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Gonorrhoea is primarily a veneral disease affecting the male and female genitourinary tract. It is transmitted by sexual intercourse. The main causative organism of this disease is Neisseria gonorrhoeae. These organisms are kidney shaped.

Gonorrhoea in Males


In the males, the organs commonly affected are the urethra, rectum and anal canal and oropharynx. The incubation period is 2 to 10 days, that means first symptom develops after 2 to 10 days of sexual exposure. The first symptom is urethral discharge which is seropurulent at first and becomes purulent later on. Burning pain during micturition and urethral itching are very common.

Frequently, urgency and nocturia only develops when the posterior urethra and the prostate become involved. There may not be any definite physical sign. The meatus may be red and oedematous with its lips overted. The mucosa and the submucosa are inflamed and thickened and the urethra becomes tender.

Female Gonorrhoea

The importance of this condition in females is that it often remains symtomless and majority the cases are found out when their male partners have been affected.


The main organs affected are the urethra, cervix, rectum an anal canal and oropharynx. There is generally seen reddening or erosion of the cervix. A mucopurulent discharge is seen on the cervix. There may be slight vaginal discharge. There may also be slight dysuria due to involvement of the urethra.

On careful examination, an individual may find bead to pus at the meatal orifice after emptying Skene’s tubules by milking the urethra down against the posterior ramus of the pubis. The incubation period in the females is shorter being only two to four days. The symptoms of acute infection includes a sensation of heat and discomfort of the vulva and pain on micturition. If the cervix is infected, then a blood-stained discharge is noticed an backache also observed.

Complications may be noted in case of gonorrhoea for example-vaginitis may occur in children who are accidentally infected. Cervicitis may also be observed Salpingtis, accompanied with peritonitis is a dreaded complication.

Treatment For Gonorrhoea

The prophylactic treatment largely depends on better education and preventive measure. The gonococcus is very sensitive to most of the antibiotic. Previously Penicillin was an effective drug against this organism. But gradually it is becoming increasingly resistant to penicillin producing penicillinase.

Ampicillin 3 gram stat with probenecid 1 gram to delay excretion is an effective antibiotic. Procaine penicillin 1.5 to 4 mega units I.M. with Probenecid is also effective except for resistant cases. Cotrimoxazole (Septran) 4 tablets b.d. for 5 days is also very effective. Kanamycin 2 gram stat is very effective though it is ototoxic. Tetracylines also cure 90% of cases.

The discharge usually disappears in 12 hours. In 10& of cases a scanty thin discharge will remain following treatment, which will disappear within a few days. Application of 30 percent calomel ointment before exposure to infection and subsequent washing with potassium permanganate solution, is almost certainly efficient. Prophylactic outfits, with directions for use are easily obtainable. For the female, antiseptic tablets or jellies are available and should be supplemented by a vaginal douche of permanganate after exposure.

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