Causes of gonococcal infection in women

After suffering from gonococcal infection, female friends will develop a series of clinical manifestations, which will seriously affect their physical condition and normal life, making their quality of life very poor, and even their resistance will be reduced. The reason for this situation is mostly caused by sexual life, so you must ensure absolute cleanliness and hygiene in your sexual life.

The pathogen of gonorrhea is Neisseria gonorrhoeae, which was first isolated from Neisseria in 1879. Belongs to the Neisseriaceae family, Neisseria genus. The gonococcus is kidney-shaped, with two concave surfaces facing each other and of the same size, about 0.7 microns long and 0.5 microns wide. It is a carbon dioxide-loving aerobic bacterium, Gram-negative, and grows best in a humid environment with a temperature of 35°C and 5% carbon dioxide.

They are often found inside polymorphonuclear leukocytes, are oval or spherical, often arranged in pairs, have no flagella, no capsules, and do not form spores. They have poor resistance to external physical and chemical conditions and are most afraid of dryness. They can die in a dry environment within 1 to 2 hours. It is easy to be lethal under high or low temperature conditions. It is also weak against various chemical disinfectants.

1. Complications of gonorrhea in men

(1) Gonorrheal balanoposthitis is caused by the purulent secretions of gonorrhea irritating the glans penis and inner foreskin. It begins with local burning, itching, slight pain, foreskin edema and erosion. The glans is flushed and slightly eroded. In severe cases, the foreskin is significantly edematous and cannot be turned up. The glans is red and swollen, and inflammatory phimosis may occur.

(2) Gonorrheal urethral stricture If gonorrhea is not cured for a long time, it may cause urethral stricture after several months or years. Initially, the patient will feel nothing, but gradually urination becomes difficult, the urge to urinate becomes frequent, and the urine is thin and weak and cannot be ejected directly, until the urine cannot be discharged or only drips out.

(3) Gonorrheal prostatitis is divided into acute and chronic types. Acute prostatitis has a rapid onset and is characterized by frequent urination and painful urination, especially the pain aggravated after urination. There is also dull pain in the perineum and near the anus, and pain during bowel movements. Rectal examination showed that the prostate was swollen, the surface was uneven, and it was painful when pressed. There was often purulent secretion flowing out of the urethra. Chronic prostatitis: Acute prostatitis can easily turn into chronic prostatitis if it is not treated thoroughly. Symptoms include a feeling of heaviness and tenderness in the perineum, frequent urination, and often low back pain. Rectal examination showed prostate enlargement, multiple nodules, tenderness to touch, abnormal secretions during massage, and increased white blood cell count.

(4) Gonorrheal epididymitis is caused by gonococci invading the epididymis through the ejaculatory duct. It manifests as swelling of the epididymis, with hard nodules touching the surface, often with radiating pain, accompanied by fever and general discomfort.

(5) Gonorrheal seminal vesiculitis: gonorrhea invades through the ejaculatory duct, vas deferens or lymphatic vessels. There is a feeling of heaviness and distension in the perineum, which worsens during urination and defecation. The pain radiates to the vas deferens and testicles, and the urine is clear.

2. Complications of gonorrhea in women

Gonorrhea in women, especially gonococcal infection of the cervix, may be combined with infection of the upper reproductive system, causing more serious consequences, such as gonococcal pelvic inflammatory disease, including endometritis, salpingitis, tubo-ovarian cysts, pelvic abscess, peritonitis, etc.

(1) Patients with endometritis may experience increased vaginal discharge, lower abdominal pain, uterine enlargement and pain, and fever in acute cases.

(2) Patients with salpingitis experience fever, chills, general malaise, vomiting, and cramping pain in the lower abdomen and waist, which may radiate to the perineum. There is a lot of leucorrhea with pus and blood. There is tenderness on both sides of the lower abdomen when palpated. Small tender lumps can be felt and the uterus is also tender. If the treatment is not timely and thorough, it will become chronic salpingitis and may cause ectopic pregnancy. The inflammation of the fallopian tube may cause adhesion, water accumulation or pus accumulation, which may lead to infertility.