Am Fam Physician. 2012 Nov 15;86(10):931-938
This is a quick review of the above article, this is also my first real post!
Gonorrhia can cause different types of symptoms and can also be asymptomatic. Common symptoms are pelvic pain and discharge. If left untreated it can lead to pelvic inflammatory disease, which can lead to infertility, or it can lead to disseminated disease such as Reiters arthritis. Diagnosis can be achieved by nucleic acid amplification or cervical swab which would show gram negative diplococci. Treatment is typically 250mg ceftriaxone intramuscular as well as azithromycin to cover for chlamydia. We no longer use fluoroquinolones due to its resistance. If a patient does have reactive arthritis we can use long term antibiotics (at least 3 months) , along with other comfort measures. We can give a prescription for the sexual partner (depending on the state you practice in). The patient should be retested in 6 months.
Gonorrhia should be tested for yearly in sexually active women. The same goes for all high risk men.
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