GONORRHEA

• A sexually transmitted disease caused by the bacterium Neisseria gonorrhoea that leads to urogenital, anorectal, conjunctival, and pharyngeal infections
• Second most frequently reported bacterial STD after Chlamydia
• Acute infectious STD and can become chronic if neglected
• If untreated it may cause infertility

• Causative organism: Neisseria gonorrhoea
• Gram-negative bacteria
• Direct physical contact with infected host
• Mucosa with columnar epithelium is susceptible
• Women with gonorrhea are considered to be at risk for incubating syphilis
• Incubation period: 3-7 days

• About 50% of patients with acute gonorrhoea are asymptomatic

Symptoms 

• Urethritis – Purulent urethral discharge, dysuria, and urinary frequency
• Excessive irritant vaginal discharge
• Acute unilateral pain and swelling over the labia due to involvement of Bartholin’s gland
• Cervicitis
• PID
• Rectal discomfort
• Pharyngeal infection
• Inter-menstrual bleeding

Signs

• Labia may be swollen and looks inflamed
• The vaginal discharge is mucopurulent
• The external urethral meatus and the openings of the Bartholin's ducts look congested

• Microscopic examinations of stained smears show gram-negative diplococci
• Speculum examination reveals congested ectocervix with increased mucopurulent cervical secretions
• Nucleic acid amplification testing(NAAT)
• Swab of the affected area

Curative

Single-dose regimen of any of the following drugs

• Ceftriaxone
• Ciprofloxacin
• Ofloxacin
• Levofloxacin

Preventive

• Adequate therapy for gonococcal infection and meticulous follow up
• Practice safe intercourse
• Avoid multiple sex partners

Ayurvedic Treatment

Internal Medicines

• Aragwadhadi Kashaya
• Punarnavadi Kashaya
• Indukantha Kashaya
• Triphala Guggulu 
• Vilwadi gutika
• Chandraprabha Vati
• Gopeechandanadi gutika
• Guggulupancha pala choorna
• Saribadyaasava
• Rasa sindhoora

 External Procedures

• Yoni Kshalana - Triphala Kashaya, Karanja kashaya
• Avagaha Sweda - Triphala Kashaya