Gonorrhea

Gonorrhea Overview:

Gonorrhoea is caused by the gram negative diplococcus species of bacteria known as Neisseria gonorrhoeae.


Aetiology:

In women, this species usually infects endocervix, urethra, oropharynx, anorectum and Bartholin’s gland. In men it most commonly infects the urethra. 

Antibiotic resistance is a concerning and emerging problem with Gonorrhoea. 


Symptoms:

Swelling and Pain in The Testicals (Men)

Dysuria

Lower abdominal pain

Deep dyspareunia

Symptom

White or Yellow discharge

Painful Urination


Diagnostic Considerations:

  • Vaginal pH
  • High vaginal swab for gram staining and fungal culture
  • Swab or first-catch urine sample for chlamydia or gonorrhoea NAAT
  • Microscopy (wet preparation) caginal swab for trichomoniasis
  • HSV PCR/culture of any lesions/areas of erythema
  • Pregnancy test
  • Pap smear

Diagnostic Features With Vaginal Discharge

Condition Itch Odour Consistency of Discharge Vulva erythema Dyspareunia
Candidiasis Common None Thick/Lumpy Common Sometimes
Bacterial vaginosis None Fishy odour Thin and homogenous Rare Rare
Trichomoniasis Sometimes Fishy odour Thin or frothy Sometimes Sometimes
Chlamydia or Gonorrhoea None None (usually) Mostly absent Absent Sometimes
Herpes simplex virus Sometimes None (usually) Usually none Common Sometimes

Therapeutic Aims:

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Differential Diagnosis:

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Cautions:

Gonorrhoea has shown an alarming rate of drug resistance in recent years [1].

 

Herbs For Gonorrhoea:

 

XXX Formula

Herb Name Ratio Amount in mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Total 100 mL

Author:

Justin Cooke

The Sunlight Experiment

Updated: December 2017


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References:

  1. Unemo, M., & Nicholas, R. A. (2012). Emergence of multidrug-resistant, extensively drug-resistant and untreatable gonorrhea. Future microbiology, 7(12), 1401-1422. Chicago.