gonorrhea%20-%20uncomplicated%20anogenital%20infection
GONORRHEA - UNCOMPLICATED ANOGENITAL INFECTION
Gonorrhea is a sexually or vertically transmitted infection secondary to gram-negative diplococcus Neisseria gonorrhoeae.
It is one of the most common bacterial sexually transmitted infections that may cause pelvic inflammatory disease leading to infertility or ectopic pregnancy.
Most of the infected females are asymptomatic but may present with increased or altered vaginal discharge, dysuria, urethral discharge, abnormal vaginal bleeding, vulval itching or burning, dyspareunia, conjunctivitis and proctitis.

Introduction

  •  It is one of the most common sexually transmitted bacterial infections that may cause pelvic inflammatory disease (PID) leading to infertility or ectopic pregnancy

Definition

  • Gonorrhea is a sexually or vertically transmitted infection secondary to gram-negative diplococcus Neisseria gonorrhoeae

Signs and Symptoms

  • Most of the infected females are asymptomatic, but may present with:
    • Increased or altered vaginal discharge - most common
    • Dysuria
    • Urethral discharge
    • Abnormal vaginal bleeding
    • Vulval itching or burning
    • Dyspareunia
    • Conjunctivitis
    • Proctitis

Risk Factors

  • <25 years old
  • Unmarried
  • History of previous or concurrent sexually transmitted infection (STI)
  • New or >1 sex partner in the last 3 months
  • Sex partner currently has an STI
  • Sex partner with concurrent partners 
  • Inconsistent use of condom
  • Street involvement (youth on the streets, sex workers)
  • Injection drug use
  • Commercial sex worker
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Jairia Dela Cruz, 6 days ago
Use of standard-dose aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) appears to confer protection against the risk of endometrial cancer in overweight and obese women, according to a meta-analysis.
Tristan Manalac, 6 days ago
Less than 15 percent of Singaporean adolescents get the recommended 8–10 hours of sleep on a school night, reports a recent study, noting that such short sleep duration is linked to symptoms of depression, overweight or obesity, and poorer self-rated health.
04 Jan 2019
Obstructive sleep apnoea may increase the risk of male-pattern baldness in men with a family history of hair loss, and this association appears to be mediated by low serum transferrin saturation levels related to hypoxia, a study suggests.
6 days ago
Airway type 2 inflammation remains persistent in many asthmatics on inhaled corticosteroids, a new study has shown. These patients tend to be older and have a more severe disease.