Ways of infection

Gonorrhea in adults is distributed almost exclusively through sexual intercourse. Infection most often occurs from persons suffering from chronic gonorrhea, as in the acute stage, accompanied near the painful symptoms, affected mostly abstain from sexual relations.
Although in most cases (approximately 80%) men completely cured with both acute and chronic gonorrhea, however, is always a certain number of persons who remain pockets of gonorrheal lesions of the genital organs. These persons and serve mainly transmitters gonorrhea.
The infection can be transmitted and indirectly: fingers, contaminated with pus, and also tools and equipment (nozzles for douches, and so on), household items (clothes, sponges, sponges). Infection in the toilets of the General use for women is hardly possible, given that at the seat of the genitals with the edges of the seat are not touching.
The localization of infection depends on a number of circumstances. So, in acute gonorrhea in men and narrowness of the vagina in women (especially during the first sexual intercourse) most often affects the urethra and cancer of the vestibule of the vagina. In chronic gonorrhea in men (when gonorrhea fall into the vagina only with sperm erupting), as well as broad and gaping vagina for nagaragawa primarily affected mucous cervical canal; the urethra, gland vestibule and rectum are infected again stemming from the vagina with pus.
Clinically, the picture of gonococcal infection in women is divided into gonorrhea lower section of the urogenital system and the so-called ascending gonorrhea. The border of this division is the internal uterine cervix.
There are acute and chronic gonorrhea.
Acute gonorrhea. Getting on the mucous membrane, gonorrhea spread quickly across the surface of the epithelium and very quickly penetrate through the casing epithelium in the thickness of the mucosa. In diseased tissue comes a sharp active hyperemia, which is expressed strong expansion of capillaries and a large emigration of white blood cells; mucous membrane becomes shiny, red and significantly swollen. White blood cells through intercellular gaps appear on the surface of the mucous membrane in the form of greenish-yellow pus, part of white cells in the fight against gonorrhea dies. Patients in this period typically complain of a burning sensation, itching and pain during urination.
The acute period usually lasts from several days to 14 - 20 days; by this time, a decrease of allocations, they lose purulent and become whitish; inflammation in the tissues die down. In the subacute period in the affected mucosa there is hyperplasia of its fabric elements; the papillary layer of mucous membrane and even skin gives sometimes razreshenia in the form of genital warts.
In those cases,when not timely measures were taken to cure gonorrhea, the process of subacute stage becomes chronic. Objective examination of such patients can discover a dark red ring around the outer holes ducts Bartholin glands - the so-called gonorrheal spots, and a slight hyperemia around the external OS of the cervix.