Gonorrhea: Therapy

General measures

  • Partner management, i.e., infected partners, if any, must be located and treated (contacts must be traced for 3 months).
  • Observance of general hygiene measures!
  • Genital hygiene
    • Once a day, the genital area should be washed with a pH neutral care product. Washing several times a day with soap, intimate lotion or disinfectant destroys the natural acid mantle of the skin. Pure water dries out the skin, frequent washing irritates the skin.
    • It is recommended to use disposable washcloths.
    • Showering is better than bathing (softening the skin).
    • Tighten underwear only when the skin is absolutely dry.
    • Underwear should be changed daily and be breathable (cotton materials).
    • Synthetic materials impermeable to air create an ideal breeding ground for pathogens.
  • On the occurrence of fever:
    • Bed rest and physical rest (even if the fever is only slight; if there is pain in the limbs and lassitude without fever, bed rest and physical rest is also required, because endocarditis/endocarditis could occur as a result of the infection).
    • Fever below 38.5 °C does not necessarily need to be treated! (Exceptions: Children prone to febrile convulsions; elderly, debilitated people; patients with a weakened immune system).
    • In case of fever from 39 ° C calf compresses can help to reduce the temperature, which often leads to an improvement in the condition.
    • After the fever still a fever-free day of rest, if necessary longer (mainly bed rest and stay indoors).
  • Nicotine restriction (refrain from tobacco use).
  • Alcohol restriction (abstaining from alcohol)

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Dietary recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grains, vegetables).
  • Observance of the following special dietary recommendations during the disease:
    • Sufficient fluid intake! Since in the course of a febrile illness there is a strong loss of fluids, fluid intake should be according to the following rule of thumb: for each degree of body temperature above 37 °C, an additional 0.5-1 liters per °C. Teas are best suited.
    • In febrile illnesses, a light whole food diet is recommended. Within the framework of this diet, the following foods and preparation methods should be avoided, as experience has shown that they often cause discomfort:
      • Voluminous and fatty meals
      • Legumes and vegetables such as white cabbage, kale, peppers, sauerkraut, leeks, onions, savoy cabbage, mushrooms.
      • Raw stone and pome fruit
      • Fresh bread, wholemeal bread
      • Hard boiled eggs
      • Carbonated drinks
      • Fried, breaded, smoked, very spicy or very sweet foods.
      • Too cold or too hot food
    • Diet rich in:
      • Vitamins (vitamin C) – Due to the fever may be deficient in vitamin C. In addition, vitamin C is important for the immune system. Foods rich in vitamin C are vegetables such as spinach and fruits (oranges, strawberries, kiwis, currants), which are also well tolerated during an infection.
  • After recovery, if necessary, nutritional counseling based on nutritional analysis.
    • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.