Treatment of gonorrhea in women

Treatment of gonorrhea in women should be performed immediately after the diagnosis is made. Late initiated therapy may lead to the development of irreversible changes in the appendages due to the chronic course of the inflammatory process.

Treatment of gonorrhea in women is mainly reduced to the use of antibiotic medications. In modern medicine, the drugs of the latest generation are used that have the ability to affect gram-negative flora. It should be borne in mind the increased resistance of the gonococcus to antibiotic agents. In addition, it must be borne in mind that the treatment of gonorrhea in women at different stages requires a different dosage. That is why self-medication is by no means unacceptable.

The intake of antibiotic drugs causes dysbacteriosis, both in the intestine and in the vagina. In this regard, the treatment of gonorrhea in women ends with the use of microflora-repairing agents. One of the mandatory conditions during therapy is the rejection of sexual contacts and alcohol.

Since it is difficult to cure gonorrhea in many cases, therapy should be performed under constant bacteriological control. The disease is considered to be eliminated only if laboratory tests show the absence of gonococci in scrapings or smears.

It should be noted that in the absence of treatment or incorrect (self) therapy, the risk of spreading the infection up the mucosa is high. In this case, the envelope of tubes, uterus, ovaries, and in some cases peritonea, is involved in the inflammatory process.

Than to treat a gonorrhea?

Despite the identity of causes and conditions of the disease in men and women, the mechanism of spread of infection and the course of pathology in each case has its own peculiarities. Depending on the affected area of the genitourinary system, treatment is selected.

The most common gonorrheal urethritis is acute. It is detected in 90% of patients. In this case, sulfonamide preparations are prescribed , antibiotics in combination with local procedures.

In chronic and subacute stages, the urethra is washed with a solution of potassium permanganate. Such therapy is also applicable in acute cases in case of patient intolerance to sulfonamides and antibiotics. After washing, the canal is lubricated with ichthyol or a 1% solution of lugol or silver nitrate.

Persistent urethritis suggests the use of gonovaccine or penicillin. The drugs are injected into the submucosal layer of the urethra.

When gonococcal lesions of the paraurethral ducts are diagnosed, gonorrheic pararethritis.

Treatment of this disease is carried out with the therapy of urethritis. In neglected cases, in the absence of the effect of local and general effects, cauterization of the ducts using crystalline silver nitrate is used . With the development of an abscess, surgical intervention is prescribed.

Gonorrheal vulvitis is a very rare disease. It is noted more often in pregnant women against the background of loosening of the superficial epithelial layer, in women during menopause on the background of pronounced thinning in multilayer flat epithelium.

In this pathology, treatment is carried out using antibiotic drugs, sulfonamides, as well as local effects on the foci of infection. In acute course, sit-up baths with a solution of potassium permanganate are recommended. In the subacute period after them, the lubrication of the affected areas is prescribed with a one- to two-percent solution of silver nitrate or a three- to five-percent solution of protargol. To get rid of cracks use a five percent liniment of synthomycin.