Gonorrhea has become the most commonly reported disease, with an estimated prevalence of two and a half million cases. The incidence has risen markedly in the past decade. The degree to which this increase may be evident to the individual physician depends upon: the age and sexual habits of the population served, since promiscuity clearly plays a major role in the acquisition of the disease; how attuned the physician is to the diagnosis since it is often asymptomatic, especially in women; the diagnostic techniques at the physician's disposal because the causative organism is fastidious. This review outlines a practical clinical approach to the diagnosis and treatment. Gynecologists should include in their screening procedures of sexually active women (especially those active with multiple partners) a routine culture for gonorrhea at the time of the annual pap smear and other examinations. Although such screening has yielded a variable rate of detection, in specific groups the benefit justifies the cost. Only with increased attention to diagnosis, contact tracing, treatment, and education is there hope of controlling this disease.
ASJC Scopus subject areas
- Obstetrics and Gynecology