What are Symptoms and Signs Gonorrhea in Woman

     Clinical manifestations and course of disease in women differ from men. This is caused by anatomical and physiological differences in male and female genitalia. In women, both acute and chronic illness, subjective symptoms are rare and almost never found an objective disorder. In general, women have come if complications occur. Most of the patients was found in the antenatal or family planning examination.

Moreover, women experience a period of three developments:
1. The prepubertal
Vaginal epithelium in the undeveloped state (very thin), gonorrhea vaginitis that may occur.
2. The reproductive
Mucous membranes lining the vagina become mature, and thick with a lot of glycogen and Doderlein bacilli. Doderlein bacilli will break glycogen, so the atmosphere becomes acidic and the atmosphere is not favorable for the growth of bacteria gonococcus.
3. The menopause
Mucous membranes of the vagina become atrophic, glycogen levels decreased, and Doderlein bacilli were also reduced, so that the acid is reduced and the atmosphere is favorable for the gonococci germs, so it becomes easy to occur gonorrhea vaginitis.
     At first only the cervix uteri are exposed to infection. Duh body contains a lot of gonococcal mucopurulent and flows out and invade the urethra, the duct parauretra, Bartholin gland, rectum, and can also come up in the bladder egg.

1. Urethritis
The main symptom is dysuria, polyuria occasionally. On examination, the urethral orifice eksternum appear red, and there edematosa mucopurulent secretions.

2. Paraurethritis / Skenitis
Paraurethra gland can be exposed, but abscesses are rare.

3. Cervicitis
Can be asymptomatic, the occasional lower back pain on examination, the cervix appears red with erosion and mucopurulent secret. Duh body will look more in case of acute cervicitis or vaginitis caused with Trichomonas vaginalis.

4. Bartolinitis

Labium major on the affected side, red swelling and tenderness. Bartholin glands swollen, painful if the patient once the patient is difficult to walk and sit. When the channels are clogged gland abscesses can arise and can rupture through the skin or mucosa. If not treated it can become recurrent or a cyst.

5. Salpingitis
Inflammation can be acute, subacute, or chronic. Predisposing factors are:
•  The puerperal (childbed)
•  Dilatation after curettage
•  The use of IUDs, the act of an IUD (intrauterine device)
Way of direct infection of the cervix through the fallopian tubes to the ovary so that the salping and can cause pelvic inflammatory disease (PID). PID infections can cause ectopic pregnancy and sterility. Approximately 10% of women with gonorrhea will end up with PRP.

     Symptoms are pain in the lower abdominal area, duh body vagina, dysuria, and menstrual irregularities or abnormal. Diagnosis must be made with some other diseases that cause similar symptoms, such as pregnancy outside the womb, acute appendicitis, septic abortion, endometriosis, regional ileitis, and diverticulitis. To make a diagnosis can be made Dauglas pouch puncture and continued culture of microorganisms or by laparoscopy.

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