Gonorrhea in women — Treatment and the first signs, the advice of doctors
Gonorrhea is a sexually transmitted diseases. It develops as a result of the defeat gonococcus (Neisseria gonorrhoeae microorganisms) of the mucous membranes of the genital and urinary organs. Sometimes infection spreads to the throat, eyes and female reproductive tract (fallopian tubes, cervix and uterus). As a rule, the treatment of gonorrhea in women is reduced to antibacterial medications, but it must be started as early as possible, immediately after diagnosis.
The girl can be infected during unprotected vaginal, anal, or oral sex shared use of sex toys. There is a slight chance of Contracting gonorrhea (gonorrhea) after kissing or hugging, sharing baths, towels, basins, bowls, and cups, plates and Cutlery.
Symptoms and diagnosis of disease
Before prescribe treatment, the doctor needs to confirm the diagnosis and identify the pathogen. The choice of antibiotics is dependent on the extent of the disease, and the presence or absence of the girl other infectious lesions.
Often, however, diagnosis and treatment of gonorrhoea is complicated by the absence of any symptoms in patients. Approximately 50% of affected ladies are not even aware that they were infected. Signs of the disease may occur 1-14 days after sexual contact, and can, and much later, while disease-causing germs will not spread to other parts of the body.
We can distinguish the following symptoms of gonorrhea in women:
- painful intercourse,
- highlight yellow or green,
- vulvovaginitis – inflammation of vulva and vagina,
- painful menstruation,
- bleeding after sexual intercourse,
- vomiting, abdominal or pelvic pain,
- painful or frequent urination,
- pain and itching in the anus, rectal allocation,
- photosensitivity, eye pain, or purulent discharge from the eyes,
- reddened, swollen, painful joints,
- sore throat, itching, trouble swallowing or swollen lymph nodes in the neck.
Health professionals can detect gonorrhea in several ways. One of the most effective and popular method is the culture method of diagnosis. For the study doctors to collect samples of fluids from urethra, vagina, and other affected areas of the body. The accuracy of the method is 95%.
For preliminary diagnosis of the medical professionals sometimes suggest a more rapid microscopic examination of smears. About 30-70% of cases the disease can be diagnosed in this way.
How to treat gonorrhea in women
There are no home methods to defeat the disease, there are no miracle solutions and the secret "Granny" methods. In cases of suspected gonorrhea should immediately consult a doctor. After confirming the diagnosis the patient and her partner should undergo treatment, which involves antibiotics and a temporary rejection of the intimate life.
Informed health professionals for these purposes, used penicillin, but over the past 30 years appeared strains resistant to the drug. By 2011, only in the UK for about 18% of cases were "stable". Therefore, physicians began to use antibiotics.
Thus, the gonorrhea in women treated with a single injection of Ceftriaxone and a single dose of azithromycin. The application of these antibacterial agents is of high efficiency. It helps to get rid of the disease in 95% of cases, if all the doctor's recommendations.
Sometimes, when primary and uncomplicated form of the disease, the doctor may prescribe treatment with pills, without performing intramuscular injections. In this case, the patient will have to take cefixime (one tablet of 400 mg or two 200 mg), ciprofloxacin (500 mg) or ofloxacin (400 mg), and also the use of antiseptic solutions and ointments.
To understand how to treat gonorrhea in women, it is necessary to determine the degree of the disease. Lately medical professionals have noted an increase in cases of the disease that are resistant to antibiotics. The presence in patients of antibiotic-resistant strains of Neisseria gonorrhoeae may require more intensive therapy, consisting of a seven-day course of oral antibiotic or dual therapy in which a patient takes two different antibacterial medication, usually within weeks.
Often, infection with gonorrhea combined with chlamydia (more than 30% of cases), and therapy for both diseases is conducted at the same time. In this case, doctors prescribe drugs acting on two forms of bacteria at the same time.
Sometimes doctors recommend re-testing for the presence of gonococci to make sure that the medication worked. It is held 7 days after therapy.
Treatment of gonorrhea withpregnancies
Expectant mothers suffering from gonococcal infection may be at increased risk of miscarriage, lesions of the amniotic SAC and fluid, premature rupture of membranes and birth before term. Timely treatment of diseases, in turn, reduces the likelihood of developing these problems.
Untreated infection makes pregnant women more susceptible to HIV and other sexually transmitted infections. In addition, the bacteria can be transmitted from mother to child.
When infected the baby most often affects the eyes, so as a preventive measure, the scientists recommend to handle the "dangerous" areas eye drops or ointments soon after birth. In addition, if the newborn is diagnosed disease, he will be treated by systemic antibiotics. Otherwise, the infection can cause blindness in a child and go to other parts of the body, affecting the blood and joints, and even cause meningitis.
Gonorrhea in women at any gestational age treated in the stationary conditions with antibiotics that are safe for the fetus. The choice of medication depends on the symptoms of the disease. Doctors can perform a single intramuscular injection Ceftriaxone or spectinomycin, or prescribe a single dose of cefixime inside. It is possible to use erythromycin and azithromycin.
Antibiotics combined with drugs that support the health of the placenta, as well as immunomodulators. In addition, the treatment must be the husband of a pregnant patient, even if he had not detected the bacteria Neisseria gonorrhoeae. Children, if any, also needs to be examined.
What happens if not treated disease
Untreated gonococcal infection can lead to serious long-term complications in patients. It can affect the female reproductive tract, including the uterus, fallopian tubes and ovaries, and cause the development of inflammatory diseases of the pelvic organs. Gonorrhea in women, untreated, causes severe chronic pain, damage to reproductive organs and is the cause of ectopic pregnancy.
The patient may experience obstruction or scarring of the fallopian tubes is a common cause of infertility.
In rare cases (in the propagation of gonococcal infection in the bloodstream) in women developing arthritis. It's also possible heart valve damage and inflammation of the part of the brain or spinal cord.
Is it possible to prevent gonococcal infection
There are several ways to prevent the disease. So how do you get even with sexual contact with a partner who shows no symptoms, medical professionals recommend the use of latex or polyurethane condoms. In addition, you should avoid polygamous relationships and regularly visit the doctor. It is not necessary to maintain sexual contact with a man who has symptoms of infection, or a person with a large number of sexual partners.