1. Simple gonorrhea is a gonorrhea patient without complications.
1) male gonorrhea:
① Male acute gonorrhea:
The incubation period is generally 2 ~ 10 days, with an average of 2 ~ 5 days. The urethral orifice began to be hot, itchy, red and everted. Burning pain when urinating, accompanied by frequent urination, and a small amount of mucus secretion at the urethral orifice. After 3 ~ 4 days, most urothelial mucosa is necrotic, producing a large number of purulent secretions, stinging when urinating, and the glans penis and foreskin are obviously red and swollen. Filariasis or blood can be seen in the urethra, and pus scab can be formed at the urethral orifice in the morning. The severity of systemic symptoms varies.
② Male chronic gonorrhea:
There are generally no obvious symptoms. When the body's resistance drops, such as excessive fatigue, drinking, sexual intercourse, etc., the symptoms of urethritis appear again, but the inflammation is lighter than that in the acute stage, and the urethral secretions are few and sparse. Only in the morning, the pus scab adheres to the urethral orifice. Is this? Alive Phenomenon.
Due to long-term inflammation of urethra, fibrous tissue of urethral wall proliferates to form scar. When multiple scars are formed in the anterior urethra, secretions can not be discharged smoothly, and inflammation is easy to spread to the posterior urethra, prostate and seminal vesicle, accompanied by prostatitis, seminal vesiculitis, and even retrograde spread to epididymis, causing epididymitis. At the end of urination, gonorrhea from the posterior urethra is often mixed in the urethra. Therefore, posterior urethritis and prostatitis are the sources of infection of anterior urethritis. Because the secretion of prostate and seminal vesicle is discharged into the posterior urethra, it constantly stimulates the posterior urethra, which in turn affects the poor drainage of the glandular duct. This interaction promotes the prolonged course of gonorrhea, which is difficult to cure and becomes an important source of infection.
2) female gonorrhea:
(1) female acute gonorrhea:
Symptoms are mild or asymptomatic after infection. Generally, after an incubation period of 2-3 days, the vulva is inflamed first, itching consciously and painful when walking, followed by urethritis, cervicitis, paraurethral adenitis, vestibular adenitis and proctitis, among which cervicitis is the most common. 70% of female gonorrhea patients have urinary tract infection. Gonococcal cervicitis is more common, often occurring at the same time as urethritis.
② Female chronic gonorrhea:
If not treated properly, acute gonorrhea will become chronic. It is characterized by abdominal distension, backache and leucorrhea.
③ Pregnancy complicated with gonorrhea:
No clinical symptoms. Pregnant women with gonorrhea can infect the fetus through the birth canal, especially when the fetal position is breech, which can cause premature rupture of membranes, amniotic cavity infection, premature delivery, postpartum septicemia and endometritis.
④ Gonococcal vulvovaginitis in young girls: the vulva, perineum and perianal region are red and swollen, and vaginal secretions are mostly purulent, which can cause dysuria, local irritation and ulceration.
2. Gonorrhea patients with urogenital complications.
1) Complications of male gonorrhea:
① Gonorrhea complicated with prostatitis and gonorrhea complicated with seminal vesiculitis: If seminal vesicle is involved, blood may be mixed in semen. When complicated with prostatitis and perineal pain, rectal digital examination diagnosed prostate enlargement, pain and seminal vesicle enlargement.
② Gonococcal epididymitis and urethritis: epididymal pain, swelling and tenderness. When complicated with urethritis, the perineum can touch the swollen gland, and the patient feels uncomfortable or dull pain. Complicated with acute epididymitis, scrotum swelling, epididymal swelling, spermatic cord thickening.
③ Gonococcal foreskin balanitis: The stimulation of purulent secretion can cause inflammation of glans and foreskin.
④ Glandular urethritis, retention cyst, lymphangitis, lymphadenitis, prepuce gland abscess: it can invade anterior urethral recess and gland, and is called glandular urethritis. If these glands are blocked, they can form retention cysts, and after the cysts rupture, they can form periurethral cysts. Inflammation of paraurethral glands or around urethra can spread to corpus cavernosum, often accompanied by lymphangitis and unilateral or bilateral inguinal lymphadenitis. The foreskin glands on both sides of the penile frenulum can also be involved to form abscess.
2) Female gonorrhea and its complications:
① Gonococcal vestibular adenitis: the vestibular gland opening is red and swollen, protruding outward, with obvious tenderness and purulent secretion. In severe cases, the orifice of gland is blocked by purulent secretion, which can not be discharged, forming vestibular gland abscess, with obvious pain and difficulty in moving, and may be accompanied by symptoms such as fever and general malaise.
② Neisseria gonorrhoeae paraurethral adenitis: When the paraurethral gland is squeezed, purulent secretion flows out from the external urethral orifice.
③ Gonococcal perianal inflammation: vaginal secretions can drain to the perianal region and perineum for a long time, causing inflammation.
④ Gonococcal pelvic inflammatory disease (GPID): including acute salpingitis, endometritis, secondary salpingo-ovarian abscess, pelvic peritonitis and pelvic abscess. 10% ~ 15% of gonococcal endometritis can be infected, leading to gonococcal pelvic inflammatory disease, salpingitis, oophoritis, adnexitis and cervicitis. It can lead to tubal obstruction, hydrops and infertility. If attached to the ovary, it can lead to tubal ovarian abscess, and once the abscess breaks, it can cause suppurative peritonitis. 66% ~ 77% of pelvic inflammatory disease mostly occurs after menstruation, mainly in young women of childbearing age. Typical symptoms are severe pain on both sides of the lower abdomen, heavier on one side, fever and general malaise. There may be chills before fever, often accompanied by loss of appetite, nausea and vomiting. Most patients have prolonged menstruation or irregular vaginal bleeding, and purulent leucorrhea increases.
3. Genitourinary gonorrhea
1) gonococcal conjunctivitis: it is more common in newborns and adults, with conjunctival congestion, edema and purulent secretion, which can cause corneal ulcer and blindness in severe cases. Gonorrheic conjunctivitis is caused when the newborn passes through the birth canal, which occurs on 1 ~ 14 days after birth. It is characterized by obvious redness and swelling of double eyelids and purulent secretion. If not treated in time, it may involve the cornea, form corneal ulcer and corneal leukoplakia, and lead to blindness.
2) Gonococcal pharyngitis: most of them are asymptomatic, and those who have symptoms can show swelling, blisters, pustules and purulent secretions in the throat.
3) Gonococcal proctitis: anal pruritus and burning sensation, defecation pain, mucus and purulent secretion, rectal congestion, edema, purulent secretion, erosion, small ulcers and cracks.
4) Neisseria gonorrhoeae peritonitis has abdominal pain on one or both sides, and a few cases have metastatic abdominal pain, but it is lighter than other peritonitis. Frequent micturition, urgent micturition, dysuria, and urethral burning pain have often appeared similar symptoms in the past six months. Have a history of unclean contact.
5) Gonorrheic arthritis: involving knees, ankles, elbows, wrists and shoulder joints. Two-thirds showed wandering asymmetric arthritis, and about 1/4 showed single joint pain. Arthritis is characterized by redness, swelling, exudation or pus accumulation, which can cause bone destruction and joint stiffness. Often accompanied by synovitis and tenosynovitis.
4. Disseminated gonorrhea is disseminated gonococcal infection, accounting for 0.2% ~ 1.9% of gonorrhea patients. Low to moderate fever, body temperature below 39℃, may be accompanied by fatigue, loss of appetite and other symptoms.
5. Post-gonorrhea syndrome (PGS) refers to patients who still have some symptoms or signs after gonorrhea treatment, and the laboratory examination is negative. There are symptoms such as urethritis and prostatitis.
It is recommended to go to a suitable hospital for examination and treatment. I wish you the best of health!