Gonorrhea: Treatment. Prices, Reviews, Ratings
Many specialists theorize that urogenital pathologies leave an indelible mark on health and offspring development. Thus, timely diagnosis and treatment of gonorrhea, syphilis, chlamydia, and other urogenital diseases are crucial, adhering strictly to established methods.
Gonorrhea, an infection primarily transmitted sexually (via bodily fluid exchange), is caused by gonococcus, which infects genital mucous membranes. These agents are sensitive to temperature and humidity, dying at 55°C or higher, making transmission via casual contact unlikely.
Modern medicine (1993 classification) distinguishes two main gonorrhea types:
- early stage (disease duration up to 2 months post-infection);
- chronic form (lasting over 60 days).
These can be subdivided into subacute, acute, low-symptom, and torpid gonorrhea, each requiring a tailored approach.
Need for Gonorrhea Treatment
How do you know genital diagnostics are needed? First, note exudate and urination issues. However, asymptomatic gonorrhea carriage is common in medical practice.
All venereal diseases pose risks to the carrier and others. Self-diagnosis and treatment are strictly prohibited. At the first suspicion of genital issues, visit a specialized facility. Gonorrhea is confirmed only with positive lab and instrumental tests.
Gonorrhea diagnosis stages:
- Examination by a doctor (gynecologist, urologist, dermatovenereologist) and history collection. Prepare honest answers about urination frequency (day/night), pain, and discomfort linked to gonorrhea.
- Urethral condition assessment (palpation, hypospadias, adhesions, infiltrates).
- Laboratory tests (two smears on slides), discharge color/volume visualization, mucosal sampling.
- Inflammation presence and severity (gonorrhea causes prostate changes and abscesses).
- Instrumental use (urethroscopy with a tube or direct bougie if no swelling).
The final step is bacteriological analysis of throat and rectal mucosal swabs.
Gonorrhea symptoms vary by patient group, often divided by gender.
In men, signs include pain, burning during urination, slimy discharge (with blood or pus in untreated cases), and scrotal swelling.
In women, symptoms include discomfort during sex, lower abdominal pain, non-menstrual bleeding, and unpleasant vaginal odor.
Additional symptoms warranting diagnostics include sore throat, eye inflammation, nausea, vomiting, appetite loss, and fever spikes. Alone, these don’t indicate STDs, but with scrotal discomfort, they justify a specialist visit.
Stages of Gonorrhea Treatment
Treatment choice depends on individual factors and disease severity. The main principle is rational use of antimicrobial drugs and physiotherapy, alongside local treatment and immunotherapy.
Preparation
Before visiting a doctor, take simple preparatory steps:
- avoid sexual activity 2–3 days prior (to prevent partner infection and result distortion);
- stop douching or hygiene practices eliminating gonorrhea bacteria;
- limit vaginal suppositories, sprays, or tablets (unless prescribed for comorbidities).
Wash external genitals with warm soapy water the night before; avoid washing on the appointment day.
Treatment Procedure
Treatment is most effective when detected early. Acute cases require inpatient care to prevent complications like adnexitis, prostatitis, vesiculitis, urethritis, or infertility. Untreated gonorrhea can pass from mother to child or cause fetal abnormalities.
The most effective method is antimicrobial drugs, often penicillin antibiotics, after allergy and tolerance checks.
Treatment typically lasts 5–7 days, reducing genital discharge. If ineffective, alternatives like Ofloxacin, Kanamycin, or Cefodizime are used.
Ceftriaxone treatment is notable—approved for pregnant women and highly effective, potentially curing early gonorrhea in one day.
Local treatment is used for mixed infections where pathogens resist anti-gonococcal drugs.
For men, daily urethral irrigation with silver nitrate (1:4000) or furacilin, corticosteroid-antibiotic ointments, and warm potassium permanganate baths are recommended. For complications (lymphadenitis, lymphangitis), bed rest or hospitalization may be advised.
Women follow a similar protocol. Early-stage treatment includes warm sitz baths (38°C+, 10–15 minutes), compresses with 1–3% protargol or collargol. Acute cases require inpatient care.
A comprehensive approach with ongoing specialist oversight is ideal, supplemented by immunotherapy and biogenic stimulants, including:
- specific immunotherapy (vaccination for frequent relapses);
- nonspecific therapy (Pyrogenal for epididymitis or prostatitis complications);
- infiltrates resorption activators for urethral inflammation.
Alternative treatments are increasingly suggested for those with antibiotic allergies or intolerance:
- Darsonvalization—rectal emitter on the perineum for 15 minutes over 10–12 days.
- Phonophoresis—labile ultrasound for chlamydia, syphilis, gonorrhea.
- Paraffin therapy—daily napkin-applicator method.
These are not substitutes for traditional treatment but supplementary or forced measures. Consult your doctor before starting.
Rehabilitation Period
Gonorrhea is deemed cured if the patient followed specialist advice and completed the prescribed drug course. Absence of symptoms (swelling, urination/sexual discomfort, itching) doesn’t confirm recovery—it may indicate chronicity requiring extended treatment.
Efficacy is verified 10–12 days post-treatment via microscopy and culture (bacterial seeding), with discharge sampled over three days.
Before swabbing, the mucosa is treated with silver nitrate or Lugol’s solution to expose hidden gonococci. Treatment control is mandatory regardless of severity or type.
Recurring symptoms during rehabilitation signal ineffective treatment, risking antibiotic resistance, necessitating a revised plan or surgical intervention.
Indications
Treat STDs like gonorrhea immediately upon symptom detection, starting with comprehensive diagnostics.
Reasons to see a doctor include:
- unprotected sexual contacts;
- suspected urological issues in a partner;
- urogenital inflammation.
Note groin pain at rest as a key concern.
Contraindications
Treatment type depends on drug reactions. Children under 14 cannot take fluoroquinolones, and pregnant women should avoid tetracyclines and aminoglycosides due to fetal harm risks.
Caution is needed for endocrine, cardiovascular, or gastrointestinal conditions. Severe gonorrhea with diabetes or ulcers requires planning to mitigate drug side effects on intestinal mucosa or hormone production.
Possible Complications
Gonorrhea complications include urethral narrowing, testicular inflammation, prostatitis, infertility, and gonococcal epididymitis, potentially spreading to the bladder, kidneys, rectum, or lymphatic system.
During pregnancy, it heightens miscarriage, preterm birth, and fetal development risks, often causing neonatal eye inflammation leading to blindness.
Prices and Clinics
Gonorrhea treatment is complex and best handled by experienced specialists. The website offers a catalog of medical centers specializing in gonorrhea and urogenital disease therapy.
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