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The first signs of gonorrhea in men


The first symptoms and signs of gonorrhea often appear quickly enough. After infection with gonorrhea from the carrier of the infection, the infected person begins the incubation period of gonorrhea, the duration of which can be different. In men, the incubation period of gonorrhea is usually from 2 to 5 days, in women from 5 to 10 days, but the incubation period can be longer - up to a month or even more. The duration of the incubation period depends on the general state of human immunity, concomitant diseases, and medication (in particular, the incubation period of gonorrhea can be delayed if the patient takes antibiotics for some reason). After the end of the incubation period, the first signs of the disease appear in the patient with gonorrhea.

However, before talking about the main symptoms of gonorrhea, it is worth recalling that quite often gonorrhea at an early stage is asymptomatic, especially in women.

According to venereologists, 50-70% of women with gonorrhea do not experience any unpleasant sensations associated with it. Among men, the percentage of patients with asymptomatic gonorrhea is less than among women. About 1 out of 10 men with gonorrhea do not report any symptoms of the disease. In recent years, according to some reports, the incidence of asymptomatic gonorrhea has increased to almost 90%. One of the explanations that doctors give an increase in the number of cases of an asymptomatic or asymptomatic course of gonorrhea is that under the influence of antibiotics, which modern people take quite often, the biological properties of gonococci change. Small doses of antibiotics can reduce the activity of gonococci, but do not cure the body of gonorrhea. The carrier of gonorrhea with an asymptomatic course remains contagious for sexual partners, the disease continues to progress, affecting his body.

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In other cases, after the end of the incubation period, the first signs of an acute form of gonorrhea occur. The course of the disease and its symptoms depend primarily on which organ is affected by gonococci. Since the genitourinary organs are the first to suffer, the most common symptom of gonorrhea is gonorrhea urethritis, that is, inflammation of the urethra.

As a rule, the first sign of gonorrhea urethritis is a burning sensation and pain in the urethra when urinating. After 1-2 days, the symptoms of the disease intensify sharply: the external opening of the urethra swells, plentiful purulent yellowish-brown discharge with an unpleasant odor appears from the urethra. After some time, the discharge becomes thicker, and the opening of the urethra becomes red, swollen and small sores may appear on it.

In men, the discharge, from which yellow-green spots remain on the underwear, can appear spontaneously or when pressed on the glans penis. The sponges of the urethra become inflamed and become slightly painful. In the absence of competent adequate treatment, the process extends to the entire urethra, as well as to the prostate, seminal vesicles and testicles. Urination becomes painful, frequent, and can be difficult. Blood may be present in the urine; urine itself becomes cloudy. In some cases, the patient rises in temperature, chills, pain during bowel movements, pain in the lower abdomen may occur.

Symptoms of gonorrhea urethritis in women are usually less characteristic and therefore not always correctly evaluated. For example, a woman's yellowish-white vaginal discharge is usually associated with candidiasis (thrush), and pain during urination is associated with cystitis.

If the course of gonorrhea is not asymptomatic, then gonorrhea usually begins with an increase in urge to urinate and the appearance of vaginal discharge. Gonorrhea in a woman is a multi-focal process, as internal organs are involved in it quite quickly, the cervix and the overlying genital organs are especially affected. The cervix can become inflamed and swollen, mucopurulent or purulent discharge is observed on it. Unlike male discharge from the urethra, discharge in women is rarely visible during external examination, so women quite often do not notice symptoms of gonorrhea and do not go to the doctor. This situation is very dangerous, because advanced gonorrhea in a woman can go from the cervix to the uterine mucosa, fallopian tubes, ovaries. In this case, there is a risk of such consequences as an ectopic pregnancy, infertility, complications during childbirth.

If, after infection with gonorrhea from a sick sexual partner, the gonorrhea does not enter the genitals, but into the oral cavity (infection during oral contact), gonorrheal stomatitis and gonorrheic pharyngitis can develop. More often gonorrheal stomatitis and pharyngitis are observed in men of non-traditional sexual orientation and in women. As a rule, pharyngitis with gonorrhea is asymptomatic, but sometimes patients complain of excessive salivation and sore throat. Sore throat with gonorrheal pharyngitis is more often moderate, but sometimes it is severe. Swallowing can be difficult, often there is reddening of the pharynx and tonsils, the appearance of mucopurulent plaque on them, swelling of the palatine tongue and palatine arches.

How to determine?

Usually, the first hints of trouble arise after 3-4 days, usually with a morning trip to the toilet. During the emptying of the bladder, itching and bad feelings occur. Already at this moment, you must definitely beware. You should press on the head of the penis and take a closer look. If suddenly unclear discharge is detected, then you can safely hit the alarm drum.

Of course, it’s not a fact that this is gonorrhea, but the chances of “receiving a gift” from a recent partner are very high. Therefore, all matters are urgently postponed and immediately to the doctor. The vast majority of sexually transmitted diseases obeys the mathematical rule of direct proportion - the faster you turn to doctors, the faster and easier the treatment will be.

How to treat?

After the initial visual examination, tests are submitted, because only with their help can the final verdict (diagnosis) be made. Be sure to take:

In particularly difficult cases, additional studies may be required:

  • Polymerase chain reaction (PCR) testing is the latest method based on the latest advances in molecular biology,
  • Biochemistry.

If the fact of infection with gonorrhea is fixed, then the doctor prescribes treatment of gonorrhea with antibiotics. Often, one of the following drugs:

These drugs are antibiotics and effectively fight gonococci. There is also a group of lesser-known and more exotic drugs, but this combination is traditionally used in our country. In more complex situations, an additional set of measures is assigned to help combat the consequences of passionate love. Read more about the treatment of gonorrhea here.

How to protect yourself?

What can be advised to beginner cauldrons (we are not talking about sex veterans, they already know everything)? There are a number of protective measures called “safe sex”:

  • Mandatory condom use,
  • More careful partner selection,
  • After ejaculation, you need to go to the nearest toilet and empty, while you can even wash the head of the penis with urine to disinfect.

The most dangerous when infected with any sexually transmitted disease is to let things go by themselves. In the case of advanced gonorrhea, it is possible in the future to get big problems with potency and the prostate gland. Moreover, a child born to a gonococcus carrier will also receive it by inheritance, which in itself is a crime on the part of an irresponsible father. Therefore, at the slightest suspicion, you should immediately consult a doctor.

How long does gonorrhea treatment last?

Gonococcal infection, or gonorrhea, is a disease that has various clinical forms. Therefore, it is rather difficult to answer unequivocally how long the patient’s treatment will last. It depends on a number of different factors. Depending on the particular course of the disease in a particular patient, treatment can be reduced to a single injection of an antibiotic or last for several months.

The main factors affecting the duration of treatment are:

  • Pathogen features. Each microorganism, like every person, has its own unique features. In particular, strains with different sensitivity to antibiotics are distinguished among microorganisms. If the microbe came into contact with a certain drug, but was not destroyed, then it is highly likely that in the future it will no longer be susceptible to the same treatment. Such strains are called antibiotic resistant. Currently, among gonococci, they make up from 5 to 30% of all cases, depending on the area (countries, cities) Thus, treatment of a sensitive strain will last less than a resistant one. Not always doctors prescribe an analysis for sensitivity to certain drugs (antibioticogram) Because of this, the first course of antibiotic treatment may be ineffective, and the treatment will be delayed.
  • Localization of infection. In most cases, gonorrhea occurs in the form of gonococcal urethritis (urethra) In this case, her treatment will consist of a single injection of ceftriaxone or cefotaxime (less often than other drugs) In more than 95% of patients, this is enough for a complete cure. If gonococcal infection is localized in atypical places (mucous membrane of the anus, pharynx, conjunctiva of the eyes), then along with the systemic use of the antibiotic, a local one will be required. Then the treatment may be delayed. The most difficult to treat is disseminated gonococcal infection, when the pathogen enters the bloodstream and spreads to various organs.
  • Compliance with a doctor's prescription. With gonorrhea, this factor is of great importance. The fact is that interruption of treatment without laboratory confirmation of cure can lead to serious consequences. Firstly, the infection can acquire a chronic course. After that, you will have to artificially cause an exacerbation in order to cure it. Secondly, the strain of microbes of a given patient may develop resistance to the drug with which treatment was started. Then in the future for a second course will have to pick up a new antibiotic. Finally, thirdly, the patient, who believes that he has recovered, begins to lead an active sex life. This leads to infection of his sexual partners. As a result, the infection circulates in a vicious circle, and getting rid of it becomes even more difficult.
  • Other infections. Often, gonorrhea is combined with urogenital chlamydia or trichomoniasis. This is because the first infection weakens the protective resources of the mucous membrane and, as it were, “opens the gate” for the second. For a complete cure, respectively, a longer course of antibiotics is required.
  • The presence of complications. Sometimes gonorrhea is not manifested by acute symptoms, but over time leads to a number of unpleasant complications. In men, this is balanoposthitis, acute and chronic prostatitis, and in women - gonococcal bartholinitis and salpingitis. These complications, as a rule, complicate the treatment process and the patient has to spend more time and energy on it.
  • Body condition. In patients with weakened immunity, as well as in women during pregnancy, gonococcal infection can be more aggressive. It spreads faster and easier, often accompanied by complications. Because of this, the treatment of such patients usually lasts longer.
On average, if you take the time to see a doctor as the starting point, treatment lasts 1 to 2 weeks. Confirmation of the fact of recovery is carried out using microbiological analysis. In men, it is done 7-10 days after the end of the course of antibiotics, and in women, also after a week, and then again, after the second menstrual cycle. This eliminates the presence of chronic forms of infection. With extragenital forms of gonorrhea, treatment can take up to several months, and it is much more difficult to verify full recovery.

To minimize the treatment of gonorrhea, regardless of its form, you need to follow a few simple rules:

  • compliance with the doctor’s prescriptions for taking antibiotics (terms, doses, frequency of use),
  • simultaneous examination and treatment of all sexual partners of the patient,
  • abstinence from sexual intercourse before conducting a control bacteriological analysis,
  • screening for other infections.
Separately, it should be said about the treatment of gonococcal conjunctivitis in newborns. If special prevention of this disease has not been carried out, it is necessary to use not only antibiotics, but also do local eye washings with antiseptic drugs. Such treatment lasts an average of several weeks, and the fact of recovery is confirmed not only by the laboratory, but also by the ophthalmologist after a special examination.

Can I make love while treating gonorrhea?

As you know, gonococcal infection, or gonorrhea, most often affects the genitourinary system. In men, it usually causes anterior or posterior urethritis (urethra), and women also have vulvovaginitis. In addition, gonorrhea is a very contagious infection that is easily transmitted through sexual contact. She does not leave immunity after the cure, so a person can easily get sick again. Based on this, during the treatment of gonorrhea, the patient should refrain from any sexual contact, as this can lead to serious consequences.

Sex during the treatment period is dangerous for the following reasons:

  • Infection spread. Before the end of the course of treatment and control tests, the patient poses a threat in terms of the spread of infection. Despite the fact that 1 injection of an antibiotic is often enough to recover, no doctor can say for sure whether gonorrhea is cured after that. Thus, there is a chance that the patient will simply infect his sexual partner. This is also dangerous because after treatment (receiving a negative control analysis result) he can re-contact this partner and become infected again. Thus, the infection will circulate between two people. If they have more than one sexual partner, gonorrhea will begin to spread in society.
  • Reinfection. Reinfection is dangerous through sexual contact with a partner who also has gonorrhea. In this case, the patient being treated receives a new portion of bacteria. Unlike their own, dying under the influence of an antibiotic, these gonococci are more powerful. When the course of treatment is over, they will be able to multiply again, and recovery will not occur, although the patient has undergone the full course of treatment. In addition, another strain of gonococcus can be infected. If he is not susceptible to the treatment started, then he will have to re-repeat all the tests and change the drug.
  • Chronization of infection. Re-infection contributes to chronic infection. If gonococci survive after a course of antibiotics, they will not make themselves felt for a long time. Many patients consider this a sufficient confirmation of recovery and do not conduct a control analysis. Then after some time, gonorrhea will worsen again, its treatment will be much longer and more difficult, and the risk of complications will also increase.
  • The development of antibiotic resistance. Antibiotic resistance (mustache

    Under what circumstances does infection occur?

    Most often - in 99% of cases - the symptoms of gonorrhea appear after unprotected sexual contact with the carrier, while the infection can be transmitted with different ways of intercourse:

    • Vaginal, both normal and incomplete.
    • Anal.
    • Oral.

    In case of sexual contact with an infected partner in women, the disease is detected in 50-80%, but for men in similar circumstances, the infection affects 30-40%. The thing is that women and men have their own anatomical features, the same applies to the organs of the genitourinary tract. So, the urethra in the stronger sex is distinguished by a narrow channel, so that gonococci are often washed away by urine during urination. At the same time, the risk of infection for men increases if the partner had menstruation during intercourse, the copulation was long, and the completion was very stormy. Есть и другие причины, при наличии которых может развиваться триппер:

    • При непрямом бытовом заражении инфекция передается посредством предметов личной гигиены – мочалки либо полотенца, постельного белья. Как правило, подобная ситуация может возникать у девочек.
    • In some cases, contact infection of the child is observed when it is born, when the infected mother passes the infection through the birth canal to the baby. Moreover, in infants of both sexes, the disease can affect the conjunctiva or genitals in girls. Blindness of at least 50% is caused by a gonorrhea.

    An important question in this case is how long does gonorrhea manifest. The duration of the incubation (latent) period for infection with gonorrhea lasts an average of 1 to 14 days, less common is the situation when the manifestation of the first symptoms of gonorrhea begins a month later.

    Why signs of pathology are inconsistent

    Once on the mucous layer of the urethra, gonococci begin to multiply in the cells of the canal, and then move into the space between them. The result is an inflammatory reaction. Depending on how many days gonorrhea appears, doctors determine a fresh gonorrhea, in which less than two months pass from the moment of infection, and a chronic form of pathology. In the second case, more than two months pass from the onset of infection. However, such a separation is rather arbitrary, since each victim has individual characteristics. Given these, it cannot be ruled out that infection will spread widely over a short time period. It is especially difficult to predict the result in the presence of prostatitis or inflammation of the appendages in the anamnesis. Accordingly, it is necessary to focus on how the gonorrhea manifests itself and consult a specialist in the case when the first symptoms of gonorrhea develop.

    In turn, several stages of fresh gonorrhea are distinguished:

    • I’ll sharpen
    • malosymptomatic or torpid.

    In some cases, gonorrhea can be diagnosed, in which subjective manifestations of gonorrhea are not observed, although the pathogen is detected by analysis during testing. To date, the classic symptoms of gonorrhea are not present in all cases, given the often mixed infection with chlamydia or trichomonads. Such a “neighborhood” can significantly change the signs, lengthen the incubation period, and significantly complicate the diagnosis and treatment of pathology. Another feature of gonorrhea - the symptoms of gonorrhea may not be present or they are hardly noticeable.

    The first signs of a gonorrhea begin to appear after a few days or a week, less often after three weeks or a month. The increase in the incubation period is often observed against the background of taking antimicrobials, moreover, in an incorrectly calculated dose, or as a result of a reduced immunity. When the disease is transformed into a chronic course, its long duration is observed, accompanied by acute periods. Adhesions are formed in the sections of the pelvis, in men a decrease in sexual desire is noted, in women the reproductive function is impaired, and disruptions in the menstrual cycle occur.

    Read also on the topic.

    Representatives of both sexes have different symptoms of gonorrhea, given the difference in anatomy and physiology. At the same time, some constants are noted. For example, regardless of gender, signs of the disease at the initial stage of its development may be absent. Let us turn to statistics - according to medical data, in 50-70%, when it comes to women, discomfort may not occur. If we consider the infection of men, the asymptomatic course is less common - only one in ten representatives of the stronger sex does not feel the development of the disease. There is also evidence that cases of the development of the disease without symptoms are becoming more frequent, now this figure is almost 90%. Doctors, considering this fact, blame the antibiotics used uncontrollably by the population. As a result of their exposure, gonococcal activity may decrease or biological properties may change, but healing does not occur.

    Even if the signs of pathology are not expressed in any way, the carrier of the causative agent of the disease is dangerous for its partners, as the disease progresses further, affecting the body.

    General symptoms

    In other cases, the first signs of gonorrhea form after the incubation period ends. The way gonorrhea manifests itself largely depends on which organ is initially affected. Since most often the very first disease affects the genitourinary system, a common symptom is purulent urethritis, which is an inflammatory reaction that occurs in the mucous layer of the urethra, and a number of common symptoms appear, including:

    • Burning sensation and soreness during urination.
    • After a day or two days, the signs of pathology significantly increase, which is manifested in the swelling of the external opening of the urethra.
    • The release of a purulent substance of a yellow-brown hue, which has an unpleasant odor, begins, an increased amount of this pathological substance is noted.
    • Gradually, the consistency of the discharge becomes thicker, redness of the urethral opening occurs, and its swelling increases.
    • Small sores appear on the surface of the skin.

    In addition to purulent urethritis, with gonorrhea, urination to urinate is especially frequent, in the case when gonococci penetrate the oral cavity, the formation of gonorrheal pharyngitis or stomatitis begins. Most often, these pathologies develop in women and in men who prefer same-sex relationships. The development of pharyngitis can occur without obvious symptoms, but sometimes it manifests itself:

    • Increased salivation,
    • Moderate pain in the throat, which in some cases can be quite severe,
    • Difficulty swallowing
    • Tonsil congestion, pharynx,
    • Formation of purulent plaque on the mucous layers
    • Swelling of the sky and palatine uvula.

    Now about what manifestations of gonorrhea develop when anal contact contributed to the infection. In this case, gonococci penetrate the rectum, in which the formation of inflammatory processes begins, which leads to gonorrheal proctitis. Such a gonorrhea is observed in women and in representatives of the stronger sex. At the same time, in a female audience, the disease can form not only against the background of anal contact, but also due to the ingress of vaginal discharge into the anus after normal sexual intercourse. This contributes to the simultaneous infection of both the genitourinary tract and the rectum. With gonorrheal proctitis, symptoms may be absent or pathology may occur:

    • Soreness, itching of the anus,
    • Anal secretions,
    • Unconventional men may develop a more dangerous form of proctitis, when a purulent-mucous plaque is detected on the wall of the intestine, which is detected during rectoscopy.

    When gonococci infect the mucous layer of the eyes, gonorrhea manifests itself primarily as severe inflammation with purulent copious discharge. The disease can affect the joints, penetrate the heart muscle and other organs. In the absence of timely treatment, the acute form flows into a chronicle, which is not characterized by severe soreness and severe symptoms. The main characteristic sign of chronic gonorrhea is the “morning drop” syndrome. It manifests itself as follows - after a night's rest at the urethra, you can notice a drop of muddy purulent fluid. Discomfort during urination also persists.

    Chronic gonorrhea is much more difficult to cure than acute, therefore, the victim has more chances to recover with timely treatment. You should contact a specialist even if you suspect gonorrhea, without waiting for obvious symptoms.