Is vestibular adenitis gonorrhea?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 05, 2024
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Bartholin's gland inflammation is not gonorrhea. Gonorrhea is a type of sexually transmitted disease, mainly caused by infection with streptococcus. Clinically, it presents with yellow-green vaginal discharge and itching of the vulva. This can generally be diagnosed by taking a secretion sample for testing at a hospital. Treatment for gonorrhea must also be conducted at a hospital after confirming the presence of streptococcus, typically through topical medications and intravenous anti-inflammatory drugs. Bartholin's gland inflammation occurs when the duct of the Bartholin's gland becomes blocked, forming a cyst that leads to inflammation and swelling at the site of the Bartholin's gland, as well as localized pain in the vulva. This condition can severely affect daily activities and walking for some patients. Treatment for Bartholin's gland inflammation generally starts with medication. If chronic inflammation leads to cyst formation, procedures such as fistulotomy or cyst excision may be performed as treatment. These two are not the same condition.

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Written by Luo Hong
Dermatology Department
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Gonorrhea testing methods

The methods for detecting gonorrhea generally fall into two main categories. One involves testing for the pathogen of gonorrhea. A simple method is the microscopic examination of Neisseria gonorrhoeae, which can be seen under a microscope as Gram-negative diplococci. Another method is the cultivation of Neisseria gonorrhoeae, although culturing with medication can occasionally result in false negatives. A more advanced and accurate method is PCR (Polymerase Chain Reaction), which involves using a urethral swab to detect the DNA of Neisseria gonorrhoeae. Currently, this is considered the most sensitive and accurate method available.

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Written by Wang Zhi Guo
Dermatology
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Has gonorrhea been cured if there has been no recurrence for 5 years?

Gonorrhea has been cured without relapse for five years, which generally indicates recovery. To confirm recovery from gonorrhea after treatment, clinical practice typically requires follow-up examinations, involving the collection of urethral secretions from men and cervical secretions from women, to test for Neisseria gonorrhoeae. Men can have a smear test; whereas women generally have a culture of cervical secretions for Neisseria gonorrhoeae, as vaginal secretions contain many other bacteria and cannot be used for definitive diagnosis through smear testing alone. If Neisseria gonorrhoeae tests negative twice, it indicates that the gonorrhea has been cured.

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Written by Luo Hong
Dermatology Department
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Can gonorrhea cause blood in urine?

Gonorrhea infection can present with symptoms of blood in the urine. Common symptoms of gonorrhea include urethral discharge, a large amount of purulent secretion on the underwear, as well as frequent urination, urgency, and pain during urination. Blood in the urine can also occur, although it is less common. Besides gonorrhea, stones must also be ruled out if blood in the urine is observed. If there is only blood in the urine, the likelihood of it being gonorrhea is relatively small, as gonorrhea usually presents with other accompanying symptoms such as frequent urination, urgency, pain during urination, and itching in the urethra.

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Written by Luo Hong
Dermatology Department
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What should you avoid eating if you have gonorrhea?

Actually, the dietary restrictions for gonorrhea are not very special and are quite similar to those of general diseases. For gonorrhea, one should not drink alcohol, try to avoid staying up late, and avoid overly spicy and stimulating foods, such as extremely spicy dishes, hot pots, and fried foods. The diet should be as bland as possible. Of course, if we consider one's own resistance, it is possible to make some soup and eat some good chicken soup, which can also improve one's resistance.

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Written by Chen Feng
Urology
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Painful urination without discharge, is it gonorrhea?

Pain during urination without discharge is generally not gonorrhea; clinically, it is more commonly a urinary tract infection, such as cystitis. Patients with cystitis, due to the inflammation irritating the bladder mucosa, generally exhibit signs of bladder irritation, characterized by frequent urination, urgency, and painful urination. The pain during urination is usually felt as a stabbing or burning sensation in the urethra, but those with cystitis generally do not have any discharge. Clinically, to confirm whether it is gonorrhea, one must first consider the patient's medical history, since gonorrhea is a sexually transmitted disease. Typically, there is a history of unprotected sexual activity before the onset of symptoms, which primarily include redness and swelling of the urethral mucosa, discomfort and itching in the urethra, and painful urination. There would also be a significant amount of white discharge from the urethral opening, consisting of pus. Therefore, the absence of discharge generally rules out gonorrhea. A urine culture can also be done to determine the type of bacterial infection.