Diagnosis and treatment of sexually transmitted diseases "ambushing on three sides"”

　　Symptoms of sexually transmitted diseases - hazy

　　Such a situation is often encountered in sexually transmitted disease clinics. The doctor is giving male After the patient is diagnosed with gonorrhea or non-gonococcal urethritis, the patient must be told to bring his or her spouse or sexual partner for examination and treatment. But at this time, these male compatriots often say: She has no symptoms of discomfort, so what else should she check? There may be the possibility of concealing the condition from sexual partners or family members, but in fact, due to differences in physiological anatomy and reproductive physiology, some women are often asymptomatic or have very mild symptoms after being infected with sexually transmitted diseases. Patients are not easy to detect, or even if they have symptoms, female They also rarely consider the possibility of contracting sexually transmitted diseases, thereby becoming a carrier or source of infection.

　　After men get gonorrhea, the symptoms are usually very obvious. They may have different obvious symptoms such as painful urination, redness and swelling of the urethral orifice, and a large amount of yellow purulent secretions. After women get gonorrhea, half of the patients will not show any symptoms, and some even show only general symptoms. Gynecology Symptoms of the disease, such as increased leucorrhea, yellow color, etc., but patients may not necessarily realize that this abnormality is exactly the manifestation of sexually transmitted diseases. Another example is genital herpes. Painful blisters that occur on the male external genitalia are easily noticed by patients. However, if a woman is infected and develops on the vaginal or cervical mucosa, the symptoms will be: cervical erosion , there is purulent discharge, but there is no rash on the vulva, so it is easy to be ignored.

　　Women's failure to diagnose STDs promptly lays the foundation for the difficulty in completely curing men's STDs. clinical It is often seen online that some male patients repeatedly fail to recover, and the final reason often lies in his wife or sexual partner. Men are hereby reminded that once they find out that they have been diagnosed with a sexually transmitted disease, they must not ignore the examination of their sexual partners, for her sake and for their own sake.

　　STD Diagnosis – Difficult

　　When women get sexually transmitted diseases, the lack of specificity of clinical symptoms is one of the reasons why diagnosis is difficult. For women, different STDs can manifest as increased vaginal discharge or leucorrhea, and it is difficult to identify clinically. disease , and the clinical examination procedures for sexually transmitted diseases in women are much more complicated and difficult than those in men.

　　Men's external genitalia are easily exposed and can be examined directly, while women must use a vaginal dilator for internal examination to observe vaginal and cervical lesions. For genital warts that occur on the vagina or cervix, if the lesions are small or the location is hidden, it is easy to miss the diagnosis. For women, the sensitivity of Gram stain examination of secretion smears is about 50%, which means that smear examination will miss the diagnosis in half of the patients when diagnosing gonorrhea in women. Therefore, the diagnosis of gonorrhea in women requires bacterial culture of secretions.

　　For some young women, arriving Hospital After all, getting an examination, especially an STD examination, is something that is difficult to talk about. Many people even "run away" when faced with a gynecological examination, which is also detrimental to the diagnosis of STDs.

　　Complications of sexually transmitted diseases—dangerous

　　Female STDs mainly occur in women of childbearing age who are more sexually active. STDs during this period are closely related to sexual activity and pregnancy, and a variety of diseases can coexist. The cervix is ​​a site that is easily invaded by a variety of sexually transmitted disease pathogens. If the infection of the cervix is ​​not treated promptly or improperly, the pathogens can ascend and cause various complications and sequelae, such as pelvic inflammatory disease diseases, infertility and ectopic pregnancy.

　　If a pregnant woman develops sexually transmitted diseases during pregnancy, it will not only affect the health of the pregnant woman, but also the health of the fetus and newborn in the abdomen. For example, if you get syphilis during pregnancy, it can be transmitted through the placenta, leading to fetal miscarriage, stillbirth, or congenital syphilis in newborns. When a newborn passes through the birth canal of a mother with gonorrhea, it can cause eye infection or even blindness. Therefore, pregnant women suffering from sexually transmitted diseases or women preparing to have children should be given necessary consultation and guidance. For example, women suffering from syphilis should be followed up for 2 to 3 years after regular treatment, and can only have children after being completely cured.