Gonorrhea

Gonorrhea is sexually transmitted disease. The infection is caused by the bacterium Neisseria

.

Symptoms

Yellowish discharge from the penis with painful frequent urination. Symptoms are not seen in few men but it will be seen from two to thirty days after infection. If not treated it may lead to sterility.

The symptoms are not visible in 50% of affected woman. Otherwise the symptoms are

discharge from the vagina
discomfort in the lower abdomen
irritation of the genitals
pain or burning during urination
abnormal bleeding

If not treated in time it will lead to Pelvic Inflammatory Disease (PID), spreading to the uterus, fallopian tubes, and ovaries, Gonorrhea is the most common cause of female infertility.

Treatment

In tablet form

Amoxicillin 2 g plus probenecid 1 g

Ampicillin 2 to 3 g plus probenecid 1 g

Azithromycin 2 g

Cefixime or Suprax 400 mg

Injection + Tablet

Cefotaxime 500 mg by intramuscular injection

Cefoxitin 2 g by intramuscular injection, plus probenecid 1 g orally

Cefpodoxime (Vantin) 400 mg orally

Ceftriaxone (Rocephin) 125 to 250 mg by intramuscular injection

Ciprofloxacin 500 mg orally

Levofloxacin 250 mg orally

Ofloxacin 400 mg orally

Spectinomycin 2 g by intramuscular injection

Pl. take medical advise on the above treatment

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