea. Its result will show the effectiveness of therapy.

If the test for gonorrhea is negative, control tests are prescribed after a while.

After a threefold negative result, the doctor states the recovery and recommends following a number of preventive rules so that gonorrhea does not reappear.

Where to get tested for gonorrhea

As soon as you find the first signs of gonorrhea, do not delay your visit to the gynecologist. You can contact both the city polyclinic to which you are attached, and the paid center.

The main thing when choosing a medical institution is the availability of experienced and qualified specialists.

There are a number of advantages for commercial centers over budget clinics:


Many paid centers in large cities are equipped with anonymous offices. This is especially appreciated by patients of both sexes.

Cost of tests for gonococci

Prices for urological services in commercial clinics are different. It mainly depends on the location of the organization and the services provided. On average, you can visit a gynecologist in the capital for 2000 - 3500 rubles.

The sampling of biomaterial for one infection ranges from 500 to 1000 rubles. In some centers, discounts are provided for repeated tests or course treatment.

Complications

Complications of gonorrhea in women can be serious:

  • bartholinitis;
  • cervical erosion;
  • the infection can spread to the area of ​​the uterus and appendages;
  • violation of the menstrual cycle;
  • decreased sex drive;
  • if infected in early pregnancy, may cause miscarriage;
  • pathology during pregnancy;
  • eye damage in a newborn child up to blindness;
  • obstruction of the fallopian tubes, ectopic pregnancy;
  • infertility;
  • in severe cases, peritonitis, heart and brain damage occurs.

Prophylaxis

The incubation period of gonorrhea is quite long, so a woman may not notice that disease for a long time. As a result, symptoms of a sexually transmitted infection can develop, and this can lead to serious health problems.

In order to avoid this, it is worth taking preventive measures:

  1. Full acquaintance with the peculiarities of the course of the disease, with its symptoms, ways of infection and complications;
  2. Compliance with proper intimate hygiene;
  3. Protected sex;
  4. Conducting regular check-ups with a gynecologist;
  5. If you find unpleasant symptoms in the genital area, you should immediately consult a doctor.

It is advisable to first look at the photos on the Internet, which will help determine what gonorrhea looks like in women. This will help avoid serious complications. But it is better to monitor the cleanliness of the genitals, observe regular hygiene and lead a decent sex life. It is imperative to remember that gonorrhea is a dangerous disease that can lead to infertility.

Emergency therapy to prevent gonorrhea

If you have had sexual intercourse with an unfamiliar partner without barrier means, you must:

  • Go to the toilet for a small one;
  • Wash the genitals and thighs with warm water and soap;
  • Conduct an antiseptic treatment of the vagina with Miramistin;
  • After 3-5 days, get tested for gonorrhea.

These preventive measures do not exclude infection, but reduce the risk of infection. After that, it is worth contacting a venereologist.

Within 72 hours after contact, it is possible to carry out emergency prophylaxis with medication.

At the slightest suspicion of gonorrhea, consult a doctor!

The incubation period of gonorrhea is the period from infection of a person with gonococcus to the onset of the first symptoms. It is individual for each person and depends on many factors: the number of gonococci caught during intercourse, their pathogenicity, the body's susceptibility to these bacteria and many others.

Gonococcal infection, getting on the mucous membranes of the cervix or in the urethra, provokes inflammation, the latent course of which may be shorter or longer than the generally accepted terms.

Venereologists identify the causes and factors that most effectively affect the duration of the incubation period for gonorrhea:

The gender of the patient. Women tend to have a longer incubation period for gonorrhea than men. This is due to the anatomical structure of the reproductive organs of heterosexual patients. The focus of inflammation caused by a gonococcal infection in male patients is located in the penis, so the symptoms appear faster and more pronounced. Most often, the incubation period in men lasts from a few hours after infection to five days, and in women from one to two weeks.

The state of the immune system of an infected person. If immunity is lowered due to chronic diseases, constant stress, unfavorable environmental conditions, then the first signs of gonorrhea can appear in a month, and sometimes even longer.

The incubation period may increase if a person who has a dubious intimate relationship was taking antibiotics at this time.

The time elapsed from infection to the onset of the first symptoms of gonorrhea depends on where the bacteria were located. Most often, the infection settles on the mucous membranes, but it also happens that gonococci penetrate into the tissues of various organs (uterus, seminal vesicles, appendages) or enter the bloodstream through microtrauma. In this case, the incubation period for gonorrhea increases. Blood has antiseptic properties, under the influence of which many bacteria die.

Age. In young people, gonorrhea is more pronounced, respectively, and the period is shorter, from several hours to two weeks. The older the patient, the less pronounced the picture of the disease, often the disease is asymptomatic, hidden, imperceptibly passing into a chronic form and manifesting itself after a few months.

13 Mar 2014, 11:05

Prevention of gonorrhea
Gonococcal infection causes a disease that is one of the ten most common sexually transmitted diseases among the world's population from 30 to ...

Gonorrhea is a sexually transmitted disease caused by an infectious gonococcus that affects the mucous membranes of the genitals and urinary organs. The course of the disease is accompanied by purulent discharge with an unpleasant odor from the vagina, inflammation of the urethra and other localization of pathogens. Symptoms of gonorrhea in women occur after a short incubation period.

Causes of occurrence

The cause of gonorrhea in women is considered to be the ingestion of the pathogen into the body during intercourse. Infection occurs with gonococci, which are diagnosed by microscopic examination and have the form of oblong grains. Household symptoms of the disease appear quite rarely, therefore they are indirect signs of the course of pathology.

Gonococci are very sensitive in the external environment, and when they enter the human body, they begin to actively develop, which leads to the onset of an acute form of the disease. The gonorrheal capsule of the pathogen is resistant to the body's immune system, so the disease develops quickly and easily becomes chronic.

Ways of infection of a venereal infection:

  • the sexual method of infection (oral, anal sex) is one of the main ones, since even with a simple contact of the genitals, infection is possible;
  • the intrauterine method when carrying a child is a great danger to the unborn baby;
  • the household method is quite rare and occurs when the patient comes into contact with others.

Time of disease development

The incubation period of gonorrhea in women is on average 5-10 days, depending on the speed of development of gonococci that have entered the body. In rare cases, the disease develops over the course of a month and there are no corresponding symptoms of pathology.

The period of development of gonococci in the body depends on factors such as:

  • the level of resistance of the immune system;
  • parallel course of other diseases in the body;
  • the use of potent medications (antibiotics, hormonal drugs).

The peculiarity of gonorrhea is that after the end of the incubation period, the primary signs of the disease appear, which do not have pronounced symptoms! Therefore, women for a long time are unaware of the presence of a sexually transmitted infection and live a normal life, while being sources of gonorrhea infection!

The progression of the disease contributes to the formation of a chronic form with a constant occurrence of relapses. After the transferred gonorrhea, the immune system does not produce protective antibodies and re-infection is possible!

Primary signs and symptoms

The first signs of gonorrhea in women can be confused with other infections. The disease can begin with the following symptoms:

  • the occurrence of severe itching in the genital area can be confused with thrush;
  • frequent urination, resembling cystitis or other inflammation of the genitourinary system.

The presence of the above symptoms in most women does not cause serious suspicion, so gonorrhea quickly spills over into an acute or chronic form!

The manifestations of gonorrhea in women have a pronounced clinical picture, and are accompanied by a parallel lesion of the genitourinary system with exacerbation of urethritis. This pathology is characterized by the following features:

  • pain during urination;
  • sharp itching and burning in the genital area;
  • excessive urination every 10–20 minutes;
  • purulent discharge from the urethra;
  • incomplete emptying of the bladder.

The course of purulent urethritis is characterized by the onset of symptoms that resemble the pathology of the genitourinary system, which contributes to the progression of gonorrhea!

With purulent vaginitis, the following symptoms appear:

  • characteristic discharge of a yellow-gray color with an unpleasant odor (pus);
  • pain when urinating;
  • lower abdominal pain;
  • bloody discharge that resembles menstruation.

Oral infection with gonorrhea implies the occurrence of gonorrheal pharyngitis, stomatitis with symptoms in the form of:

  • redness and sore throat;
  • gum inflammation;
  • the appearance of purulent ulcers in the oral cavity;
  • enlargement of the cervical lymph nodes;
  • purulent inflammation of the tonsils;
  • increased salivation.

Gonorrheal conjunctivitis has pronounced symptoms of gonorrhea:

  • severe puffiness of the eyes;
  • purulent growths in the eyelids that interfere with the opening of the eyes;
  • redness of the eyes;
  • corneal change;
  • decreased visual ability.

Pathology develops in babies in the womb when infected with gonococci and in most cases causes blindness in newborns!

When making a diagnosis, it is important to know how gonorrhea manifests itself in women with an inflammatory process on the cervix - cervicitis. This disease is characterized by the absence of painful manifestations, so you should pay attention to symptoms such as:

  • the appearance of a large amount of leucorrhoea from the vagina of non-purulent origin;
  • complete absence of discharge when a chronic process occurs.

Discharge in gonorrhea in women is of a varied nature and can be in the form of menstruation or thrush of the corresponding light or dark yellow color with an unpleasant odor. There is also inflammation of the external genital organs, so if alarming symptoms occur, you should immediately contact a qualified venereologist.

The phenomenon of gonorrheal proctitis is quite rare and is characterized by symptoms such as:

  • itching and burning in the anus;
  • an increase in temperature at the site of localization of the disease;
  • the presence of constipation and a constant desire to empty the stomach.

Gonococci can also infect the Bartholin gland and lead to purulent inflammation of the anterior vaginal walls. Manifestations during the course of this disease:

  • swelling and redness in the genital area;
  • severe pain , increasing at night;
  • fluctuation phenomenon - softening of the vagina;
  • rupture of the formed abscess in the uterine cavity and discharge of pus from the vagina.

The acute phase of gonorrhea, in the absence or improper treatment, develops into a chronic form with the constant presence of gonococci in the woman's body. Therefore, it is necessary to observe preventive, therapeutic measures during the course of pathology!

Diagnostics and possible complications

To confirm the presence of gonorrhea, a number of special measures are carried out in medical laboratory conditions:

  • examination of smears from the vagina, urethra, cervix by the Gram method. The effectiveness of this method is confirmed by 90% accuracy of the result;
  • examination of smears by analyzing bacteriological cultures in the chronic form of the disease;
  • the use of a chain polymerization reaction is rarely prescribed, since the expediency of the method has not been scientifically proven.
  • Lack of treatment or inappropriate therapy for gonorrhea can lead to serious complications:
  • purulent inflammation of the Bartholin gland;
  • the phenomenon of endometritis;
  • acute course of salpingo-oophoritis;
  • purulent lesion of the fallopian tubes;
  • the formation of a tumor of the tubo-ovarian type, when purulent softening of the ovaries, uterine tubes, and cellulose is observed.

Tripper in women is mostly asymptomatic, and if relative signs of a primary nature are detected, a laboratory study should be carried out immediately for the presence of gonococci and serious complications of gonorrhea should be prevented!

Treatment

When making a diagnosis of gonorrhea, the main task arises of how to treat gonorrhea in women. The main method of therapy for this pathology is the use of medications of various etiologies.

Treatment of gonorrhea involves the use of the following categories of medicines:

  1. ANDuse of antibioticspenicillinrow. Basically, the potassium and sodium salts contained in benzyl penicillin are prescribed. The acute course of the disease involves the appointment of a drug in the amount of 3 million units. In other forms of pathology, 4-6 million units are used. The primary dosage of the drug is 600 thousand units. The duration of treatment depends on the degree of damage and the body's ability to recover.
  2. Injections of a special solution of ekmonovocillin. The combination of benzylpenicillin with ekmoline provides a longer lasting effect and relatively quick recovery. Injections are carried out every 12 hours in accordance with the prescribed course of treatment. In an acute course, a dosage of 3 to 6 million units is used.
  3. Intramuscular injection of bicillin from a number of penicillins, which has a long-term effect, inhibits the development of gonococci. The drug is effective for mild disease and is not prescribed for the treatment of chronic gonorrhea.
  4. The use of ampicillin. The drug is an antibiotic of semi-synthetic origin. The drug is actively absorbed into the general bloodstream and quickly acts on pathogenic gonococci. The acute course of gonorrhea involves a dosage of 0.5 g throughout the day every 4 hours.
  5. L therapyevomecitin. Antibiotics of the chloramphenicol series are highly effective in gonorrhea and are prescribed during acute and chronic forms of the disease. The drug is administered every 4 hours during the prescribed duration of treatment. At night, the interval between injections is 8 hours. Since the medication has a number of contraindications that affect the work of the gastrointestinal tract, it is used immediately before eating food.
  6. Appointment of macrolides. These antibiotics include tablets Erythromycin, Oletetrin, which have a great effect on the vital activity of gonococci. The dosage of these drugs is determined treating doctor depending on the form and degree of the pathology.
  7. Treatment with aminoglycoside antibiotics. Representatives of this category are the drugs Monomycin, Kanamycin, which are quite effective medicines for the development of gonorrhea in women. The use of these drugs is limited in time, since they have a wide range of contraindications.

Table of the main drugs in the treatment of pathology

Most patients are interested in the question of how to treat gonorrhea in women. The table below describes the main drugs prescribed for this pathology.

Medication

Usage

Bassado capsule

The drug is taken orally at 100 mg twice a day 12 hours after the first use. The tablet is drunk after eating.

The dosage is 200 mg twice a day.

Doxilan

The daily amount of the drug is 200 mg for 5 days. Further use is prohibited, as unwanted side effects may develop.

Zinacef injection by injection

Single dose of 1.5 grams intramuscularly.

Assign with the concomitant occurrence of infections of the genitourinary system (urethritis, cervicitis).

Introduction of Ketocef by injection

Applied with contraindications to penicillin. The dosage is purely individual.

Cotrimoxazole tablets

Levomycentin in capsule form.

The medicine is prescribed as a drug that prevents the proliferation of pathogenic cells. The course of treatment lasts 10 days.

Lendacin injections

The drug is administered intramuscularly at the prescribed dosage.

Longacef's injections

The introduction of the drug intramuscularly once throughout the day.

Miramistin solution

The medicine has a disinfecting effect immediately after intercourse. The drug is used to treat the genitals, vagina, pubis, urethra, thighs from the inside.

Modevid's injections

Prescribed for mild gonorrhea in women.

Netromycin injections

The dosage of the drug is one-time, and the method of intramuscular injection into each buttock is 0.5 g of the total amount of the drug.

Novosef's injections

The drug in the form of a powder is diluted in combination with Novocaine and administered intramuscularly for a mild form of the disease.

Piprax's injections

The use of the drug is one-time in the acute phase of the pathology. The dosage is individual and is prescribed by the attending physician.

Pipracil injections

Duration of treatment is about 10 days, intramuscular injection.

Roxar tablets

It is prescribed once for a mild course of gonorrhea.

The drug is effective for gonorrheal urethritis, cervicitis. Dosage according to the doctor's prescription.

In the acute phase of the disease on an empty stomach as a one-time dose.

Rifagol injections

The drug is administered intramuscularly every 8-12 hours.

Rovamycin tablets

The daily dosage is no more than 6-9 million units.

Rocefin solution

Intramuscular administration when using lidocaine.

Sinersula tablets

With the course of gonorrheal urethritis, every 12 hours at the prescribed dosage of the doctor.

Treatment of gonorrhea in women is a lengthy process that requires the complete destruction of gonococci in the body, therefore, all prescriptions and recommendations of the attending physician should be followed. After the transfer of the disease, further monitoring and systematic examination of the patient is recommended!

Prophylaxis

The tripper in many women develops quite imperceptibly and quickly turns into a chronic form, therefore, the following preventive measures will be an active way to combat an insidious disease:

  • lack of promiscuous sex life. In the presence of several sexual partners, the risk of contracting gonorrhea greatly increases, therefore it is preferable to have one permanent partner;
  • conducting personal hygiene using appropriate means after casual sexual intercourse;
  • the use of vaginal suppositories containing disinfecting substances (Chlohexidine, Miramistin) in the above situation;
  • the presence of several sexual partners in a woman's life presupposes a systematic examination by a gynecologist to identify such pathologies.

Every woman should know what gonorrhea is and how to deal with it. The disease can manifest itself in completely different forms and give serious complications to the human body, therefore the best way to prevent pathology is to prevent it!

Conclusion

Gonorrhea is a serious sexually transmitted disease that has a large number of unpleasant symptoms and subsequent complications that require long-term treatment. If characteristic signs of infection appear, it is worth consulting with a doctor and passing the necessary tests.


Gonorrhea: the incubation period of this disease is the time from the moment the infection enters the human mucosa and the first symptomatic signs of this infection.

After a year, gonorrhea (periods) may appear - what does this mean? The fact is that if a person has been incorrectly or insufficiently treated, gonorrhea may appear in him again after a certain, sometimes quite long time.

Characteristics of the incubation period of gonorrhea

The causative agents of gonorrhea are capable of exhibiting antigenic variability and can be characterized by pathogenic factors.

  1. Some gonococcal antigens resemble human cell structures. This means that it is difficult for the immune system to detect them and therefore destroy them. With reduced immunity of the body, a sluggish state of this infection in the body is often observed. Otherwise, this form of gonorrhea is usually called torpid;
  2. Gonorrheal pathogens penetrate the cells of the mucous membrane of the organ, which has become a target for the pathogen. This prevents phagocytosis and bacterial destruction from proceeding normally. The immune system cannot resist, during which the first gonorrheal symptoms soon appear;
  3. Enzymes such as hyaluronidase and protease lead to the intercellular spread of the pathogen in the genital tract. This, in turn, can lead to complications such as adnexitis, endometritis, salpingitis, orchitis and prostatitis;
  4. Lysozyme of gonococci and bacteriocins inhibit the growth of normal microflora in the genitals. This translates the course of gonorrhea into a chronic form and seriously complicates the therapy.

In more than sixty percent of cases, gonorrhea does not occur on its own, it is accompanied by other genital infections (). Most often they are represented by chlamydia, mycoplasmosis, trichomoniasis, ureaplasmosis. In this case, the incubation period of gonorrhea becomes shorter and the clinical picture of an infectious disease is, as it were, masked

What can influence the incubation period of gonorrhea?

Gonorrhea manifests itself at different times from the moment a person is infected. The incubation period of the disease will be shortened in the following cases:

  1. The presence of HIV in the patient's body;
  2. The patient's adherence to alcohol;
  3. The presence of concomitant STIs, such as bacterial vaginosis, trichomoniasis, ureaplasmosis, mycoplasmosis, chlamydia;
  4. The course of chronic diseases in the body (diabetes mellitus, tuberculosis and liver diseases);
  5. Transmission to the body of a healthy person of a combined infection (a combination of gonococcus with mycoplasmas, ureaplasmas, chlamydia, gardnerella);
  6. The period after childbirth or abortive intervention, as well as during menstruation.

The incubation period, on the other hand, will lengthen in the following cases:

  1. Constant stressful situations in the patient's life;
  2. Household transmitted gonococcal infection;
  3. Binge eating;
  4. Taking antibiotics to treat other conditions.

Is it possible to detect gonorrhea even at the incubation stage?

It is quite difficult for a person without medical education to do this. However, there are some basic features of the development of gonorrhea, which is in the incubation period. This:

  1. Slight discomfort in the groin area. In order to notice this, you need to listen carefully to your own body;
  2. Discomfort during urination and intercourse. It will also be very weak, making it difficult to detect;
  3. Redness of the skin in the groin area.

The incubation period of gonorrhea in men

How long does it take for gonorrhea to appear in men? This disease progresses faster in men than in women. However, nevertheless, some time must pass before a man can suspect such a pathology in himself.

How long does gonorrhea manifest in men? This is usually a time span of two to five days. During this period, the infection is already quite actively spreading through the body, causing damage to internal organs and systems. The duration of the incubation period in a man is in direct proportion to the state of his health and the individual characteristics of the organism.

At the end of the incubation period, a man usually begins to feel discomfort in the intimate area.

The incubation period of gonorrhea in women

Gonorrhea in women: how long does it take to make itself felt? It is even more difficult for a woman to suspect that she has gonorrhea, since it can proceed with absolutely no symptoms.

Gonorrhea: how long does it take for women to have this STD? The incubation period of this infectious disease in women can even go up to a month.

After how many days does gonorrhea appear in women on average? Usually this is a period of five to ten days, depending on the rate of reproduction and spread of pathogenic bacteria throughout the body.

What determines the rate of development and reproduction of the pathogen? As a rule, this can be influenced by long-term use of certain medications, the joint course of certain diseases, the level of a woman's immunity resistance. Gonorrhea is dangerous because at the end of the incubation period, clinical manifestations of the disease appear in the woman's body, which are difficult to notice with the naked eye. This significantly complicates the implementation of self-diagnosis.

Women can live for a long time with a sexually transmitted infection inside the body and not even know about it, becoming sources of infection for the people around them.

Whatever the duration of the incubation period for gonorrhea, you must try to register this disease in yourself in time. The delivery of appropriate analyzes and self-observation, which should be carried out with special care throughout life, can help in this. If you identify any suspicious symptoms, you should contact an experienced specialist as soon as possible.