Syphilis is not easy to diagnose. Its symptoms are often mild or indistinguishable. An analysis of chancres for the presence of bacteria or a blood test for antibodies is required. Both do not always work, so it is important to repeat the analysis.
Treatment involves the use of antibiotics - usually penicillin. In most cases, it completely cures the disease in the first and second stages. Analyzes and examinations subsequently last for more than two years to make sure that the healing is complete.
In the latent and tertiary stages, syphilis can also be destroyed and further damage prevented, but damage already caused in the tertiary stage is often irreversible.
Gonorrhea (or gonorrhea) in recent years is rapidly spreading among young people - in part because a woman who is sick with them, often does not even know about it. Each year, 900,000 cases of gonorrhea are recorded in the United States, but the true figure may well overlap the official figures. Worldwide, the incidence is approximately 150 million cases.
Like syphilis, gonorrhea:
- caused by a bacterium that multiplies in the warm, wet lining of the urethra, vagina, anus, or mouth;
- usually transmitted only through sexual contact, but sometimes through close bodily contact or inherited from an infected mother;
- cannot be transmitted with household items (although there have been suggestions that gonorrhea can be carried by pubic lice that can be obtained from items such as the toilet seat).
Unlike syphilis, gonorrhea is usually transmitted only with genital or anal sex. With oral contact, infection often does not occur, and if it does, it is more likely with fellatio than with cunnilingus1. (However, some doctors warn of the possibility of infection even through a kiss.)
Symptoms in men
After an incubation period (usually lasting less than a week, but sometimes up to a month), gonorrhea in men shows clear symptoms:
- discomfort inside the penis;
- thick, usually yellow-green, discharge from the tip of the penis;
- pain or burning sensation when urinating. Later, the infection can spread to nearby areas, such as glands associated with the urethra (for example, the prostate, seminal vesicles and testicles) and the bladder.
The resulting abscess may block the urethra, making it difficult to urinate. Infection of the testicles can also cause severe and painful swelling: each testicle can reach the size of a baseball. If both testicles are affected, without treatment, this can lead to infertility. In homosexuals, the rectum can be infected as a result of anal sex. This can be accompanied by painful sensations, itching and / or anal discharge, and sometimes severe pain, especially during bowel movements. But often the symptoms are completely absent or there is only a feeling of moisture in the anus. However, in any case, the infection can be transmitted further at the next anal intercourse.
If oral sex leads to an infection, the throat is mostly affected, and the symptoms are often not recognized as gonorrhea. Subsequent infection is also unlikely, since the lymphatic tissue in which the bacteria are located is located deep in the tonsil zone. Unlike syphilis, gonorrhea usually remains fairly localized, but without treatment, it eventually enters the bloodstream and infects the bone joints, causing arthritis.
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