Gonorrhea is a common STI in the adolescent and young adult population (15 to 25). There are about 750,000 cases each year, with women having a slightly higher rate than men. We should use the same targeted screening that is used for chlamydial infections (with all women under 25 being tested). The same risk factors are associated with gonorrhea and chlamydia, and with both, more than 50% of women are asymptotic.
When there are symptoms, they may include vaginal discharge, pelvic pain, or pain with urination. Again, if there is a delay in diagnosing and implementing the treatment of an infection, severe pelvic problems can develop.
There are specific antibiotic protocols for treatment that are available. These days, consideration must be made for antibiotic resistance, which has been developing. Lastly, with all persons found to have gonorrhea, there should be testing for HIV, syphilis, and chlamydia.
