Treatment for gonorrhoea can be done by using oral and injectable antibiotic prescribed by your doctor. It is also important for your sexual partners to be test and treated too even if there are no symptoms evident in him/her. This is because if the partner is also infected but not treated along with you, you might get re-infected. After the patient has been diagnosed with gonorrhoea, decision has to make for whether the patient has to be hospitalised to be treated as an outpatient. Males are always treated as outpatient for their genital infection. But if they come with complications like gonococcal arthritis or gonococcal infection (DGI), hospitalisation would be required. This decision making is q little difficult in females because of high risk of complications. Female with pelvic inflammatory disease (PID) or similar complications are normally avoided by doctor for treatment because of high rate of reinfection, poor follow-up and noncompliance. Gonorrhoea can also be treated by surgical procedures. Patient must not share their medication with another patient with gonorrhoea because the treatments are individual and damage type specific. Re-evaluation might be required if even after the commencement of the treatment, symptoms continue to prevail. Infants may also require medication for conjunctivitis or any other eye disease which may be caused due to the mother’s gonorrhoeal infection.
Gonorrhoea is usually treated with dual therapy of antibiotics- azithromycin (Zmax , Zithromax) or doxycycline(Vibramycin, Monodox) and ceftriaxone. Also, the combination of either injectable gentamicin or oral gemifloxacin (Factive) and oral azithromycin has been proved very effective in the treatment of gonorrhoea. People who are allergic to ceftriaxone (cephalosporin antibiotics) find this combination of treatment beneficial. In the treatment of gonorrhoea, antimicrobial resistance is of growing concern thereby rendering successful treatment difficult. In case of complications like gonococcal arthritis, 1g of ceftriaxone as IV/IM daily coupled with a single dose of 1g azithromycin treatment should be given for a day or two after there has been improvement in the symptoms. The gonococcal conjunctivitis complication in adults can be treated by a single dose of azithromycin 1g PO and ceftriaxone 1g IM along with saline drip. Pelvic inflammatory disease due to gonorrhoea is effectively treated by a single dose of doxycycline 100mg PO BID and ceftriaxone 2g IM for a fortnight in combination with metronidazole 500mg PO BID. Therapy recommended for treating gonococcal epididymitis is a single dose of ceftriaxone 250mg with doxycycline 100mg twice orally every day for 10 consecutive days. For the treatment of gonococcal meningitis and endocarditis, it is advised to use azithromycin 1mg PO as a single dose with ceftriaxone 1-2g IV for every 12 to 24 hours. An alteration in the therapy and its duration must be consulted with your physician, patient’s medical response to the therapy and his/her antimicrobial susceptibility testing must be evaluated with utmost importance. The gonococcal meningitis and endocarditis have been recommended for specific number of days of parenteral therapy, that is, 10-14 days for meningitis and 4 weeks for endocarditis.
People who get infected with Neisseria gonorrhoeae bacterium and have symptoms like burning with urination, testicular pain, penile discharge in men and vaginal discharge and bleeding other than in periods with pelvic pain in women are eligible for treatment. Also, the partners of the patients who may not show evident symptoms but might be infected with the bacteria must also go for a diagnostic test and thereafter for its treatment. A child born from a gonorrhoea infected woman may also get infected affecting its eyes developing a condition called ophthalmia neonatorum.
Diagnostic test for gonorrhoea must be accompanied by a pregnancy test in women and must be taken care that the treatments and medications are not given to the pregnant women.
Side effects of medication by IV/IM include headache, nausea, pain and reddening of the injection spot and itching. Side effects of oral medications are usually mild abdominal pain, diarrhoea and nausea too. To be more specific, injection of ceftriaxone can cause several side effects like diarrhoea, weakness, pale skin, shortness of breath while exercising, tenderness, pain, warmth or hardness at the injection site. Some serious side effects can also be experienced like stomach ache and tenderness, heartburn, nausea, vomiting, rashes on the body stomach cramps, watery stools with blood, fever, chest pain, painful and decreased urination, pain below the ribs, red, pink, brown or cloudy urine which can also be foul smelling, peeling and blistering of the skin, swelling of the legs, throat, tongue, seizures and difficulty in breathing and swallowing. The gonorrhoea bacterium has grown resistance towards certain drugs like penicillin and tetracyclines.
After the treatment is complete you must abstain from sexual contact for at least a week. This will surely reduce the risk of transmission of the disease to your partner. You should also advise your partner(s) to go for gonorrhoea diagnostic test and treatment at the same time. Condoms must be used while having sex or even during oral sex because the bacteria can infect the throat too. If symptoms persist after the treatment, doctor must be consulted soon to prevent the condition to get aggravated. A follow-up treatment done every 2-4 weeks is always good with ‘test of cure’ to be sure that you are completely clear of the bacteria or any sexually transmitted infection.
It normally takes a week to get rid of the infection completely meanwhile abstaining from sexual activity with your partner. In some cases where the patient suffer from bleeding between the periods, it takes almost another menstrual cycle to get completely rid of the bacteria and improve the bleeding issue.
The cost of treatment for gonorrhoea can range from Rs.300 to Rs.2000 including consultation fees for the doctor. The STD test can be done for about Rs. 2050.
The treatment cannot be termed permanent because re-infection can occur as the transmission of the virus does not just depend upon one person’s hygiene. So, use of protection barriers like condoms must always be used during sexual intercourse to keep infection at bay.
Alternative treatment options for gonorrhoea are single dose of cephalosporin injection, cefoxitin or cefotaxime for urogenital and anorectal infections. Cephalosporin allergic patients can get different therapy with a single dose of gemifloxacin PO 320 mg with azithromycin 2g PO. Gentamicin 240 mhg IM with azithromycin 2g PO is also recommended for ones who are allergic to cephalosporin. In case of azithromycin allergy, doxycycline 100 mg PO BID can be prescribed for a week coupled with ceftriaxone.
Rs.300 to Rs.1500
Most women suffer from gynaecological infection at least once in their life while some may suffer from them multiple times. The most common infections that affect women’s reproductive tracts are vulvitis, vaginitis, cervicitis and pelvic inflammatory disease or the dreaded PID. What’s even worse is the fact that these dangerous infections are often missed in women due to lack of information and the absence of health services, especially in rural parts of the country.
Let’s take a quick look at each one of the above four gynaecological infections:
Vulvitis is an inflammation of the vulva, the tender folds of skin outside the vagina.
Common symptoms include-
Causes can include anything from the use of toilet paper, swimming in pools, synthetic underwear, rubbing against a bike seat, bubble baths to shampoos and deodorants…
Usually, urine tests, blood tests and tests for sexually transmitted diseases are used to diagnose this infection. Vulvitis can be caused due to a number of reasons and it’s also a symptom of other more dangerous diseases, hence its treatment is done taking all these factors into mind.
Treatment can include-
Vaginitis refers to any inflammation of the vagina. Usually, the inflammation strikes the walls of the vagina. It can be infectious or non-infectious. This infection is common in women of all ages with one-third of women reporting suffering from the infection at some time during their lives.
These can be many like infection with bacteria, yeast, viruses etc. Chemicals in creams or sprays, and even clothing can cause the condition. It can be sexually transmitted too. Your hormones, overall health and other diseases you may have – all of these also determine whether you’ll get vaginitis.
The 3 types of vaginitis are-
Vaginitis should always be taken seriously. If left untreated, vaginitis can cause PID which can lead to infertility. If you get a discharge- a frothy white discharge or a colourless discharge with a fishy disorder and see redness around your vagina and pain during urination or sex- don’t take it lightly, but fix an appointment with your gynaecologist ASAP. He or she will mostly treat you using antibiotics.
This is an irritation or infection of the cervix. It is caused by a number of different organisms and it can be either acute or chronic. Common causes are sexually transmitted diseases or STDs like-
Pelvic exam and tests for STDs are used for diagnosing this infection. Treatment includes the use of antibiotics for the victim and her sexual partner to prevent re-infection.
Pelvic inflammatory disease
Pelvic inflammatory disease or PID is an infection that affects the woman’s entire reproductive tract like the uterus, fallopian tubes, and the ovaries. It causes scar tissue formation which grows between internal organs leading to chronic pelvic pain. PID can also lead to ectopic pregnancy or a pregnancy which happens when the fertilized egg grows outside the uterus. Untreated PIDs can lead to chronic infection and infertility.
The main cause of PID is bacteria. Intra uterine device use is also linked to PIDs.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg.
Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories:
The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:
Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.
Treatment for infertility caused by tubal scarring is of two types.
In large number of cases of tubal scarring tubes would be open on tubal testing. However, it may not be working well or is functional. A lot of women with so called unexplained infertility may actually have tubal scarring or non functional tubes as the cause of Infertility. IVF is the best treatment option in such cases as it would bypass the work of the tubes completely. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.
There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.
Risks involved: Things that make you more prone to an ectopic pregnancy are:
Symptoms: The signs of an ectopic pregnancy are:
Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:
Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.
For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy. If you wish to discuss about any specific problem, you can consult a gynaecologist.
While genital infections are an uneasy topic to discuss and seek treatment for, ignoring them leads to severe complications like infertility and even death. Most of these can be treated with a regular course of antibiotics and some topical treatment when identified early. Genital infections can be broadly classified into sexually transmitted and non-sexually transmitted. Read on to know some more common infections in both the categories.
Sexually transmitted diseases:
Non-sexually transmitted diseases: There two major genital infections not transmitted by sex are bacterial vaginosis and candidiasis.
Early diagnosis and intervention of these infections can prevent severe symptoms in most cases. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Vaginal discharge or odor is one of the most common conditions in women, yet the least talked about or taken help for. It is of vital importance that more and more women become aware of the condition and stop neglecting it. It is this neglect towards the condition that leads to some ancillary side effects and the increase in the complexity of the situation. Before things take a turn for the bad, it is imperative that you take help from concerned medical specialists and fight the condition during its initial days itself.
Why consult a specialist?
Treating the condition as soon as you notice it leads you to stem other diseases and infections that may be caused as a side effect. Also, vaginal discharge and foul odor can become not only the cause of discomfort for your day to day life, but also a great hindrance in your private life. Don’t let a curable condition hamper your personal life and most importantly your conjugal life. Visiting a doctor will help you get rid of both the excessive discharge and foul order. All you have to do is shred that mental neglect and confining attitude, step out of the home and make way to the doctor’s clinic.
What causes vaginal discharge?
Some of the most common causes of vaginal discharge include-
Other causes of vaginal discharge include pregnancy, anxiety, cervix inflammation, cervical cancer or history of the same.
Causes of vaginal foul odor:
Some of the most common causes of vaginal odor are-
Treating vaginal discharge and foul odor:
In case that vaginal discharge and a foul odor is becoming a major concern in your life and making things uncomfortable for you, it is the time that you make your way to a medical specialist. Other preventive practices often suggested by doctors include- wearing loose clothes, not wearing a tampon for a long time, losing weight, consulting a gynaecologist before starting a specific treatment or medication, etc.