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
Editor's Recommendations
Most Read Articles
Pearl Toh, 13 Jan 2018
A study finds no evidence that using pharmaceutical aids alone for smoking cessation helps improve the chances of successful quitting despite promising results in previous randomized trials and routine prescription of such drugs to help quit smoking.
Elvira Manzano, 4 days ago
Cancer patients at risk for recurrent venous thromboembolism (VTE) are less likely to experience recurrence with rivaroxaban compared with dalteparin, the Select-D trial has shown, ushering in a new standard of care (SoC) for cancer-related VTE.
Roshini Claire Anthony, Yesterday

The combination of ceftazidime and avibactam proved noninferior to meropenem in adults with nosocomial pneumonia, positioning it as a potential treatment option for this condition, results from the phase III REPROVE* trial show. Nonetheless, the combination was associated with a higher number of safety events compared with meropenem.

Tristan Manalac, Yesterday
Hormone treatment confers beneficial mood effects in postmenopausal women, according to a recent study, which reports that a transdermal oestradiol plus intermittent micronized progesterone (TE+IMP) treatment regimen is more effective than placebo at reducing depressive symptoms in peri- and postmenopausal women.