Signs and symptoms of gonorrhea in females

Signs and symptoms of gonorrhea in females



Ten percent of males and 20% to 40% of females are asymptomatic.


Uncomplicated anogenital female: Endocervix, urethra, Skene’s gland, Bartholin’s gland, and anus sites may be infected.


Common symptoms.

  1. Urethral or vaginal discharge.

Dysuria, abnormal bleeding.

Mucopurulent endocervical exudates.

Nongenital symptoms may result from direct or contiguous spread and bloodstream dissemination.


Pelvic inflammatory disease (PID) occurs in 15% to 20% of women with uncomplicated anogenital gonorrhea.

Anorectal infection: 30% to 40% of patients with positive endocervical gonorrhea culture (GC) will have positive ano­rectal cultures.

Perihepatitis (Fitz-Hugh—Curtis syndrome) may occur.

Conjunctivitis may occur as well.

Pharyngitis occurs in 10% to 20% of women with genital tract gonorrhea; it is most often asymptomatic.

Disseminated gonorrhea occurs when an infection of the genital tract, pharynx, or rectum invades the bloodstream.

Prevalence: 0.1% to 0.3% of total gonorrhea

The disease’s two stages are as follows: (a) Bacteremia


Fever 38° to 39° C

Skin lesions: erythematous macules 1 to 5 mm in diameter located on extremities secondary to gono­coccal emboli

Positive blood cultures in 50%

Endocarditis or meningitis may ensue (b) Septic arthritis

Purulent synovial effusion

Knees, ankles, and wrists: erythema, edema, and pain

Negative blood cultures

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