Gonorrhea (synonym gonorrhea) is a sexually transmitted infectious disease caused by gonorrhea (Neisseria gonorrhoeae). The source of infection is a sick man. Infection most often occurs through sexual intercourse, but possible, and napolovi path (items contaminated by secretions of patients with gonorrhea). The incubation (latent) period of gonorrhea 2-5 days (sometimes longer, up to 2-3 weeks). Place the primary manifestations of the disease are in men, the urethra in women, the urethra, vagina and the cervix; it is also possible lesions of the conjunctiva (see the Infections), rarely rectum. As a complication of gonorrhea sometimes there is a specific defeat of joints, often knee, rarely - gonococcal sepsis.
Gonorrhoea in men. 3-5 day after intercourse that caused the infection, patients experience itching and a burning sensation in the urethra, pain while urinating, notice the selection of pus from the external opening of the urethra. The General condition is violated to a small extent. The body temperature is normal or low-grade. If the patient is not promptly seek medical care and does not start the treatment of gonorrhea, the disease becomes chronic acute phenomena slowly subside, the number of purulent discharge decreases. Complications may occur: inflammation of the urethral glands, prostate gland (see Prostatitis), seminal vesicles (see Vesiculitis), epididymis (see Epididymitis).
Gonorrhea in women. Gonorrhea listed in a sexual way, women, reproduce, where there is a cylindrical epithelium (urethra mucous membrane of the cervical canal, ductless Bartholin glands, endometrium, the mucous membrane of the fallopian tubes). Often in specific inflammatory process involves the mucous membrane of the rectum and the pelvic peritoneum. In the rectum gonorrhea fall during flowing from the vagina whiter containing infectious agents; the defeat of the peritoneum is the spread of the inflammatory process of the uterus.
The infection may remain localized and does not spread over the area of the internal OS, in other cases, gonorrhea relatively quickly transferred to the body of the uterus and appendages. The ascent infection contributes to the weakening of protective forces of an organism, menstruation, abortion, childbirth.
The disease may be acute, subacute, chronic and latent. In the latent form of gonorrhea clinical signs of disease are, in smears gonorrhea not detected and yet the woman is the source of infection.
Gonorrheal urethritis is one of the most frequent localization (90%) of the primary foci of acute gonorrhea. Anatomical features of the female urethra determine the paucity of clinical symptoms even in the acute phase of inflammation (small abdominal pain and burning during urination). Marked redness and swelling of the mucous membrane of the external opening of the urethra and the selection of the urethra mucous or mucopurulent secret. For chronic gonorrhea, urethritis is characterized by almost full absence of any complaints of patients. When vaginal examination palpation on the rear wall of the urethra can celebrate its thickening and infiltration.
Gonorrheal endocervicitis occurs in 80-90% of patients. In the acute phase of inflammation patients complain of a dull pain in the lower abdomen and Muco-purulent vaginal discharge. A study using mirrors reveals an edema and hyperemia of the mucous membrane of the cervix in the field of the external uterine throat, purulent cervical canal. In chronic gonorrhea cervicitis the cervix usually enlarged, often on its surface appears erosion. Discharge from cervical canal have a slimy character.
The development of gonorrheal we have to stop spreading begins with inflammatory changes ductless gland (canaliculi). In the acute phase of inflammation marked swelling in the region of the location of Bartolomeu glands, the skin of large genital lips over her hyperemic, palpation region gland painful. In the field of external opening of its ductless on the inner surface of the small sex lips marked redness (gonorrhea, spot). When joining a septic microbial flora formed pseudobases gland with purulent content. For gonorrhea, we have to stop spreading of usually characterized by bilateral defeat cancer. Chronic we have to stop spreading often leads to the formation of cysts.
Acute gonorrhea, endometritis is manifested small pains in the lower abdomen, fever, and lengthening of menstrual bleeding (menorrhagia). Vaginal study reveals a slight increase in the size of the uterus.
Acute gonorrhea, oophoritis (usually reversible) is characterized by pain in the abdomen, high fever and often phenomena pelvic peritonitis. Vaginal examination is difficult because of the sharp pain and tension of the anterior abdominal wall. However, in recent years noted the possibility of gonorrheal oophoritis without acute clinical picture. In chronic gonorrheal the oophoritis almost the only symptom is infertility.