Symptoms of untreated gonorrhea
summary
Gonorrhea is a sexually transmitted disease caused by Neisseria gonorrhoeae (referred to as Neisseria gonorrhoeae). The incidence rate is second in China. Neisseria gonorrhoeae is gram-negative diplococcus, which is difficult to survive without human body. It is easy to kill by general disinfectants. Gonorrhea mostly occurs in sexually active young men and women. The symptom that gonorrhea did not cure? Let's talk about it
Symptoms of untreated gonorrhea
Male gonorrhea (1) the incubation period of male acute gonorrhea is generally 2-10 days, with an average of 3-5 days. The urethra began to burn, itch, redness and eversion. Burning pain during micturition, accompanied by frequent micturition, and a small amount of mucinous secretion at urethral orifice. 3-4 days later, most of the urethra mucosa epithelium had focal necrosis, produced a large number of purulent secretions, and had sharp pain during urination, glans and prepuce redness and swelling. Drenching wire or blood can be seen in the urethra, and pus scab can be formed at the urethral orifice when getting up in the morning. With different degrees of systemic symptoms. ② Male chronic gonorrhea generally has no obvious symptoms, when the body resistance is reduced, such as excessive fatigue, drinking, sexual intercourse, can appear urethritis symptoms.
Female gonorrhea (1) the symptoms of female acute gonorrhea infection are mild or asymptomatic. After the incubation period of 3-5 days, urethritis, cervicitis, paraurethral adenitis, vestibular adenitis and proctitis appear successively, among which cervicitis is the most common. 70% of female gonorrhea patients had urethral infection. Gonococcal cervicitis is common and often occurs at the same time as urethritis. ② Chronic gonorrhea and acute gonorrhea in women can be turned into chronic gonorrhea without adequate treatment. The symptoms were abdominal distension, backache and leucorrhea. ③ Pregnancy complicated with gonorrhea has no clinical symptoms. When pregnant women with gonorrhea give birth, they can infect the fetus through the birth canal, especially when the fetal position is breech presentation, which can cause premature rupture of membranes, amniotic infection, premature delivery, postpartum sepsis and endometritis. ④ Gonococcal vulvovaginitis in young girls, with redness and swelling of vulva, perineum and perianal, and more purulent vaginal secretions, can cause urination pain, local irritation and ulceration.
Male gonorrhea complications: 1. Prostatitis and seminal vesiculitis. If the seminal vesicle is involved, the semen may be mixed with blood. When complicated with prostatitis, perineum pain, rectal digital examination prostate enlargement, pain, seminal vesicle gland enlargement. ② Epididymitis and bulbar urethritis have pain, swelling and tenderness in epididymis. When complicated with bulbar urethritis, the perineum may touch the enlarged glands, and the patient may feel uncomfortable or dull pain. When complicated with acute epididymitis, scrotal swelling, pain, epididymis swelling, spermatic cord thickening. ③ The stimulation of purulent secretion of gonococcal balanitis can cause balanitis and prepuce inflammation. * glands, urethra, retention cysts, lymphadenitis, lymphadenitis and anterior urethral recess and glands of prepuce glands can be invaded, called adenourethritis. * if these glands are blocked, they can form retention cysts, which can form cysts around the urethra after ruptured cysts. Paraurethral gland or periurethral inflammation can extend to the corpus cavernosum, often complicated with lymphangitis, unilateral or bilateral inguinal lymphadenitis. The prepuce glands on both sides of the frenulum of the penis can also be involved to form an abscess.
matters needing attention
For uncomplicated gonorrhea, such as gonococcal urethritis, cervicitis and proctitis, ceftriaxone, intramuscular injection and single dose were given; Or spectinomycin intramuscular injection, single dose; Or cefotaxime intramuscular injection, single administration. The second choice is other third generation cephalosporins. If it has been proved to be effective, it can also be used as an alternative drug. If Chlamydia trachomatis infection can not be ruled out, add anti Chlamydia trachomatis infection drugs.
