Gonorrhoea (communicable venereal disease).


Define Gonorrhoea : It is an infectious and communicable venereal disease caused by Neisseria gonorrhoea characterized by burning sensation in the genitalia, painful micturition. Purulent discharge per vagina in female.

We have describe in article :

Epidemiology of gonorrhoea

Management of gonorrhoea

Clinical feature and Symptoms of gonorrhoea.

Treatment of gonorrhoea.

Prevention of gonorrhea

Complication of gonorrhoea.


Epidemiology of gonorrhoea : 

A. Occurrence : Gonorrhoea is the most frequent of the venereal diseases. It is endemic all over the world.

B. Ecological triad : 

  1. Agent: Neisseria gonorrhoea
  2. Host : 
  • Age : Most infections occurs in the 15 to 30 years of age group.
  • Sex : Both sexes are affeced.
  • Immunity : Infection does not confer immunity

C. Natural history : 

  1. Reservoir : Cases and carriers
  2. Infectious period : It extends for months or years.
  3. Mode of transmission  : 
  • Direct sexual contact.
  • From infected mother to her new born

 4. Incubation period : 2- 10 days.

Symptoms of gonorrhoea : 

  1. Urinary symptoms : Dysuria (25%).
  2. Excessive irritant vaginal discharge (50%).
  3. Acute unilateral pain and swelling over the labia due to incolvement of Bartholin’s gland
  4. There may be rectal discomfort due to associated proctitis from genital contamination.
  5. Soreness in the vulva ( non – itching).
  6. Others.
  • Pharyngeal infection.
  • Intermenstrual bleeding.

Signs of gonorrhoea :

  1. Labia may be swollen and look inflamed.
  2. The vaginal discharge is mucopurulent.
  3. The external urethral meatus and the openings of the Bartholin’s duct look congested.
  4. Speculum examination reveals congested ectocervix with increased mucopurulent cervical secretions escaping out through the external OS.

Investigation of gonorrhoea : 

  1. Nucleic acid amplification testing (NAAT) of urine or endocervical discharge id done which is very sensitive and specific (95%).
  2. DNA based tests are used for screening.
  3. Culture of the discharge in Thayer- Martin medium.
  4. CFT for gonorrhoea
  5. Monoclonal antibody

Treatment  of gonorrhoea : 

A. Uncomplicated infection : 

  1. Cefixime 400 mg stat, or
  2. Ciprofloxacin 500 mg orally, stat, or
  3. Ofloxacin 400 mg Orally stat, or
  4. Ampicillin 3 grams plus probenecid 1 g orally stat.

B. Quninolone resistance : 

  1. Ceftriaxone 250 mg stat or
  2. Spectinomycin 2 g I/M stat.

C. Pregnancy and breast feeding : 

  1. Cefixime 400 mg stat, or 
  2. Ceftriaxone 250 mg I/M stat or 
  3. Ampicillin 3 grams plus probenecid 1 g orally stat, or
  4. Spectinomycin 2 g I/M stat.

D. Pharyngeal gonorrhoea : 

  1. Cefixime 400 mg stat, or
  2. Ceftriaxone 250 mg stat or
  3. Ciprofloxacin 500 mg orally, stat, or
  4. Ofloxacin 400 mg orally stat.

Prevention of gonorrhea : 

  1. Adequate therapy for gonococcal infection and meticulous follow up are to be done till the patient is decleared cure.
  2. To treat adequately the male sexual partner sumultaneously.
  3. To avoid multople sex partner.\
  4. To use condom till both the sexual partners are fee from disesase.

Complication of gonorrhoea : 

  1. Acute prostatitis.
  2. Epididymo – Orchitis.
  3. Pelvic inflammatory disease (PID)
  4. Stricture urethra
  5. Bacteraemia
  6. Bartholin gland abscess.
  7. Acute gonococcal urethritis.
  8. Septicaemia.
  9. Acute purulent conjunctivitis

14 Responses

  1. Somebody necessarily help to make severely articles I might state. That is the first time I frequented your website page and thus far? I surprised with the research you made to create this particular post incredible. Magnificent activity!

  2. Murray Fett says:

    I’ve recently started a site, the information you offer on this site has helped me greatly. Thanks for all of your time & work.

  3. tlovertonet says:

    hello!,I like your writing very much! share we communicate more about your post on AOL? I require a specialist on this area to solve my problem. Maybe that’s you! Looking forward to see you.

  4. Slotbom88 says:

    I’ve been surfing online more than 3 hours today, yet I never found any interesting article like yours. It is pretty worth enough for me. Personally, if all site owners and bloggers made good content as you did, the internet will be much more useful than ever before.

  5. At this time it looks like Movable Type is the preferred blogging platform out there right now. (from what I’ve read) Is that what you are using on your blog?

  6. Hi my family member! I wish to say that this post is awesome, nice written and come with approximately all vital infos. I would like to look extra posts like this.

  7. You need to take part in a contest for among the best blogs on the web. I will advocate this web site!

  8. We are a group of volunteers and starting a new scheme in our community. Your web site provided us with valuable info to work on. You have done an impressive job and our entire community will be grateful to you.

  9. hi!,I love your writing very a lot! proportion we communicate more approximately your post on AOL? I require an expert on this area to solve my problem. May be that is you! Taking a look ahead to see you.

  10. You have brought up a very wonderful points, appreciate it for the post.

  11. Boostaro says:

    Can I simply say what a relief to seek out somebody who truly is aware of what theyre talking about on the internet. You definitely know the way to deliver a problem to mild and make it important. More individuals have to read this and perceive this side of the story. I cant imagine youre not more widespread because you definitely have the gift.

  12. Thank you for every other fantastic article. Where else may anybody get that kind of info in such an ideal means of writing? I have a presentation next week, and I am at the look for such info.

  13. try says:

    Hello there! Do you know if they make any plugins to protect against hackers? I’m kinda paranoid about losing everything I’ve worked hard on. Any suggestions?

  14. Thanks a bunch for sharing this with all of us you actually know what you’re talking about! Bookmarked. Please also visit my site =). We could have a link exchange arrangement between us!

Leave a Reply

Your email address will not be published. Required fields are marked *