Gonorrhea in women and its main signs
Gonorrhea, formed in the female body, is a venereal disease that develops due to the penetration of the gonococcal bacteria. The disease is transmitted through sexual contacts, and out-of-sex infection is fixed very rarely, for example, in a child when using one towel with an infected mother.
The causative agent of infection mainly affects the parts of the urogenital system of the woman, which are lined with single-layered epithelium - the uterine tube, the mucous surface of the urethra, the excretory ducts of the Bartholin glands, the body of the uterus and the cervical canal. Often the disease affects the integumentary epithelium of the ovaries, paraurethral passages, mucous in the rectum and peritoneum of the small pelvis.
In itself, gonorrhea in women does not provoke pronounced symptoms, but in the process of infection by pathology, it affects virtually all the departments that make up the genitourinary system. In this regard, women develop a large number of complications associated with pelvic pathologies against gonorrhea. After infection, gonorrhea also affects the lower part of the genitourinary system, which includes the vagina and external genitalia, and the upper section, which includes the ovaries and the uterus.
If parents who are infected with gonorrhea do not comply with the rules of personal hygiene, then girls in the family are at risk of contracting this disease through contact with bed linen or a towel. This method of infection is not possible for adult female representatives, because the microflora and acidic environment in the vagina, as well as the multilayered flat epithelium, do not allow bacteria to penetrate inside. Girls have such a protective mechanism is not yet developed.
The mode of infection of girls and women with gonorrhea also distinguishes the subsequent clinical symptoms of the disease. In girls, as a rule, the inflammatory process of the external genitalia develops, and in adult women it provokes an inflammatory process right in the cervix, urethra and occasionally in the vagina itself.
The causes of gonorrhea in women are unprotected sex with an infected partner when the probability of contracting the disease is about 70%.
Forms of the disease
In its forms, the disease is classified into several types:
- Fresh gonorrhea: subacute, acute and torpid.
- Chronic form.
- Latent form.
For a torpid or differently asymptomatic form, when penetrating the pathogen, minor symptoms are characteristic. For latent gonorrhea, there is a condition in which the causative agent of the disease is not found in crops or smears, and the symptomatology practically does not make itself felt, while the woman remains a dangerous source of infection by pathology.
Manifestation of gonorrhea in women
The first symptoms of gonorrhea in women are usually absent. This is the main difference between female gonorrhea and men's disease, because of the implicit clinical picture of the disease in female representatives, gonorrhea often affects internal organs in the genitourinary system and takes on a chronic course.
Signs of gonorrhea in women at the initial stage of development of acute forms with lesions of the lower genital tract are also poorly expressed. Sometimes there is itching in the vaginal area, slight burning during urination and thick discharge from the vagina. If there is no treatment at this stage of the disease development, then the infection begins to spread further along the genitourinary tracts, subsequently hitting their upper section. In such a situation, the symptoms become more pronounced - there are pain in the lower abdomen, a febrile condition, a serious deterioration in the overall health and disruption of the cycle of menstruation.
If the process of inflammation changes into a chronic form, the manifestations of gonorrhea again become mild, and the main signs of the disease are violations of the cycle of menstruation and even infertility.
Sometimes the symptoms of gonorrhea in women may not be manifested at all and the disease proceeds in hidden forms until it is identified in the process of building a chain of infection of a partner or in the process of examining a woman for another reason.
It is important to note that the causative agent of gonococcal disease affects the epithelium mainly at the site of injury. In this regard, if sexual contact with an infected person was carried out by anal or oral route, the signs of the disease can manifest itself in the form of tonsillitis, gonorrheal stomatitis, pharyngitis or even gonorrheic paraproctitis.
Diagnosis of the disease in the female body
Gonorrhea in the female body is detected by bacteriological examination of the contents in the vagina. Diagnostic sign is the detection of gonococcus in the smear. Doctors say that in the last few years gonococcus is almost never isolated from other infections that are sexually transmitted.
The process of treating gonorrhea
When choosing a course of treatment, the doctor follows certain principles:
- Complete investigation for the possibility of having other infections - chlamydia, syphilis, trichomonads.
- Selection of complex treatment for the purpose of organizing proper therapy.
- Familiarization with the patient's medical history, taking into account the age, sex and nature of the pathology.
- Simultaneous therapy for both partners.
- Observance of special food.
- Refusal of exercise.
- Refusal of sexual contacts during the treatment of the disease.
Treatment of gonorrhea in women with antibiotics is the main method of therapy. If other diseases are found in the body at the same time as gonorrhea is affected, doctors recommend that all pathologies be treated together. With simultaneous damage to trichomoniasis, detection of chlamydia or mycoplasma, treatment of these pathologies should be carried out only after the completion of the course of taking medications for gonorrhea.
The treatment of gonorrhea in women also includes the following steps:
- The use of immunostimulants to improve immunity to confront infection.
- Blood transfusion - is performed in the presence of various complications of the disease.
- Washing of the canal.
- Mud baths.
- Electrophoresis.
Prevention of gonococcal infection
The main method of preventing gonorrhea is to prevent accidental sexual contact or use of a condom in a situation where a woman is not completely sure of her partner's health. An important role is played by the quality of the condom used - it must be latex, and in case of an allergic reaction to latex - polyurethane.
If nevertheless unprotected sexual contact took place, the use of antibacterial drugs is necessary, but this manipulation is not mandatory for all cases. To conduct antibacterial prophylaxis is necessary only when the woman is fully confident that the partner was the carrier of gonorrhea.