Gonorrhea and infertility.

Sexual intercourse by the spread of the disease known as total sexually transmitted diseases, including gonorrhea, syphilis, chlamydia, Mycoplasma infection and toxoplasma infections. These diseases, and some can cause tubal obstruction, caused some endometritis, uterine muscle wall damage, other endocrine dysfunction and infertility; Some important cause organ damage and endanger lives; Some of the illness can occur during pregnancy abortion, premature or stillbirth. ??-- Gonorrhea causes gonorrhea is gonococcal bacteria, gram-negative-bacteria, known as Neisseria gonorrhoeae. Venereal disease accounted for over 90% of the reproductive age young women a high prevalence rate, the more sexual partners have the disease. Gonorrhea mainly transmitted through sexual intercourse directly. Indirect transmission is low, the main contact with secretions gonorrhea patients contaminated clothing, urinals and equipment. Road access to reproductive gonococcus soon after cervical gonococcal cause inflammation, further upstream, tubal caused epithelial cell injury and necrosis and lost, the result Intrafallopian scar formation, adhesion barrier umbrella and the Department of tubal adhesions around, atresia, the sperm and egg can meet, infertility. ??-- A clinical performance. The incubation period of acute gonorrhea about seven days, start to behave as acute urethritis and cervicitis, urethra and adjacent hordeolum Pap hordeolum. When urination burning pain and frequent urination, increased leucorrhea, yellow pyometra. The lower part of the vagina or swelling, tenderness or pain found the lumps. But 50% of women with gonorrhea can be asymptomatic. If these infections has not timely treatment or treatment is not complete, occurred upstream infection, caused impatient uterus. Salpingitis acute, acute pelvic peritonitis. Gynecological pyometra found to have cervical secretions from the mouth outflow, vaginal and cervical incision congestive obviously contact bleeding. Out of the mouth of urethral secretions pyometra. Acute Pap hordeolum, one or two lateral labia majora can hit the rear of mass tenderness, and even mass fluctuations flu, said the abscess had formed. Acute pelvic infection, or two lateral side of the annex to the district tenderness, or not in accordance with, but systemic mild symptoms, for gonococcal infections mucosal and serosal violations, violations less deep tissue. 2. Chronic acute gonorrhea or untreated gonorrhea treatment to be able to complete chronic. Performance to be lower abdomen secret anguish or lumbosacral pain, often acute pelvic inflammatory disease. Outcomes may be chronic urethritis, chronic cervical canal uveitis, Bartholin cyst signs. ??-- A diagnosis. According to the diagnosis of acute infectious disease history, symptoms, signs, pyometra urethral or vaginal secretions and bacteria culture smear examination or gonococcal PCR DNA test, to make a definite diagnosis. 2. The diagnosis of chronic vaginal secretions gonococcus often no way of finding out, but the long-term potential in urogenital gland deep therefore drawn from the cervix for gonococcus Isolation and drug sensitivity tests to guide drug. Way is a sterile cotton swab to remove cervical secretions of mouth, and then a cotton swab gently insert the cervical canal%, turning cotton swab seconds, remove implanted tube train or immediately sent to do PCR. ??-- A treatment. Acute treatment of acute peritonitis Salpingitis or pelvic should be hospitalized. Bartholin abscess formation, they should immediately Incision. Treatment of acute gonorrhea, the amount of antibiotics should be sufficient time to be fully in order to complete the treatment. Preferred penicillin, if allergic to penicillin can be applied to tetracycline, erythromycin. Erythromycin 500 mg, 4 / d, a total of 7 days; Tetracycline 500 mg, 4 / d, a total of 7 days; procaine penicillin 2.4 million to 4.8 million U, intramuscular injection, a / d, a total of 7 days. Persons with acute pelvic inflammatory disease, penicillin 6 million to 20 million U infusion. To produce penicillin allergy patients showering HSU, 2g, an intramuscular injection. After treatment, remained positive methicillin available thiophene cephalosporins, 2g, intramuscular injection. Carboxymethyl benzene plus sulfadoxine 1g, oral. After treatment, 4 to 7 days for repeat urethral secretions and cervical smears and bacterial culture, PCR after a monthly review, three times in a row. It should be noted that sexual partners should be treated. 2. Chronic treatment of chronic difficult to cure, more comprehensive treatment methods, such as Chinese medicine, physical therapy, surgery and so on. If after treatment, urethral and cervical secretions smear and culture not found gonococcus. As had contracted gonorrhea lead to infertility, such as pelvic adhesions, ovarian tubal parcels, fallopian tube obstruction can take surgical treatment; Laparoscopic surgery or treatment.