What are the symptoms of gonorrhea in women?

Sexually transmitted diseases are very common and are mainly spread through unclean sexual behavior. It is very important to take protective measures when having sex, otherwise you may be infected with gonorrhea. The symptoms of gonorrhea are very obvious. If women want to know whether they are infected with gonorrhea, it is important to understand the symptoms of gonorrhea. So, what are the symptoms of gonorrhea in women? Let’s take a look below.

The main site of primary gonococcal infection in women is the cervix, because after sexual intercourse and ejaculation, the cervix is ​​soaked in semen infected with gonococci. The incubation period after infection is difficult to determine, and it may be 2-5 days after contact. The main clinical manifestation is a large amount of purulent leucorrhea. Some patients have vulvar pain, itching, burning sensation, and even vulvitis. About 40% of patients have symptoms of urinary tract infection, gonococcal urethritis and gonococcal urethrocystitis. The incubation period is 2-5 days after sexual intercourse (basically the same as that of men), manifested by congestion and redness of the urethral opening, overflow of purulent secretions, and mild tenderness when touched. At the same time, there is urinary pain (the pain is generally lighter than that of men), or a burning sensation when urinating, and sometimes frequent urination and urgency.

Because women have short urethras, it is easy for the bladder to be infected and cause gonococcal urethrocystitis. Examination of purulent secretions revealed a large number of pus cells and gonococci. If acute symptoms are prolonged, they may become chronic, and the subjective symptoms may gradually improve or disappear. In acute gonococcal Bartholinitis, the glands swell and bulge out toward the inner side of the labia minora. They become red, swollen, hot, and painful, and gradually soften to form an abscess. Gonococcal vulvitis and vaginitis in young girls are easily infected by gonococci due to the incomplete development of the mucosa, and manifest as acute inflammatory changes such as redness, swelling, and purulent secretions. Although the vulva and mucous membranes of adults are more resistant to gonococci, they may still become red, swollen, painful, and even eroded due to secretions and inflammatory stimulation.

Early detection and early treatment

1. Early diagnosis and timely treatment First of all, the diagnosis should be established as soon as possible after the disease is diagnosed, and treatment should not be arbitrarily before the diagnosis is confirmed. Secondly, treatment should be given immediately after diagnosis.

2. Clarify the clinical type and determine whether there are any complications. Clear clinical classification is extremely important for correctly guiding treatment.

3. Clarifying whether there is drug resistance, such as resistance to penicillin or tetracycline, will help to correctly guide treatment.

4. Clarify whether there is concurrent chlamydia or mycoplasma infection. If there is concurrent chlamydia or mycoplasma infection, a combined drug treatment plan should be formulated.

5. Correct, adequate, regular and comprehensive treatment should select the drug that is most sensitive to gonococci. The dosage should be sufficient, the course of treatment should be regular, and the method of medication should be correct.

6. Strictly evaluate the efficacy and conduct follow-up observations. The cure standard should be strictly followed and the efficacy evaluation should be adhered to. Only when the cure criteria are met can it be considered cured to prevent recurrence. Those who are cured should insist on regular check-ups.

7. Examine and treat their sexual partners at the same time. The patient’s spouse or sexual partners should be examined and treated at the same time.

8. Sexual activity is prohibited before the disease is cured. Pay attention to rest. Those with complications must maintain the balance of water, electrolytes and carbohydrates. Pay attention to local hygiene of the genitals.

9. Advocate safe sex and promote the use of condoms. Pay attention to isolation and disinfection to prevent cross infection.

10. Carefully follow up the patient's sexual partners and conduct examinations and treatments in a timely manner. Conduct regular checks on high-risk groups to detect infected persons and patients and eliminate hidden sources of infection.