Sexual Health
What are the clinical manifestations of female gonorrhea? Four Common Manifestations of Gonorrhea in Women
Post Date November, 17 2024
Because gonococcal bacteria are most likely to invade the mucosa formed by the columnar epithelium and transitional epithelium of the urinary and reproductive organs, gonococcal urethritis, vestibular adenitis, and anal inflammation are common; The vaginal mucosa composed of stratified squamous epithelium is less susceptible to gonococcal invasion, so gonococcal vaginitis is relatively rare.
The clinical manifestations of female gonorrhea are mainly as follows:
(1) Gonococcal urethritis and paraurethral prostatitis
Generally, symptoms such as painful urination, urgency, and burning sensation occur 2-5 days after sexual intercourse. The urethral opening is red, swollen, and congested, squeezing the paraurethral gland, and there is purulent discharge overflowing.
(2) Gonococcal vestibular adenitis
The vestibular gland has obvious acute inflammatory reactions such as redness, swelling, heat, and pain, and in severe cases, it can form a vestibular gland abscess.
(3) Gonococcal cervical endometritis
The endometrium of the cervical canal is the easiest place for gonococci to hide, causing cervical congestion, swelling, tenderness, and an increase in purulent vaginal discharge in patients.
(4) Gonococcal osteodiscitis
It refers to a group of diseases such as acute salpingitis, endometritis, fallopian tube ovarian abscess, pelvic abscess, peritonitis, etc. Many patients with acute salpingitis have no symptoms, but their menstrual cycle is prolonged, blood volume increases during menstruation, and other symptoms such as high fever, chills, headache, nausea, vomiting, and loss of appetite occur after menstruation, including pain in both lower abdomen, obvious compression pain, and weight on one side. Gynecological examination revealed purulent secretions in the urethra, paraurethral glands, vestibular glands, and cervix, as well as thickening and tenderness of bilateral appendages. If there is a fallopian tube ovarian abscess, a lump can be felt at the attachment or posterior fornix of the uterus, and there is tenderness and wave sensation. Rupture of a fallopian tube abscess can cause peritonitis and even toxic shock.
